Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Can you put gloves on after tying tourniquet?

    Yes, you can put gloves on after placing the tourniquet. At that point you may not even have selected your site yet, nor cleaned the site. No harm in not having gloves on to apply a tourniquet to...
  2. Altra

    Normal Birth

    Though OB is not my specialty, I considered the OP's use of the term "normal" incredibly, insensitively judgemental until I read your post referencing the WHO's use of the term. I still think it...
  3. Altra

    Sorry Nurse Recruiters/Nurse Managers!

    While I can fully appreciate that recent college grads have entered the job market at an extremely difficult time of recession (as have other college grads in fairly cyclical 20-year increments) I...
  4. Altra

    Salary!

    In the US the government agency the Bureau of Labor Statistics publishes wage data on its website. Is there a Canadian equivalent? If you're unable to search this yourself, a post in the Canadian...
  5. Altra

    Not chosen by my manager

    So do you still have the job? If so, I wouldn't sweat it too much. If the now-manager is new to the position she's going to have other things on her plate than just you. Just be
  6. Altra

    Blood Infusion

    Even when I've worked in facilities which utilized tubing specifically made for that brand/pump manufacture, I've never had a problem still infusing by gravity. Your situation may have been very...
  7. Several years-old threads dredged up, all on the same
  8. Risk Management Claim
  9. Altra

    Orientation nightmares

    As an experienced nurse ... you chose to make the switch to ICU for a reason, no? So why the rush to transfer because of an interpersonal conflict with one individual who will be your preceptor for,...
  10. Altra

    Orientation nightmares

    I have to ask what kind of response you thought you would get by putting one individual on the spot in a group staff meeting? From your post, it appears the issue is between you and your preceptor --...
  11. Altra

    Blood Infusion

    The brands of blood tubing I have worked with do allow for gravity infusion. The troubleshooting interventions you describe sound like what I would have tried. If the line flushed fine but even...
  12. Altra

    Too many hats

    Your manager needs to have specifics. If pharmacy is sending incorrect meds ... without knowing the specific meds and the patient(s) they were sent for, there is no way to pinpoint the source of the...
  13. Altra

    Appendicitis? Really???

    Triple contrast? It's always fascinated me, how drastically radiology protocols vary from place to
  14. Altra

    Would U hav time for meh?

    You may want to rephrase your post using standardized English and avoiding text-speak. You will likely get a better
  15. Altra

    What do you hate seeing the MOST in the ER!?

    The "surprise" diagnoses of cancer ... The flank pain for which CT scan shows that yes, you do have a kidney stone ... but also hey, look at that mass in your liver. The n/v x few days which is...
  16. Altra

    Sorry Nurse Recruiters/Nurse Managers!

    Boy, it must suck to be a nurse who thinks this way about
  17. Altra

    STEMI Protocols

    Though we do not have a kit or box put together with meds (I think that is a great idea, BTW), our STEMIs are generally quick, smooth encounters. Patient is identified pre-hospital as having a...
  18. Altra

    Are there doctors on duty in the ER?

    God, I hope I'm working that
  19. Altra

    What does your educator do?

    In our department the educator is a full-time position including 8-12 hours/week working as staff within the department. The rest of the time is spent coordinating the orientation program for new...
  20. In my own experience I would put the success rate at about 85%. Of the remaining 15%, a few can be chalked up to orientee/preceptor mismatch, a few demonstrate an unfortunately blatant lack of...
  21. All4NursingRN, you've had several threads regarding ongoing problematic interactions with your coworkers. I'm sorry you're in the situation you're in. I don't think it has much to do with experience...
  22. Altra

    Lots of Question!!

    Congratulations in advance on your upcoming high school graduation - it's an exciting time! As you've found, there is a wealth of information on AN about nursing as a career. For specific admission...
  23. Altra

    Bogus degree?

    The OP is an independent practitioner, and it sounds as though this colleague is probably also an independent practitioner in a similar or complementary practice area as the OP. Or is possibly the...
  24. Altra

    Bogus degree?

    Does her client base affect your client base? If so, then you may have a vested
  25. Altra

    Question regarding ED holding orders

    Agree with Esme12's posts above. thelema13, I understand your frustration with the differences in mindset between the ED and inpatient units -- trust me, I get it. But after working the inpatient...