Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Recieving a patient from ER

    Altra replied to jkr2020788's topic in Emergency

    This is splitting hairs, IMO. If a patient has been admitted, then by definition they have been admitted to a specific physician who has assumed care. If the physician/team/hospitalist process for...
  2. Altra

    Recieving a patient from ER

    Altra replied to jkr2020788's topic in Emergency

    Our system is like nuangel1's ... and yes, we have had at least 2 JC surveys while utilizing this system without any
  3. Altra

    Documentation question, need opinions on this one

    Altra replied to nf nurse's topic in General Nursing

    You don't need opinions on this one. You need the immediate input of your
  4. Altra

    first interview as an RN...nightmare job

    Altra replied to SammyRN2012's topic in Job Search, Interview, Resume

    I infer from your post that you would be more comfortable in an organization with an entire nursing heirarchy/support structure. And there is nothing wrong with this preference, particularly for a...
  5. Altra

    Code Blue Announcement

    Altra replied to airborneinf82's topic in Patient Safety Issues

    I guess I'm going against the grain here, but overhead paging is viewed as old-school in my region. Codes have been called via pager in each of the three hospitals where I have worked. It works just...
  6. Altra

    Kindred Sub-acute Care Facility background check ques?

    Altra replied to Scotthudson1966's topic in Rehabilitation

    Agree with llg -- as I've said here before on AN - the purpose of the credit check is not to see how much you owe on credit cards, but to corroborate other information an applicant has provided such...
  7. Altra

    Shocked by new grads at job fair

    Altra replied to mclennan's topic in Job Search, Interview, Resume

    I'd like to be shocked, I really would. But sadly, I am not. All you can do is to set yourself
  8. Altra

    Drug screen for new job

    Altra replied to RURN2O11's topic in General Nursing

    I understand your frustration, but I have been required to have a UDS for all jobs I've held since the late 1980s - in and out of healthcare. This is not
  9. Altra

    Obamacare and Mark of Beast... wrong time to be a nurse?

    Altra replied to tarotale's topic in Activism, Healthcare

    Life is too short to waste time on opinions formed on something that has no basis in reality. And failing to accurately discern information from reliable sources wastes the intellect with which a...
  10. Altra

    Drug screen for new job

    Altra replied to RURN2O11's topic in General Nursing

    The immediacy is so that there is not time for an applicant to *ahem* prepare for the UDS and alter the result from what it might otherwise have
  11. Altra

    Recieving a patient from ER

    Altra replied to jkr2020788's topic in Emergency

    I can only explain why it happens at my hospital - I can't speak for yours. Because that's when beds get assigned. Like magic, every freaking day around 5:30 - 6pm, the ER tracking board lights up...
  12. Altra

    Public Humiliation In Healthcare

    Altra replied to TheCommuter's topic in Patient, Colleague Relations

    One thing I notice in the article is the presumption that the nurse will feel "humiliated" by the individual doing the ranting, instead of that nurse (and others present) feeling shocked and...
  13. Altra

    why does liquid med through NG make the pt gag?

    Altra replied to unsaint77's topic in General Nursing

    I think some posters must be envisioning a different scenario than others ... when administering meds or other solutions (CT contrast comes to mind for me ...) there is indeed "pushing" involved. The...
  14. Altra

    Recieving a patient from ER

    Altra replied to jkr2020788's topic in Emergency

    In my experience, no, you cannot "make" the receiving nurse more accepting. People either understand that different environments function differently, or they don't. People either "get" that nursing...
  15. Altra

    I'd kill you

    Altra replied to gonzo1's topic in Patient, Colleague Relations

    The comment from the charge nurse seems overly dramatic, but it would have been best to transition the sedatives in such a way that the patient remained
  16. Altra

    "No nurses of color....."

    Altra replied to Queen2u's topic in Patient, Colleague Relations

    What are we supposed to do? Here's what we do: "That request cannot be accomodated." End of
  17. Altra

    Nurses taking patient's off backboards without doctor clearnce?

    Altra replied to the big nurse's topic in Emergency

    Removing a patient from a long backboard does not in any way constitute "clearing" a spine and so there is no reason for nurses to not be trained to do so safely. Nor does care/treatment of a...
  18. Altra

    Just when you think you've seen/heard it all.........

    Altra replied to Ruas61's topic in General Nursing

    nerdtonurse, I have to say that I did not consider a home setting when reading or responding to this thread, particularly since the OP stated that the patient in question was instead referred to her...
  19. Altra

    Had my first grievance, not very happy...

    Altra replied to mjs2118's topic in General Nursing

    If I waited until some of my patients were pain-free to transport them to the floor, they would be discharged or dead. And no, I will not tell my patients, "there is an inpatient unit bed assigned and...
  20. Altra

    Just when you think you've seen/heard it all.........

    Altra replied to Ruas61's topic in General Nursing

    I referred back to the OP's 3 posts: I read that the hospice service determined after re-evaluation that this particular patient did not meet criteria for admission to their service. I also read...
  21. Altra

    Just when you think you've seen/heard it all.........

    Altra replied to Ruas61's topic in General Nursing

    I'm not quite understanding this scenario. This patient has a dx of end-stage liver disease, and requires control of pain & other s/s ... but is being denied hospice. What am I missing
  22. Altra

    Working RNs and the CNA are to blame for new graduate RN program shortages .

    Altra replied to murs's topic in First Year After Licensure

    OP, did you consider that the mythical chief of staff with whom you had this deeply personal conversation might have had an agenda of his/her own? Or did you just take it as gospel truth? And if you...
  23. Altra

    DNR- Do Not Treat?

    Altra replied to GinaCat's topic in Patient Safety Issues

    This.
  24. Altra

    Should I Apply for Management??

    Altra replied to NurseAnnie123's topic in Nurse Management

    Huh?? Can you point out the ruthlessness and/or the egocentricity present in the OP's
  25. Altra

    Exeter Hospital employee led to an outbreak of hepatitis C

    Altra replied to Esme12's topic in Patient Safety Issues

    Yes, Commuter, I read that line. But that is what I'm questioning. Diversion is one thing. But re-use of needles/syringes requires a very different, larger, systems