Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

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

    This is ludicrously manipulative. Discharge? And can we stop using the equally ludicrous phrase "fired the nurse"? Except in private duty situations when a nurse is not represented by an agency ......
  2. Altra

    The Mockery of Nursing

    Emotional Sherpa ... now there's another phrase I'm going to have to
  3. I must not be creative ... I never, ever would have thought of crushing Klonopin and injecting the crushed med with heroin. Is that the polysubstance abuse version of fusion
  4. Altra

    Being late to work...

    Are you referring to being an hour late because you didn't set your alarm or some other circumstance which causes major lateness ... or the chronic condition of clocking in at 7:04? No, this is not...
  5. Altra

    Pt refusals

    I recently observed an ortho surgeon comment to a patient, "It's unfortunate, but every once in a while a patient of mine doesn't do well ... not able to tolerate the standard things we do to minimize...
  6. A rare victory for natural selection
  7. OP, it doesn't really matter what anyone else here has experienced ... it only matters what hurdles you now face as an
  8. so as a nurse, which are you: glorified waitress step-in nanny resistant to change hesitant to allow others to succeed ok with stagnation and i'm curious how you have managed to be the "more than...
  9. Altra

    Thoroughness of your 1st assessment of the day

    This may be acceptable - it was when I worked full-time in an ICU - but you'll need to check your unit's policies. Give yourself a little time to get acclimated. I bet it really doesn't take you a...
  10. Altra

    Asking for a Raise

    It is highly unlikely that your manager even has the ability to alter your particular salary structure out of line with others', even if s/he wanted to for some reason. Also consider -- as a nurse...
  11. "Fomiting it up all over town" ... Oh man, I'm so gonna use this
  12. Is it your assumption that non-scrub clothing is cleaner? I read a lot of anger in your post. You don't just make the point that they were wearing scrubs -- you go on to describe their activities in...
  13. Altra

    Odd question about site.

    Posts in certain forums (fora?) are reviewed by a moderator before becoming visible. It's not you personally, or your post in particular.
  14. Altra

    Depressed, or just "Life?"

    dirtyhippiegirl makes some good points ... but this oldster still sees much of it as an exaggerated emotional response. My threshhold for correct use of the term "battling depression" is a little...
  15. Altra

    which shift 3pm-3:30 AM or 11AM-11:00PM

    Those are typical ER
  16. It was an obviously inappropriate comment, and I'm not excusing it. But as a nurse, remember that the emergency department threshhold for "very sick" is ... not the same as what it is to laypeople....
  17. The older I get, the more I see that there is a not-so-fine line between achievement goals and unrealistic grandiose expectations. You can, as a nurse, have quite an impact on another human being....
  18. Sorry, I'm not sure I see this as adjustable. Hospitals are required to have each new hire complete orientation requirements mandated by JCAHO, OSHA, and the state dept. of health ... and that's...
  19. I will chime in and say that I love my job 40% of the time, like it 55% of the time, and dislike it 5% of the time. I'm comfortable that I'm in the right specialty area for me. Nursing does change...
  20. OT but ... I have too, twice. Both patients alert, denied CP, SOB or any other s/s, carrying on calm conversations. And no, it wasn't monitor artifact
  21. Altra

    Advice - I'll need a meal tray too

    OK, you get one pass. Next time though ... it won't be
  22. Altra

    Credit checks and employment

    I agree with you on that point, but it has zero to do with responsibility for or consequences of such poor decisions. And BTW, I only agree with this to a certain extent. Previous generations managed...
  23. If you're sure you don't want the job, call and cancel now - there's no point in them leaving you in the potential candidate mix. Be polite and brief, just state simply that you've decided after...
  24. That is so short-sighted it's hard to believe. You could try pointing out all that goes into acclimating new hires, not just to the specific duties of their particular job title at the moment, but to...
  25. Altra

    Advice - I'll need a meal tray too

    Incremental behavior modification, done with a smile. It takes some time, but it