Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    From a nursing student to nurses...

    Altra replied to Staragate's topic in General Nursing

    No, thank you. :) Remember this enthusiasm when you are working and you have days from hell. We really are all in this
  2. Altra

    ER Nurses- How do you feel about ED volunteers?

    Altra replied to VagusX's topic in Emergency

    You will come out of this experience having learned far more than you ever dreamed about interpersonal communication. :) I think it's OK to be a bit more assertive when asking a quick question, such...
  3. Altra

    Unclogging a g-tube

    Altra replied to KatieNoelLPN's topic in General Nursing

    :rotfl: But ... no. Just
  4. Altra

    Unclogging a g-tube

    Altra replied to KatieNoelLPN's topic in General Nursing

    Avoiding those would exclude many of the things that go down a g-tube: tube feeds, liquid meds, radiopaque contrast media,
  5. Altra

    Should I do anything about being yelled at?

    Altra replied to kw11's topic in Patient, Colleague Relations

    I'm sorry this happened to you. I have to say, however, that I would have made it my business to know what the rationale was for the catheter and attempted to redirect the patient's daughter by...
  6. Altra

    Vent about healthcare

    Altra replied to MomRN0913's topic in Activism, Healthcare

    The 2011 implementation of the preventative care piece of the Affordable Care Act means that insurance plans can no longer charge copays for annual well visits and generally accepted screening...
  7. Altra

    E.D nurses "set up to fail"

    Altra replied to nurs2012's topic in Emergency

    Your information is a little out of date. CMS & JCAHO relaxed the antibiotic initiation standard for community-acquired pneumonia from 4 hours to 6 hours in 2007. The standard itself remains...
  8. Altra

    Hydralazine

    Altra replied to brainkandy87's topic in Emergency

    Hence ... the detour that another ER thread has taken
  9. Altra

    Chart modification after 48 hours- fraud?

    Altra replied to thelema13's topic in Emergency

    Agree with canchaser ... and if you think about it, physicians are sometimes completing dictation on charts more than 48 hours after the patient was seen in the ER. I have to say, however, I would...
  10. Altra

    E.D nurses "set up to fail"

    Altra replied to nurs2012's topic in Emergency

    though this is not a floor vs. ed thread ... i find it interesting that you pin deficiencies in physician orders on the nurse. many a time when giving report i have found myself saying, yes, that...
  11. Altra

    Emergency Nurses Association

    Altra replied to Faithful16's topic in Emergency

    Suggest you contact your local chapter for
  12. Altra

    Emergency Nurses Association

    Altra replied to Faithful16's topic in Emergency

    Hi Faithful16 ... what was your
  13. Altra

    E.D nurses "set up to fail"

    Altra replied to nurs2012's topic in Emergency

    It's good that you understand the perspective that your instructor's comments are coming from. If by "liability" he means autonomy ... yes, this is different in the ED than in some other environments....
  14. Altra

    E.D nurses "set up to fail"

    Altra replied to nurs2012's topic in Emergency

    I think that the person to ask ... is the person who made that
  15. Altra

    Caught between working as a NP or MDS coordinator

    Altra replied to JenDandy's topic in General Nursing

    If you have been formally offered the MDS position, I'm assuming you have been quoted a salary ... to help you make your
  16. Altra

    Dream job...no longer my dream job??

    Altra replied to HopefulRN2010's topic in General Nursing

    "Dream" jobs are the rare exception, not the rule, in any field. But the vast majority of people make the most of the job they have ... or come to grips with the fact that for many, a job is just one...
  17. Altra

    IV push and IPID

    Altra replied to samiam4's topic in Patient Medications

    The first bit of the med you push may get slightly diluted in the saline that remains from the last time it was flushed. The flush after the med is not to dilute it but to push it into the vascular...
  18. Altra

    When is a patient your patient?

    Altra replied to shannonFNP's topic in Emergency

    If you think about this threat logically, you'll know it is nothing more than a scare tactic. I'm sorry that your management feels the need to tell tall tales in order to implement an immediate...
  19. Altra

    Hydralazine

    Altra replied to brainkandy87's topic in Emergency

    Stargazer makes a good point - the ED setting is more tolerant of a high SBP than an inpatient environment, as long as there is no head bleed, headache, visual disturbances, or neuro deficits. I never...
  20. Altra

    The Mockery of Nursing

    Altra replied to Old.Timer's topic in Patient, Colleague Relations

    The employee health nurse who completed my last pre-employment drug screen and breathalyzer test commented, "You'd be surprised at the people who come in here, knowing they're going to be taking a...
  21. Altra

    MedTox non-negative Pre-employment Drug Screen

    Altra replied to bishops76's topic in General Nursing

    The OP in this 6-month old thread discussed an experience with a pre-employment drug screen. Your situation sounds more like ongoing monitoring as part of a mandated peer monitoring
  22. Altra

    have you seen septic shock develop this QUICKLY?

    Altra replied to allthesmallthings's topic in General Nursing

    Remember the old adage: everyone is stable, until they're
  23. Altra

    do I have to list maternity/medical leave on resume?

    Altra replied to littlegreenfrog's topic in Job Search, Interview, Resume

    If you were on medical "leave" ... then you were still employed. Your employment dates for xyz organization include the leave time, so there is no
  24. Altra

    Vitally Important Educated Person in a TEMPORARILY challenging economy

    Altra replied to Esme12's topic in Job Search, Interview, Resume

    I agree with the overall theme that job hunters need to keep in mind that interviewing/introductions are essentially sales presentations/business meetings. I cannot agree with just showing up on a...
  25. Altra

    Questions about cleaning a surgical mattress

    Altra replied to foofoo2010's topic in General Nursing

    If you're looking at the product(s)' website - the specs should give details on cleaning, if they are designed to be