Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Not a waitress or barista

    Altra replied to noyesno's topic in General Nursing

    I think the key is to not get emotionally invested in the ridiculous stuff like this. To this gentleman, I probably would have said something like, "I don't know, I don't live in the area" and "the...
  2. Altra

    Do I have a sign over my head?

    Altra replied to Roy Fokker's topic in Emergency

    This past weekend was Altra's All-Sepsis-All-The-Time Weekend. Pressors were buy one, get one
  3. Altra

    NIBP monitoring on same arm as the a-line?

    Altra replied to Verbatim's topic in MICU, SICU

    I check a cuff or manual pressure once per shift, or more frequently if I feel something's going on with the a-line that I can't immediately
  4. Altra

    Criminal record results indicated "under review"

    Altra replied to CrystalClear75's topic in Licensure: Criminal History

    You're very
  5. Altra

    ER Abuse

    Altra replied to Guest219794's topic in Emergency

    You got
  6. Altra

    Extremely Offensive ER experience

    Altra replied to NickB's topic in Emergency

    Esme12 has been gracious enough to share a long, well-referenced post explaining the role of LP in differential diagnosis of headache. psu_213 has also posted a couple of more lay-person-oriented...
  7. Altra

    Do I have a sign over my head?

    Altra replied to Roy Fokker's topic in Emergency

    That's great
  8. Altra

    Extremely Offensive ER experience

    Altra replied to NickB's topic in Emergency

    You had a head CT. You refused an LP not once, but twice. The previous LP in your history says to me that you've probably had some kind of unexplained headache and/or neuro s/s at least once before....
  9. Altra

    Facing Disciplinary Action....?

    Altra replied to Nikita76's topic in Licensure: Criminal History

    I'm kinda stuck on the "weird moment" that made you check no to a question to which you have always previously answered
  10. Altra

    Criminal record results indicated "under review"

    Altra replied to CrystalClear75's topic in Licensure: Criminal History

    It's impossible to speculate what the employer might decide based on this information -- it is their
  11. Altra

    Criminal record results indicated "under review"

    Altra replied to CrystalClear75's topic in Licensure: Criminal History

    If I had ever been arrested, I'm sure I would remember it, and would always consider the possibility that something related to that is going to turn up somewhere, some
  12. Altra

    Does my clinical intructor not like me or am I being sensitive?

    Altra replied to starrys's topic in General Students

    Yes, you're being overly sensitive. Good instructors have some post-conference discussion topics ready for when a good opportunity presents itself. Your day with your patient, which may have been...
  13. Altra

    Is this fallout from JCAHO? Recent ER visit...

    Altra replied to Malanya's topic in Emergency

    What did your CXR look like? I don't commonly see abx prescribed for asthma exacerbations. COPD - yes. Asthma - no. Your back pain may have set you up for the classic shallow breathing/restricted...
  14. Altra

    Involuntary Psych Ward Commitment

    Altra replied to SugarBabe99's topic in General Nursing

    Go to your state board of nursing website. View or download the application for an RN license. Read it, and see if there is any question on it regarding involuntary psychiatric treatment. This will...
  15. Altra

    Transfusion Reaction

    Altra replied to vwde's topic in General Nursing

    Policies at the hospitals where I have worked required sending the unit of blood product and all related tubing to the blood bank in the event of a suspected transfusion
  16. Altra

    Is No Orientation the New Orientation?

    Altra replied to Inquisitive2's topic in General Nursing

    What you describe is a recipe for failure/burn out of the newly hired nurse, and a potential disaster in terms of patient safety/outcomes. I hope that you can have an objective conversation, ideally...
  17. Altra

    medication to dry up breast milk?

    Altra replied to ashleyisawesome's topic in Ob/Gyn

    Google is your friend.
  18. Altra

    Rewarding tenured staff - what have you seen?

    Altra replied to enzati's topic in General Nursing

    Bonuses. Yes, actual cash. It works in other industries, I'm not sure why it's such a foreign concept in health care. And in the form of an actual check/direct deposit, please ... no gift card...
  19. Altra

    Upfront payment for non emergent conditions

    Altra replied to danggirl's topic in Emergency

    Totally agree. An exam by a mid-level provider satisfies both EMTALA and clinical common sense. Patients with symptoms with the potential to be serious will be retained for further evaluation....
  20. Altra

    What is your input on other health professions & injury?

    Altra replied to Seohyun's topic in General Nursing

    All clinical staff in hospitals from physicians to x-ray techs tend to be fanatical about their shoes and taking care of their feet -- that should tell you something. You might also consider upper...
  21. Altra

    So disgusted with everything

    Altra replied to JDougRN's topic in Emergency

    This is the gospel
  22. Altra

    H20 post op

    Altra replied to DesiGRocks's topic in General Nursing

    Why would they "need h20 right
  23. Altra

    When adults whine....

    Altra replied to Anna Flaxis's topic in Emergency

    Here's the interesting thing about that, though ... I have never had one patient who was truly in a situation where they were "paralyzed" or otherwise had reason to fear for their life WHINE. The...
  24. Altra

    Standard Hospital Scrubs National Standard?

    Altra replied to HeartsOpenWide's topic in General Nursing

    A number of hospital systems in my area color code different disciplines. I can think of two that require the hospital-issued scrubs embroidered with the logo. So it's not uncommon. I am not aware...
  25. Altra

    Not hired...because of post intervie thank you note..yes, really

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

    One person's "anxious" or desperate is another person's aggressive go-getter. This just confirms what is often said ... Particularly for entry-level positions, some number of equally qualified...