Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    First day of CNA clinical - Elder abuse?

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

    The OP did what she had the luxury of time to do, including time to reflect on innumerable details of her
  2. Altra

    Lack of standards in healthcare

    Altra replied to esunada's topic in Patient Safety Issues

    I disagree that this is a lack of standards. I would be inclined to call it flexibility of standards to accomodate human beings, who are largely
  3. Altra

    First day of CNA clinical - Elder abuse?

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

    The difficulty is, that to those not acclimated to the physical reality of caring for physically incapable adults, many things appear upsetting that are not neglect, and not abuse. Just recently 3...
  4. Altra

    Do we need to take drugs.. in order to do our job?

    Altra replied to Been there,done that's topic in General Nursing

    Some relevant data from the CDC: Products - Data Briefs - Number 76 - October 2011 11% of the total U.S. population reports taking an antidepressant. Less than half of those prescribed one or more...
  5. Altra

    no longer can work long hours

    Altra replied to MauraRN's topic in General Nursing

    80 hours/weekly? No one can do that for very long. An old piece of advice, courtesy of my grandpa: "Overtime is extra money. If you're depending on it to make ends meet, you need to change the ends...
  6. Altra

    Is it just me or...

    Altra replied to ckh23's topic in General Nursing

    The particular example you give is, indeed,
  7. Altra

    Do we need to take drugs.. in order to do our job?

    Altra replied to Been there,done that's topic in General Nursing

    I wish I could "like" GrnTea and dishes' posts 100 times. Our definition of what is an acceptable respose to stressors is vastly different than it was a generation ago. As a personal example I offer...
  8. Altra

    Problem facing healthcare

    Altra replied to newgraduate52012's topic in Activism, Healthcare

    That one sentence may or may not be representative of the rest of the article that you were reading -- it's difficult to comment without knowing more about the context. The author appears to be making...
  9. Altra

    Problem facing healthcare

    Altra replied to newgraduate52012's topic in Activism, Healthcare

    CMS (Centers for Medicare and Medicaid - a division of the federal Dept. of Health & Human Services) surveys Medicare recipients who have been hospitalized. The actual survey tool used can be...
  10. Altra

    Coworker going to turn down "diamond" job because of training location...seriously?

    Altra replied to Marshall1's topic in General Nursing

    There could certainly be other reasons he is not publicly
  11. Altra

    HELP, new nurse and I dont like it

    Altra replied to mqnurse36's topic in First Year After Licensure

    Why on earth are they scheduling this
  12. Altra

    This is the worse idea I have every heard of-not safe.

    Altra replied to jlog.j's topic in Patient Safety Issues

    HCAHPS predates the Patient Protection & Affordable Care Act by several years, and it does not include any questions regarding transfer between units. The actual survey is here:...
  13. Altra

    First day of CNA clinical - Elder abuse?

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

    OP - how did Day 2
  14. Altra

    Rx drug abuse in your ED- steps you take?

    Altra replied to thelema13's topic in Emergency

    I feel confident that if a flagged patient comes in with their arm hanging off, they'll be medicated appropriately. The flag just highlights the patient's history of a chronic pain issue, probable...
  15. Altra

    This is the worse idea I have every heard of-not safe.

    Altra replied to jlog.j's topic in Patient Safety Issues

    If you are a small hospital with only one level of care ... that isn't changing. All that's changing, from what I read that you've posted here, is that your hospital is trying to cut down on the time...
  16. Altra

    Turning in my two weeks notice today!

    Altra replied to FutureRN_NP's topic in General Nursing

    The DON's reaction is, to use an old expression, no skin off your nose. Meaning ... who cares? This is a professional, business interaction. Consider what AnonRNC said in post #3 -- it's good...
  17. Altra

    you can't reschedule insulin? computer charting

    Altra replied to treeye's topic in General Nursing

    I'm not sure that it matters much either way. Either you reschedule the one dose to be given "on time" and have to note the reason for the change, or you give the dose "late" with the note that the...
  18. Altra

    giving report to the next level of care

    Altra replied to jlog.j's topic in Medical-Surgical

    What do you do now, with patients whose condition deteriorates to the point that you cannot care for them in a med-surg setting? And how is this different in the new bedside report
  19. Altra

    This is the worse idea I have every heard of-not safe.

    Altra replied to jlog.j's topic in Patient Safety Issues

    Why the assumption that the admitting MD (not the ER ) would send the patient to an inappropriate unit using this report system in place of whatever you are doing
  20. Altra

    First day of CNA clinical - Elder abuse?

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

    A couple of points for some perspective -- While you had the luxury of doting on one patient, the CNA you discuss in your post likely ran her butt off for 8 hours trying to juggle the needs of as many...
  21. Altra

    Really want to go into nursing but..?

    Altra replied to Claraaa's topic in General Nursing

    You have a bit of time before you'll be filling out college applications. Is it possible for you to volunteer at a hospital this summer? Or can you shadow a nurse for 1-2 days? See your guidance...
  22. Altra

    Why the Wait????

    Altra replied to msdouglas3rn's topic in Diploma, ADN, BSN

    This is not at all unique to nursing. Most college majors/courses of study have a specific progression of courses, and not all are offered every semester, especially when you get to the more advanced...
  23. Altra

    Nursing and smoking....can it hinder your career?

    Altra replied to Juryizout's topic in General Nursing

    Some employers (in all fields, not just hospitals) do indeed not hire those who test positive for nicotine. It is their right to do so. OT, but ... I so despise the title of that series of...
  24. Altra

    Night shift vs. day shift and patient advocacy.

    Altra replied to dudette10's topic in General Nursing

    When I worked nights on an inpatient unit, we would start to see at least some of the day MDs beginning at about 5am. So there was an opportunity to communicate directly with them, about issues that...
  25. Altra

    Things you'd LOVE to be able to tell patients, and get away with it.

    Altra replied to AngelfireRN's topic in Patient, Colleague Relations

    Don't bother with the bleach wipe -- just toss