Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    "Sir or Ma'am" when addressing physicians?

    If the nurse's use of "sir" was different than his typical conversation with other colleagues then I understand your point, OP. In other words, the use of sir/ma'am and other titles is highly...
  2. Altra

    ER Policies

    In what areas do you feel this department's P&P are lacking? And are there hospital-wide policies which may cover these deficiencies? In my ER we are currently undergoing a "learning experience"...
  3. Altra

    Reporting of Lapse in License

    There is no judgement in pointing out, how can we possibly know what action a BON took on a particular individual's case. I'm simply redirecting you to a better source of information -- your friend,...
  4. Altra

    Reporting of Lapse in License

    If it is your business to know your friend's, well, business ... then wouldn't these questions be more appropriately directed to your friend? Not sure what we can offer here at AN on this topic ......
  5. Altra

    Triage Regulations

    pyegirlrn, the potential problem I see in your scenario is that if the registration folks are obtaining registration (read: financial) information from the patient prior to triage, that can be...
  6. Altra

    Well, I finally made a big medication error.

    Agree. A 2-week old will be not much bigger than his/her birth weight. What's an average birth weight? What was this particular kiddo's birth weight, and was he/she a full-term infant? These are...
  7. Altra

    Why don't they change LTC facilities?

    Who is/are "they", and how will the changes you would propose be funded? Medicare beneficiaries (those over age 65 and those who receive Medicare benefits due to chronic complex illness/disability...
  8. Altra

    Stupid things doctors do?!

    I just don't see where a thread with negative comments about physicians does anything to make anyone feel better about physicians' threads with negative comments about nurses. Where I work, we are a...
  9. Altra

    Stupid things doctors do?!

    Calling a mistake stupid is short-sighted ... will the same label apply to you one day when you are hurried, preoccupied, or simply have a different judgement than a
  10. Altra

    Anyone familiar with Kindred (LTAC)

    You will learn tremendously with this patient population. However, at some point you will need to work in an acute care ICU, the higher acuity the better, in order to be a competitive candidate for...
  11. Altra

    Peer Reviews

    At least in institutional settings, we do have a lot of opportunity to observe and work with each other. I can certainly easily think of the strengths and weaknesses of most of my coworkers. We...
  12. Altra

    When Do I Tell My Boss . . . . ?

    Are the two of you friendly/cordial, beyond necessary interaction? If so, then I might let on that you "have some follow up appointments/further testing that will be important to see how things are...
  13. Altra

    Peer Reviews

    I think that the OP was referring to coworker peer reviews included as part of the annual performance review process ... not BON hearings. I think it can be valuable when the hospital structure is...
  14. That is really, really unfortunate. It's actually shocking to me - and not much shocks me. Wishing you the open mind to take in many years of growth,
  15. With 5 months of experience you have not yet mastered nursing (no one has, in that time frame). You have no business supervising, guiding, or acting as a resource for others. Does this make sense to...
  16. Altra

    New Nurse at New Clinic

    Very curious to know these organizations which conclude that a person with no experience in occupational health ... is the person to hire to initiate an occupational health service. PS -- OP, you...
  17. I'm sorry you're continuing to have difficulties in this specialty area as
  18. If you want to be a nurse then prepare to be a nurse... research colleges and universities in your area that have nursing programs. Unless CNA certification/experience is specifically required by the...
  19. Just because you have 30 days to produce the required documents does not mean that the law does not require the CEUs to have been completed within the licensing period. In other words, I wouldn't...
  20. Altra

    The Mockery of Nursing

    The mockery continues, unabated ... that's all I can say. Wine or scotch ... wine or scotch ...? I'll let you know
  21. The penalty is likely defined in the nurse practice act of your state. If your state publishes disciplinary actions in its newsletter or on its website, you can glean some information there
  22. Altra

    student loans

    I would echo everything that llg said. And The Commuter's simple calculation (easily obtainable information from any lender and any of the many governmental websites covering student loan programs)...
  23. Altra

    nclex horror

    What is it about nursing that attracts the mentality ... it doesn't matter how bad you are at something - just keep trying! In this thread we yet again have a poster who is having serious difficulties...
  24. Altra

    People think nursing is overpaid?!

    Endless threads on this topic, each with a different twist. The problem: perception is reality. A patient/family member's perception may be that a nurse is a "bad nurse" or "lazy" because s/he...
  25. Altra

    Patient Questions

    I agree with the previous poster's comments -- at an urgent care you are not building a long-term relationship with patients. Any abnormal lab results that come up after discharge mean one of two...