Altra BSN, RN

Emergency & Trauma/Adult ICU

Member

  • Content

    6,255

  • Visitors

    44,511

  • Followers

    0

  • Likes

    79

All Content by Altra

  1. Altra

    a question about cardiac arrest w/asystole!

    Altra replied to YZ1911's topic in General Nursing

    Am I the only one concerned about allnurses.com being a source of information for a layperson "fascinated with
  2. Altra

    Why are some nurses not grateful for my job?

    Altra replied to leogirl8's topic in Patient, Colleague Relations

    I have to tell you OP, when you throw around the "the nurse didn't do anything" phrase ... it's not going to be received well. This, coming from a student, sounds little different than the comments...
  3. Altra

    Research Topic Issue

    Altra replied to nursing_problem's topic in General Nursing

    These are questions for your
  4. Altra

    Ethics 101

    Altra replied to kayak133's topic in General Nursing

    I'm not really seeing an ethical conundrum here. Physician recommends xyz procedure. Assuming that the patient is alert and mentally capable, the patient is free to ask questions, get clarification,...
  5. Altra

    EBP and Nursing Research

    Altra replied to Tait's topic in General Nursing

    I think it's a bit more than the redundancy, canes ... just another symptom of a larger nursing identity crisis/self-esteem issue. But that's a whole other thread. Love the PMH example!
  6. Altra

    EBP and Nursing Research

    Altra replied to Tait's topic in General Nursing

    Yes, I feel it is silly for nursing to assign itself a term for this
  7. Altra

    EBP and Nursing Research

    Altra replied to Tait's topic in General Nursing

    No, I'm not offended by the principle of using evidence to guide practice, thanks. I find the terminology silly. Quality practices/decision-making in any field are of course based on...
  8. Altra

    EBP and Nursing Research

    Altra replied to Tait's topic in General Nursing

    That is basically the same line I got in 2 different classes related to research in my BSN curriculum, AND with the deletion of the word "nursing" ... the same definition given in a...
  9. Altra

    EBP and Nursing Research

    Altra replied to Tait's topic in General Nursing

    I think that EBP is a throwaway term that makes us look silly to other academic disciplines. Yes, really. How do you evaluate the quality of research in any field? By examining the statistical...
  10. Altra

    looking for advice, or mabey just an ear from those who understand

    Altra replied to sarlpn's topic in Health, Stress Management

    I've been where you are. It was around the 2-year mark that my coping significantly improved, though I still have some emotional upset when taking care of a patient of the same gender/age/diagnosis...
  11. Altra

    I've Had Absolutely ENOUGH And I Cannot Believe The Managers I work Under!

    Altra replied to All4NursingRN's topic in General Nursing

    I realize this is off topic but I'd like to ask an open question to those who are quick to perceive *experience bias* when an experienced nurse disagrees with a less-experienced nurse: Do you not...
  12. Altra

    Prankster patients

    Altra replied to Roy Fokker's topic in Emergency

    Yep, love these folks. Recent LOL patient: "That doctor was pretty cute, but I think he's too old for me." Me: "Too old?" LOL: "Yep, I like 'em young, like 21 or so ..." Brand new MD: "How long have...
  13. Altra

    overdose on RX meds

    Altra replied to pm2rn's topic in Emergency

    See, there is always a teachable moment.
  14. Altra

    I've Had Absolutely ENOUGH And I Cannot Believe The Managers I work Under!

    Altra replied to All4NursingRN's topic in General Nursing

    Just a couple more thoughts: "The patients didn't decompensate" ... this is NOT the bar of success, or the threshhold for appropriately thorough charting. Think carefully about what you're saying....
  15. Altra

    Love Fest

    Altra replied to mindlor's topic in General Students

    I would be very curious to hear about the day from the perspective of a staff nurse, your clinical instructor, or your staff nurse preceptor for the day. And from a patient's
  16. Altra

    Pressing Charges Against a Patient

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

    Yes, it is possible to have a patient who has assaulted a health care worker successfully prosecuted. Ideally, the patient would be moved to a different unit for the remainder of his stay, but perhaps...
  17. Altra

    DEPRESSED New grad. What are we suppose to do?

    Altra replied to Newgrad_STAT's topic in General Nursing

    Have someone else proofread your letters and other application materials. There are a couple of grammatical errors in your first post that make me concerned that that is one potential problem. The...
  18. Altra

    overdose on RX meds

    Altra replied to pm2rn's topic in Emergency

    This is a kind of chicken or egg question. Our culture is such that we are pretty intolerant of symptoms. "Rest" and "time to heal" are not popular concepts. Nearly 20 years of direct-to-consumer...
  19. Altra

    How often do you get psych pt self walk ins

    Altra replied to chimpanzee's topic in Psychiatric

    I would say nearly 75% are self-walkins or have otherwise initiated some course of action, i.e., calling 911 after taking a handful of
  20. Altra

    "Hidden" cameras on the floor--do you have them??

    Altra replied to linzjane88's topic in General Nursing

    Yes, we have these. FWIW ... if you have these, you can count on one being in the area of the Pyxis/med room/med cart. Other areas are hit or miss. Fix your wedgies when you're in a patient's room...
  21. Altra

    Dealing with sexual harrassment and verbal harrassment from patients?

    Altra replied to ksm23's topic in Patient, Colleague Relations

    I too am curious what type of unit/environment the OP works in where she is "constantly" encountering sexual comments verbalized to her. Definitely not the norm. Even in corrections settings,...
  22. Altra

    Daylight Savings & Documentation

    Altra replied to KidsMakeMeSmile's topic in General Nursing

    This is not nearly as complicated as it might seem. From 0100 (pre-DST switch) to 0300 (post-DST switch) I simply chart as follows: "documentation verbage" 11/6/2011 0130 EST "documentation verbage"...
  23. Altra

    What is something I can give to my doctor to thank her?

    Altra replied to starrys's topic in General Nursing

    I truly mean what I'm saying here: Whatever dollar amount you are thinking about spending on thank you gifts ... just ask that they apply it to the
  24. Altra

    Alas...bedbugs-precautions??

    Altra replied to vanburbian's topic in Emergency

    Really? You take an ER room out of service for at least 24
  25. Altra

    How honest are you?

    Altra replied to Anna Flaxis's topic in Emergency

    I do not offer any more than a generic explanation that patients are seen in order of medical priority. Occasionally I pull out my old joke, "you don't want to be the patient we're rushing to, because...