Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Evidence-Based Practice...your thoughts

    Altra replied to ThePrincessBride's topic in General Nursing

    I can't stand the term -- I think it's meaningless. Any clinical practice -- the latest and greatest gold standard or the very dubious -- I can probably find you some study, some evidence -- that...
  2. Altra

    Has Nursing hardened you?

    Altra replied to ThePrincessBride's topic in General Nursing

    If anyone, in any profession, retained the same outlook and values at age 50 that they had at age 20 ... wouldn't that be a failure to progress/mature? Don't you think life should teach you...
  3. Altra

    Was this a fair consequence?

    Altra replied to danachap1's topic in General Nursing

    Agree with the above poster. The particular item you took and for what purpose is
  4. Altra

    Afraid I started a hostile situation

    Altra replied to 33762FL's topic in General Nursing

    somedaypeds, I mean that unless the OP has clear evidence that the behavior is racially motivated, it would best to focus any discussions with management on the behavior that is a problem. As charge...
  5. Altra

    Any RN's willing to help out??

    Altra replied to dbonilla1170's topic in General Nursing

    What about any nurses in the offices of the physicians you and/or your family see? Your kid(s)' school nurses? Can you ask any of your professors if they know someone who might be willing to meet...
  6. Altra

    Do I Say Something When They Call or Just Let it Go?

    Altra replied to flashpoint's topic in General Nursing

    OP, especially given that you had some familarity with the hospital as you had previously worked there ... is there a reason you didn't work out these issues with your nurse(s) right then and there,...
  7. Altra

    narc waste a little long

    Altra replied to ohmeowzer's topic in Patient Medications

    Nursing schools cannot possibly teach the varying policies of every
  8. Altra

    Number of residents

    Altra replied to gapeacheykeen's topic in Medical Assistant, CNA/MA

    Summary of regulations on LTC staffing, by state:
  9. Altra

    ED Diversion

    Altra replied to Pudnluv's topic in Emergency

    This is regulated by law - some states do not allow for ambulance diversions at all. If you are in a state that does allow diversion there are still very specific criteria that must be met and so it...
  10. Altra

    PRN elsewhere??

    Altra replied to kodocha77's topic in General Nursing

    I applaud your desire to increase your knowledge, but changes to very different specialties require an orientation/immersion period. A PRN position assumes familiarity with the specialty and provides...
  11. Altra

    narc waste a little long

    Altra replied to ohmeowzer's topic in Patient Medications

    So ... either she and the facility are misinterpreting the written policy ... or you & others have been mistakenly misinterpreting it for a long time. I would go read the policy, as that is the...
  12. Altra

    Advice from commuters on how to survive 12-hr shifts??

    Altra replied to makunc's topic in General Nursing

    I have 100% faith that OP will "survive" the 35 minutes it takes to get home at the end of the day.
  13. Altra

    Is this fair? Honest opinions, please.

    Altra replied to BC913's topic in General Students

    What will you accomplish by meeting with the dean? Point out poor decision-making? Cancel it, pretend you never heard any of this drama, and focus on your own
  14. Altra

    How important is it to work as a Graduate Nurse first?

    Altra replied to heavenwith7's topic in General Nursing

    Your preceptor may simply have been communicating the reality that if you are an imminent spring graduate in a state that allows working as a GN prior to taking NCLEX ... those who started looking for...
  15. Altra

    Arterial line vs. cuff pressure.

    Altra replied to dirtyhippiegirl's topic in General Nursing

    I would probably agree with your assessment that the low readings were the result of the positional art line, if cuff pressure was as you stated, urine output had not dropped, peripheral pulses were...
  16. Altra

    Afraid I started a hostile situation

    Altra replied to 33762FL's topic in General Nursing

    Leave race/ethnicity out of it, as it has no bearing here. The behavior needs to
  17. Altra

    Student Response to "Court Subpoena"

    Altra replied to guest042302019's topic in General Students

    Can you clarify what you mean by "legal
  18. Altra

    Court subpoena

    Altra replied to Simply Complicated's topic in General Nursing

    I'm just explaining how I would have approached this: if I received word on Thursday that I was to appear in court on Monday ... I would have been speaking with my manager that day and making...
  19. Altra

    Court subpoena

    Altra replied to Simply Complicated's topic in General Nursing

    If it were me I would speak with my manager and ask to review at least my portion of the patient's chart. Your hospital's risk management/legal department should be made aware of your subpoena. And...
  20. Altra

    post mortem and dentures

    Altra replied to makes needs known's topic in General Nursing

    I'd put them in. The length of time they remain out can affect funeral
  21. Altra

    New Grad RN and loving it!

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

    It's definitely not horrible everywhere. Difficult, yes, but not horrible. In this first year it will get both easier and harder ... that might not make sense to you right now, but it will. Glad...
  22. Altra

    Chasing after alarms. What do you do?

    Altra replied to vc01ca's topic in Medical Assistant, CNA/MA

    http://www.pascenter.org/documents/Staffing_regulations_1_08.pdf This is a summary of the state by state regulations regarding staff ratios. There is tremendous variation among
  23. Altra

    How would you change Healthcare Delivery?

    Altra replied to BostonTerrierLover's topic in General Nursing

    The proposition of a centralized medical history record fascinates me, in the context of another recent AN thread in which a number of posters vehemently defended a patient's right to only selectively...
  24. Altra

    Can a nursing home have their RNs work 60 hour weeks?

    Altra replied to mell260's topic in General Nursing

    Assuming that you are in the U.S. ... a wealth of information here on the Fair Labor Standards Act: U.S. Department of Labor-Wage and Hour Division (WHD)-Topical Fact Sheet Index It's impossible to...
  25. Altra

    Can you put gloves on after tying tourniquet?

    Altra replied to wish_me_luck's topic in General Nursing

    Did you ask later why? That nurse may have been communicating to you that that particular patient required contact isolation, or was simply prone to incontinence or something like that. It doesn't...