Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Help, failed out of a nursing program last week

    Altra replied to rmiller12's topic in Diploma, ADN, BSN

    I think a little break is in order, to give you time for some serious introspection. Has test anxiety been an issue for you in your previous education? If not, is there something going on in your...
  2. Altra

    Over the Animosity

    Altra replied to nursefina's topic in Emergency

    I am really intrigued by your hospital's implementation of this concept, NO50FRANNY.
  3. Altra

    Have been in the ER for 3 hrs now....

    Altra replied to MadpeysRN's topic in Emergency

    As I am an emergency nurse and have been for years ... yes, I know things that you don't. Period. It's not an insult, just fact. You probably have some interest, hobby or knowledge of something...
  4. Altra

    My beautiful self..

    Altra replied to youshallbehealed's topic in General Nursing

    Remember, it's work ... not a social gathering. Try being the night resident on call for 36 ICU patients and see how much time you have to shoot the
  5. Altra

    Documentation Questiion

    Altra replied to JustBeachyNurse's topic in General Nursing

    I agree ... I've picked up certain verbage that I like from others nurses with whom I've worked. I was using the copy/paste example as an illustration of that. And as I said, I agree, I would not...
  6. Altra

    What Do You Think?: What's Your Protocol On This?

    Altra replied to All4NursingRN's topic in Patient Medications

    I think what you are saying is that your department may not have filter needles ... and you pulled up an old post in which another poster was also surprised to learn of the existence of filter...
  7. Altra

    Once again.....I'm a "nurse".....

    Altra replied to cherrybreeze's topic in Nursing Professionalism

    GrnTea, I would actually give that person you were speaking with a pass. While pursuing a bachelor's degree, it is possible to minor in any number of things, some of which would also lead to...
  8. Altra

    anyone noticing a massive increase in angiedema in patients on lisinopril?

    Altra replied to Sirapples's topic in Patient Medications

    Multicenter study of patients wit... [Ann Allergy Asthma Immunol. 2008] - PubMed - NCBI From the study abstract: " ... CONCLUSION: ACEI-induced angioedema accounted for almost one-third of angioedema...
  9. Altra

    Documentation Questiion

    Altra replied to JustBeachyNurse's topic in General Nursing

    I don't work in home health, but I have not seen a documentation system that allowed or encouraged references to another clinician's assessment. Various electronic systems have the ability to...
  10. Altra

    anyone noticing a massive increase in angiedema in patients on lisinopril?

    Altra replied to Sirapples's topic in Patient Medications

    Yes, definitely noticing an
  11. Altra

    Educating a Patient that lives outside of the state from I have my license

    Altra replied to RNChristy's topic in General Nursing

    Interesting question, but I doubt this is a problem. Your license allows you to practice nursing for an employer located in that state ... regardless of where your patients originate from. My...
  12. Altra

    Sign of the economy...grossly overqualified for the position...

    Altra replied to klone's topic in General Nursing

    Career-changing has become a part of life for many -- it's no longer unusual to find that those pursuing medicine have already worked in some other field. Our current group of 2nd & 3rd year...
  13. Altra

    Calling Code Blue in ED

    Altra replied to becca001's topic in Emergency

    Agree with previous posters ... a code really isn't out of the ordinary in the ER. It's just part of what we do, often several times a day. For the in-house code team to respond in the manner in...
  14. Altra

    Sign of the economy...grossly overqualified for the position...

    Altra replied to klone's topic in General Nursing

    Then it sounds like the applicant pool you described isn't necessarily "overqualified" ... but a fairly typical "pre-med" pool of
  15. Altra

    HIPAA and non-consulting docs

    Altra replied to NothingConstant's topic in HIPAA Challenges

    Are you sure that the objection you received to discussing cases with physicians was related to HIPAA, and not related to the fact that, for multiple reasons, they really don't want to be consulted on...
  16. Altra

    Spouses being asked to leave the room

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

    Susie2310, as a nurse, you seem extraordinarily fixated on this one particular aspect of patient care. Wishing your husband well. Edited to add: "Uncompassionate" for focusing on the patient, and not...
  17. Altra

    Why drug someone who does'nt want to be drugged?

    Altra replied to rgroyer1RNBSN's topic in Emergency

    ... As nurse is walking toward patient with ordered meds ... Pt: "What am I getting for pain?" Nurse: "The doctor ordered morphine." Pt: "I'd rather not have that."
  18. Altra

    Spouses being asked to leave the room

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

    This.
  19. Altra

    Trauma Nursing

    Altra replied to Wolf at the Door's topic in Emergency

    Yes, we have a TICU, a tele unit designated for trauma/surg patients, and non-tele trauma patients also sometimes get admitted to a med-surg or ortho unit
  20. Altra

    Completely confused about this Foley Catheter issue...

    Altra replied to SunSurfRN's topic in Patient Safety Issues

    It probably got tugged during the transfer to U/S. Dilaudid, for c/o catheter discomfort?
  21. Altra

    Spouses being asked to leave the room

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

    The textbook situation would be filling out the form/checking off all the boxes. But of course, you & your husband's situation is
  22. Altra

    Spouses being asked to leave the room

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

    I agree with this completely. It can be helpful to remember, also, the amount of objective data that is going to be obtained through labs, diagnostics, etc. A patient and 15 family members can all...
  23. Altra

    Spouses being asked to leave the room

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

    As a nurse, I ask the patient questions for which I am interested in his/her answer. And observing the patient's ability to answer questions gives me important information about the patient's mental...
  24. Altra

    What does Florence Nightingale mean to you?

    Altra replied to Joe V's topic in Nurses Rock

    Florence Nightingale was among the first to practice and promote professional nursing. She is not any more or less relevant to the current nursing profession than Hippocrates is to medicine, or Melvil...
  25. Altra

    "internal positions" filled by seniority?

    Altra replied to treeye's topic in General Nursing

    This is entirely up to the organization, if it is not spelled out in a collective bargaining agreement. Look up your hospital's HR