Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. I'm not sure what you're describing in the last post. Do you mean you went through the patient's personal belongings, such as a purse? Other than on a psychiatric unit or other special situation ......
  2. No, you're not crazy. Just keep swimming ... :) Good luck to
  3. Maybe this is how I know I'm getting old ... I'm young enough to have fully embraced the internet, but old enough that it does not occur to me to get "news" from internet sources not affiliated with...
  4. Altra

    advanced airway use

    Facility policy. Remember, an institution is free to limit the scope of practice outlined by a licensing authority, but it cannot expand
  5. Altra

    Washing patient's hair!!!

    Now that is a very cool
  6. Altra

    Working with student nurses

    The bolding is mine ... for a reason. You've gotten some well-deserved heat in response to your post. The most supportive thing I can say to you, to enhance your learning is that you need to...
  7. Altra

    Feeling Flustered

    During any of your interviews for your new job ... did the unit's scheduling requirements come up in conversation? Do you know if you've been hired for a specific shift, or if everyone rotates? Do...
  8. Altra

    Love/hate relationship to my work.

    Stargazer, are you feeling better? Can you schedule any time
  9. Altra

    medical staffing agency

    What Tango and others were pointing out is ... you need to get everything else in order ... to determine what your rates will be. You've got it backwards. If you have no accounting background, I...
  10. This is someone with whom you do not currently work? And someone who is not now a nurse? Then this is probably not your
  11. Altra

    Best one sentence handoff report

    Verbal report: Room 17 is (patient's name). Any
  12. Altra

    How does it make you feel?

    That you have had a strong emotional reaction to the sharing or withholding of personal information indicates to me that boundaries have been
  13. Altra

    How does it make you feel?

    It's not your listening to her that's the problem. You stepped over the line -- waaayy over the line -- when you decided you had any right to any personal information about her beyond what was...
  14. Altra

    How to prepare for working in the ER

    Welcome to the dark side ... What will your orientation be like? If you have not yet had ACLS you will likely be scheduled for it as soon as possible -- that will be a starting point to answer your...
  15. Altra

    upset pt

    1. When a previously pleasant patient's head suddenly spins around like the Exorcist ... make sure there's not a medical cause. Blood sugar dropping? Agitation brought on by hypoxia? Neuro event?...
  16. Because you are representing "only older nurses teaching in their program" as a negative ... Can you explain why you believe this? Why is having a faculty made up of those with a solid foundation of...
  17. Altra

    Are there any ADN advocates out there??

    OP, in your particular situation, I would think that it will not matter a lot because if your hospital is implementing this policy right now ... by the time you reach the 6-8 year mark you will be...
  18. Altra

    Do you ever get tired of hearing this phrase?

    I agree that the actual risk is overblown. However, when I see AN posts such as, (paraphrased) "I overheard half a conversation between two other nurses and I have now concluded that they are...
  19. Altra

    Need to talk to Mobile PICC nurses!!!

    Just off the top of my head ... if you're talking about PICC insertion I'm not so sure the "mobile" part is practical as the patient needs a CXR after
  20. Altra

    Probably gonna get fired my first week...

    I recently had a conversation with one of our midlevel providers ... we've agreed to a tag team approach with the pediatric-sniffles-and-won't-leave-without-antibiotics crowd: "We could do that....
  21. Altra

    Nurse's getting younger

    The average age of all registered nurses in the US continues to climb, but it would be interesting to see data broken down by specialty or practice setting. The job title "registered nurse" may be...
  22. Altra

    Career Path

    Use your planning skills to differentiate between a skill certification such as ACLS ... and the career path of being a CRNP (different from a registered nurse who work in an emergency department) and...
  23. Altra

    Question re: seeing pediatric patients

    This is an offshoot of another thread discussing an NP's experience treating a pediatric patient accompanied by a grandparent in an office setting. If I am reading the OP's question correctly, it does...
  24. Altra

    Becoming a Nurse After 40

    I'm in your age bracket ... full retirement age for social security benefits will be 67. I point this out because I think those 5 years could be very important when we get to that age!...
  25. Altra

    What is my legal and Ethical Obligation?

    How in the world could you possibly know whether or not the physician originally wrote the Rx for the nurse as a favor? This has been common in some units I've worked in. How can you possibly know...