Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    IV bolus to CHF patient. Need your opinions please

    Altra replied to lsvalliant's topic in General Nursing

    As a couple of people have pointed out, edematous does not necessarily equal fluid overloaded. Yes, more specific data about lab results is needed to evaluate this order, but it doesn't necessarily...
  2. Altra

    If you could post your own...

    Altra replied to Daisy_08's topic in General Nursing

    Well .... some claim to not have experienced
  3. Altra

    Exeter Hospital employee led to an outbreak of hepatitis C

    Altra replied to Esme12's topic in Patient Safety Issues

    I read the article and watched the video ... where am I missing discussion of a "drug-addicted employee"? Drug diversion is one thing, but reusing syringes/needles among multiple patients is quite...
  4. Altra

    Adult ER nurse....advice on Pedi patients

    Altra replied to danggirl's topic in Emergency

    In my experience, nurses unfamiliar with pediatric patients are sometimes just as freaked out by more routine pedi presentations as they are by the prospect of dealing with a really sick kiddo in...
  5. Altra

    Do you as an RN insert nasopharyngeal or oral pharyngeal airway adjuncts?

    Altra replied to 42pines's topic in Emergency

    Combative does imply "airway stable", does it not?
  6. Altra

    CNA's documenting in charts...

    Altra replied to luvmy2angels's topic in Geriatric, LTC

    I fully support ancillary staff having access to the chart, and the ability to chart things within their scope. It shouldn't be a problem that it leads confusion ... for example, it is standard that...
  7. Altra

    Adult ER nurse....advice on Pedi patients

    Altra replied to danggirl's topic in Emergency

    Wow, it's a rare ED that does not see kids. Like most other things, the only way to improve is to keep at it. Seek out the pedi patients when they come in, and if there is another nurse in your ED...
  8. Altra

    Work situation, upset, opinions needed

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

    Of course the patient was your first priority right at that moment, OP. But the exchange went both ways, and took your time/attention away from the very patient that you were trying to concentrate...
  9. Altra

    Why do mean/crabby people become nurses??

    Altra replied to R!XTER's topic in Patient, Colleague Relations

    OP, since you specifically said you work in an ED ... To expect a nurse (any nurse, any shift) to "stay until all orders are completed" is unrealistic in just about any setting, but a completely...
  10. Altra

    Do you as an RN insert nasopharyngeal or oral pharyngeal airway adjuncts?

    Altra replied to 42pines's topic in Emergency

    No prohibition on use of these devices, including the King and LMA, by my state's NPA. And they are covered under nursing policies where I have
  11. Altra

    Why do mean/crabby people become nurses??

    Altra replied to R!XTER's topic in Patient, Colleague Relations

    Thank you. This nurse is not "making" anyone do
  12. Altra

    No need to be upset at the truth! Change careers

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

    Thanks for the post, griffinchet. It's not unique to nursing, either. Plenty of folks in all fields wake up one day and say, "I just don't want to do this anymore ..." The average adult's work life...
  13. Altra

    Emergency Kit

    Altra replied to Kidrn911's topic in Emergency

    Agree -- I don't have a problem with giving aspirin because the public is urged to do just that in the event of onset of chest pain. Bottom line, OP -- you have to think BLS here. BLS as it is taught...
  14. Altra

    a question about documentation

    Altra replied to treeye's topic in General Nursing

    Did you do anything to relieve the nausea, either by using a prn order or contacting the provider for one? And I'm not sure I would be offering anything p.o. to someone who is currently
  15. Altra

    Giving O2 without an order??

    Altra replied to strawberryfields's topic in General Nursing

    I'll repeat what I have said before here at AN ... If you are ever taking care of me, and find me in respiratory distress ... unless we all agree that it's my day to die please, PLEASE crank up that...
  16. Altra

    Do the doctors and nurses really sit apart in cafeterias?

    Altra replied to Maui79's topic in Patient, Colleague Relations

    A shame. Our ER docs are generally cool people. From every conceivable background and from a number of different corners of the planet ... but generally easy to get along
  17. Altra

    Emergency Kit

    Altra replied to Kidrn911's topic in Emergency

    I agree with you about the AED. My (small) church has
  18. Altra

    Dealing With Weak Nurse Managers!

    Altra replied to All4NursingRN's topic in Emergency

    All4NursingRN ... quite some time ago when you were either still on orientation as a brand new ER nurse or shortly thereafter ... you posted here at AN describing the inadequate orientation you were...
  19. Altra

    Emergency Kit

    Altra replied to Kidrn911's topic in Emergency

    I would not recommend any of those items other than gloves, just some gauze for a temporary dressing and MAYBE aspirin.. Applying O2 and obtaining vital signs crosses the line, in my opinion, from...
  20. Altra

    Is it possible.....

    Altra replied to Charon G's topic in Patient Safety Issues

    I once had a patient who drained 2,200 mL within about 5
  21. Altra

    Do the doctors and nurses really sit apart in cafeterias?

    Altra replied to Maui79's topic in Patient, Colleague Relations

    Pretty much the same in our ED, Dixielee. Though some eat in the cafeteria, step out to call home or run a quick errand to the pharmacy or credit union ... for the most part we all eat together in...
  22. Altra

    Vitals during an MI

    Altra replied to silverhalide's topic in Cardiac

    No ... a number of variables and any number of underlying causes of infarction mean there is no rule of
  23. Altra

    Can't seem to find the answer

    Altra replied to NiceShot's topic in General Nursing

    Have you looked at the RN-BSN curricula of schools that interest
  24. Altra

    Cross Roads

    Altra replied to ph0618's topic in General Students

    Your definition of the "appropriate" amount of time devoted to your significant other ... your significant other's definition of "appropriate amount" ... and your joint abilities to negotiate and...
  25. Altra

    Good Idea to Disclose Criminal Background and Stipulations on Cover letter??

    Altra replied to lashuna1028's topic in Licensure: Criminal History

    No. Sell yourself in person -- give them every reason to hire you before you detail the