Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Patient Abandonment by Physician???

    I'm uneasy with the idea that this supposedly healthy-until-recently person (who never had much more than a cold, per the OP in post #35) is now actively taking or seeking a plethora of psychoactive...
  2. No rollseyes at you joanna73 ... just at the genius architect who designed my hospital's
  3. Regardless of where you trained, you can find yourself at some point working in a hospital with no locker rooms in any depts. outside of the OR and L&D, with lockers in all other dept. breakrooms...
  4. Altra

    Fixing occluded peripheral IVs

    The smaller syringe exerts more pressure than the larger syringe. It's fine to use a 3cc on a PIV. Remember to visualize the PIV itself -- it's only about 1-1/4" long give or take, depending on...
  5. Altra

    Patient Abandonment by Physician???

    Correct -- the OP's line of thinking would mean that any physician consulted was responsible for the patient for 30 days -- which would kind of defeat the purpose of the "second opinion". The...
  6. Altra

    Patient Abandonment by Physician???

    I am not aware of any requirement that a physician must treat any certain patient. And at the beginning of the post, you mentioned that this physician, within the same group as the patient's PCP, was...
  7. Altra

    The Mockery of Nursing

    After some reflection, I've decided on Fomite Factory pants in Cardiomyopathy Gray, and I'll get a scrub top in "UA Stripes" and a T-shirt that reads, "It's OK, Boo
  8. Altra

    New grad RN in med-spa

    i don't think you can equate your current experience with inpatient care in a hospital. if you keep this job, latch on to another nurse there and be very, very dedicated to honing your assessment...
  9. Altra

    The Mockery of Nursing

    My turn to vent. My current votes for The Mockery of Nursing: 1. Published studies widely covered by both healthcare industry and mainstream media which presuppose nursing is something females who...
  10. This politically conservative nurse (registered Republican who exercises her voting rights regularly) agrees with much of the Patient Protection & Affordable Care Act ... but would replace it with...
  11. Altra

    Wiping off IV ports

    Depends on the agent being used. Alcohol is greatly aided by the friction. With chlorhexadine - the drying time is
  12. Altra

    You know its a seeker when . . .

    I totally hear what you are saying about the drug-seeking behavior, but this was poor patient management. For months, he had incomplete dialysis? I just can't see this happening where I've worked --...
  13. Altra

    Full time and Per-Diem

    Agree with the previous posters regarding the OT aspect. And per diem positions presuppose a familiarity and competency in the unit -- probably not the best option if you have no prior experience in...
  14. Definitely put it on the resume and online application, but no, it is not employment paid at a rate of $0.00. Make sure to mention it in the cover letter, whether on paper or electronic ... or...
  15. Altra

    Manipulative patients always get the best of me....

    Agree -- it's time for
  16. Altra

    patient privacy

    I've worked at two teaching hospitals -- it is a given that there will be a greater number of people involved with the care of a patient than at a non-teaching facility. Observation or teaching...
  17. I live in a "tri-state" area ... I know many who are licensed in all 3
  18. No, you can be licensed in more than one
  19. You'll need to apply for a license in the new
  20. Altra

    Dealing with nosy family members.

    Oh heck no ... Looking into other patients' rooms? Why is this not dealt
  21. Altra

    In need of a serious butt whoopin I am.

    Oy ... I'm not sure. Are there any guidelines in your performance review system, to guide both the individual and the manager in the ratings? That's generally been the case where I have worked. The...
  22. Altra

    Formal Contract

    Of course it is. A position was posted. X applicants applied. Y were interviewed. One will get the job. And ... I'm not sure what this has to do with a
  23. Altra

    I think it would be wonderful if...

    In my teaching hospital, they're pretty clear about what nurses do all day ... because they're there all day too. I so appreciate the camraderie this
  24. Altra

    Home Care Nursing Options???

    Unfortunately, the way the world works is ... if you're not paying the bill, you don't get to call the shots. Clearly the daughter is receiving some type of disability/state-supported health care...
  25. Altra

    Written up for false documentation...

    It might be helpful to remember the old definition of insanity: Doing the same thing over and over, and expecting different