Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Uncomfortable with Batrim order transcription.

    Altra replied to AraJZgam's topic in General Nursing

    I really see no problem. Bactrim is just that -- Bactrim. BactrimDS is -- Bactrim DS. And Tylenol is Tylenol (please don't start down the T3 path, it's just not relevant here), with whatever dosage...
  2. Altra

    Patients' perception of your demeanor.

    Altra replied to dudette10's topic in General Nursing

    I completely agree with Ruby and The Commuter -- people just don't want to hear anything that is not their definition of positive or "nice". I can think of several families of ICU patients (and some...
  3. Altra

    Patients' perception of your demeanor.

    Altra replied to dudette10's topic in General Nursing

    This is definitely true. Patients' & families' perceptions about the same nurse's demeanor will range from glowing to appalled -- clearly, beauty is in the eye of the beholder, no? My own demeanor...
  4. Altra

    The problem with floating ER Nurses

    Altra replied to crabalot's topic in Emergency

    I have no words for this. Totally unacceptable ... and I'm sorry you're going through
  5. Altra

    IV antibiotics compatible with D5W ?

    Altra replied to Mithime's topic in General Nursing

    ... and asking for a reply "asap", no less
  6. Altra

    What do you think?

    Altra replied to Decemberblues's topic in General Nursing

    Absolutely!! Theater arts programs should be "shut down"
  7. Altra

    The problem with floating ER Nurses

    Altra replied to crabalot's topic in Emergency

    www.scholar.google.com Why is this being done where you work? Is the ER overstaffed on certain shifts? What is the alternative to floating - sending people home? And what practice is in place to...
  8. Altra

    ER Wasted

    Altra replied to RNFiona's topic in Emergency

    To each his/her own. Life is too short to stay in a job where you're miserable. But some of us truly love the ER. :) I'm not just surviving, or paying my mortgage ... I'm truly thriving. Here's...
  9. Altra

    Horrific Write Ups? Has it ever happened to you?

    Altra replied to NonieJuice's topic in General Nursing

    I've had the same experience. At Hospital A, I could pretty much count on weekly conversations with my manager about patients who were "unhappy". Now, at Hospital B ... I've not heard that phrase in...
  10. Altra

    Strange Story

    Altra replied to PMFB-RN's topic in General Nursing

    Oy. Thank you for addressing this blatant
  11. Altra

    Busiest Time For The ER

    Altra replied to chimpanzee's topic in Emergency

    I'm aware of one significance of that date.
  12. Altra

    All Those NPs with No Bedside Experience

    Altra replied to Ruby Vee's topic in General Nursing

    Exactly. There is widespread belief that the AACN recommendations will be enacted and the DNP will become the entry-to-practice degree for NPs, but pre-existing NPs (with an MSN) will be grandfathered...
  13. Altra

    Busiest Time For The ER

    Altra replied to chimpanzee's topic in Emergency

    What the previous poster said ... There are some patterns. More trauma in the summer. Longer wait times for beds for admitted patients in the winter as the hospital fills up to capacity and therefore...
  14. Altra

    Need a new perspective here....

    Altra replied to ChinupBSNRN's topic in General Nursing

    I do find it unsettling that at some point in your orientation you didn't cover Heparin gtts and the importance of monitoring PTTs. This is a common, not exotic, intervention. So now you've learned...
  15. Altra

    Knowing what you know now, would you change it?

    Altra replied to Purple93's topic in General Nursing

    I do believe nurses are underpaid. But I would not change what I
  16. Altra

    Help, I am very conflicted about turning peer into nursing board

    Altra replied to auntie72's topic in General Nursing

    Consider the can of worms you are opening ... when the state arrives, life will be very unpleasant for all
  17. Altra

    How private are medical records?

    Altra replied to sufergal's topic in General Nursing

    Is it not possible that at some time, in some conversation, you mentioned the name of your and/or your hubby's MD to your "good
  18. Altra

    Rules for the ER (long)

    Altra replied to EDValerieRN's topic in Emergency

    Agree. And I love your screen name,
  19. Altra

    COPD patient wanting to leave to smoke

    Altra replied to chris10lsuRN's topic in General Nursing

    Ridiculous? My hospital has had not one but two sentinel events r/t patients injecting illicits into peripheral IVs, central lines, and dialysis
  20. Altra

    is it just me, or has standard of care sunk?

    Altra replied to locolorenzo22's topic in General Nursing

    definitely an unprofessional comment. however, just as you have no doubt had those patients whose manner when interacting with you would lead you to believe that they just crawled out from underneath...
  21. Altra

    RN vs NP vs DNP

    Altra replied to Wrangler156's topic in Nursing Career

    Do some research, and reflect on exactly where your interests lie ... advanced clinical practice? nursing administration? public health/community outreach? And keep in mind that while there are...
  22. Altra

    Potassium question...

    Altra replied to Soflo_RN's topic in General Nursing

    Definitely! We see K+ values in this range semi-regularly from the "I didn't get to dialysis"
  23. Altra

    Vent: "I should warn you, I'm a tough stick..."

    Altra replied to Anna Flaxis's topic in Emergency

    And this is my closely related contribution to this vent: "You're gonna have to use a baby needle" or "Y'all got a butterfly
  24. Altra

    Vent: "I should warn you, I'm a tough stick..."

    Altra replied to Anna Flaxis's topic in Emergency

    I think the point is, there is no magic information revealed by the patient stating, "I'm a hard stick". If that is truly the case, I can conclude that after about 20 seconds of examining you. Some...
  25. Altra

    Whats with Mondays?

    Altra replied to MEDICJOHN's topic in Emergency

    Isn't that the truth! Sunday evening is well-populated by the, "I can't face going to work/school/life tomorrow" crowd. But Tuesdays -