Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    How to find a job after being fired?

    Altra replied to ilove's topic in General Nursing

    Can you explain what you mean by a "reference service", because after 25 years in the working world, in healthcare and in other industries, I have no idea what you mean. Look, I'm going to be very...
  2. Altra

    Most useful items to pack-medical mission

    Altra replied to JustJen's topic in Emergency

    Mosquito netting Fold-up travel size rain ponchos (these are $1-$2 each and I traveled with a dozen of them - some I wore, some I shared, and some I used as a tarp when
  3. Altra

    Pre employment urine drug screen for nursing home, will they test for alcohol?

    Altra replied to RN_jobhunting's topic in Geriatric, LTC

    Since it's clear this was a urine drug screen ... there is no urine test which establishes a current level of ETOH. There are tests which indicate the presence of metabolites of ETOH, that may be...
  4. Altra

    Future of Home Health

    Altra replied to Sunlifehh's topic in General Nursing

    U.S. nursing programs educate generalist nurses. In this way, nursing education is similar to the medical education of physicians, who also rotate through "the basics" before graduating and...
  5. Altra

    DNR means what???

    Altra replied to cloverleafLPN's topic in General Nursing

    Excellent
  6. Altra

    What "killed" the patient EICU or the nurse and alarm fatigue.....

    Altra replied to Esme12's topic in General Nursing

    If all ICUs at all UMASS facilities are included in the E-ICU system and that system is automatically in place for all patients, then I agree that it is a valid question to ask about the E-ICU staff...
  7. Altra

    DNR means what???

    Altra replied to cloverleafLPN's topic in General Nursing

    By this logic, all declines in, say, respiratory status (increased O2 needs, worsening lung sounds) are "acute" situations. What I'm saying, and literally begging you to consider, is that not all of...
  8. Altra

    DNR means what???

    Altra replied to cloverleafLPN's topic in General Nursing

    I agree that DNR does not necessarily mean do not treat. But I do wish that LTCs and patients' MDs would be much more frank with patients and their families to draw out what their wishes really are....
  9. Altra

    Panel Interview- Your opinion greatly appreciated

    Altra replied to WindRN's topic in First Year After Licensure

    What appeals to one interviewer will not necessarily appeal to another ... so it's impossible to generalize. And not being selected for a particular job may indicate nothing more than ... that...
  10. Altra

    What "killed" the patient EICU or the nurse and alarm fatigue.....

    Altra replied to Esme12's topic in General Nursing

    This article, from 2007, describes the e-ICU set up. This article, Sept. 21, 2011, describes the recent patient death (the 60-year old male) ... as well as another patient death of a female patient...
  11. Altra

    What "killed" the patient EICU or the nurse and alarm fatigue.....

    Altra replied to Esme12's topic in General Nursing

    Am I losing it ... ? Both this thread and the one under the Nursing News forum reference the same one Boston Globe article of Sept. 21. The article describes this patient as being a 60-year old male...
  12. Altra

    Can my nurses license be disciplined?

    Altra replied to rn-chi's topic in General Nursing

    It's hard to say how the terminated vs. resigned issue will play out. For your future ... the fact that that employer will indicate that you are "not eligible for rehire" is the important...
  13. Altra

    What "killed" the patient EICU or the nurse and alarm fatigue.....

    Altra replied to Esme12's topic in General Nursing

    Nowhere in the newspaper article did it indicate that this particular patient was in the E-ICU set up. Or did I miss
  14. Altra

    Do you have to list a former employer that you got fired from?

    Altra replied to ilove's topic in General Nursing

    Again, if an application asks for all employment in a certain time period, then that is what is being requested. All. Period. OP, consider that the formal paper/electronic application is an employer's...
  15. Altra

    Do you have to list a former employer that you got fired from?

    Altra replied to ilove's topic in General Nursing

    "cover it up" Not the way to start out a new position
  16. Altra

    Do you have to list a former employer that you got fired from?

    Altra replied to ilove's topic in General Nursing

    If you are asked to list all employers for the last ...x... years -- that is what they expect you to do. A standard background/credit check will very likely reveal this information
  17. Altra

    Legal implications of free-text charting

    Altra replied to EmmieRN's topic in General Nursing

    I disagree with the quote above, and I think it's important to recognize that the source is an "article" from a commercial company which provides various multimedia educational resources for nurses...
  18. Altra

    Legal implications of free-text charting

    Altra replied to EmmieRN's topic in General Nursing

    Very, very true, in my experience, too. The quality of any check box charting varies widely. In better systems, the software provider has worked closely with the medical, nursing and legal staff of...
  19. Altra

    New Grad-Hate my Job

    Altra replied to ajb96278's topic in General Nursing

    This is why many consider procedural areas to be inappropriate for new grads. OP, you're in a tough spot. In this setting, the MD may well be a part-owner of the clinic or be directly in the...
  20. Altra

    Need some advice about charting (RN)

    Altra replied to SJE RN's topic in General Nursing

    At some hospitals, yes, this is the
  21. Altra

    Are California nurses staying with their job longer because of lower nursing to patie

    Altra replied to Anggelica's topic in California Nursing

    It is licensed nurses.
  22. Altra

    How can you be nonjudgemental?

    Altra replied to Kristy02_RN's topic in Patient, Colleague Relations

    Nonjudgemental -- feelings vs. actions You are human, and you will experience human emotions in response to various people and situations. What you are required to do as a professional, however, is to...
  23. Altra

    I can't believe co-worker took my venting complaints to boss!

    Altra replied to lifein08's topic in Patient, Colleague Relations

    Everything in your head does not need to come out of your
  24. Altra

    heard it with my own ears

    Altra replied to MomRN0913's topic in General Nursing

    We work as a team in the ED ... and go out together (nurses, docs, techs, and whoever else wants to come) on a semi-regular basis.
  25. Altra

    Telling your head nurse that they...uhh.., sabotaging new staff?

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

    Absolutely, your failure to integrate into this unit is someone else's fault, because you 99.9% don't know anything about dialysis ... and absolutely it's your job to evaluate the performance of a...