Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Plastic Surgery

    Altra replied to maxienurse's topic in Aesthetics

    This
  2. Altra

    New RN job... NO orientation!!!

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

    What was this "I have gone in on my own" bit? Did you just show up? Were you asked/scheduled to come in? It's not at all the norm, but if I were an urgent care manager with a particularly stingy...
  3. Altra

    Lame Nurse Practitioner

    Altra replied to CaLLaCoDe's topic in Patient Safety Issues

    OMG! Complain! Maybe consider suing! Contact the local media! Maybe even ... call a
  4. Altra

    When an employee is a patient

    Altra replied to LaurRN's topic in General Nursing

    I have taken care of probably two dozen "coworkers" of the same hospital where I have worked. It's generally pleasant. In one specific instance it was definitely not pleasant, and it was so out of...
  5. Altra

    Do you think this law is fair in regards to healthcare workers in Illinois?

    Altra replied to adoglover's topic in General Nursing

    No, it is not safe to say that at all, as the consent for treatment signed by patients being admitted to the hospital covers most non-surgical, non-invasive, non-transfusion related procedures that...
  6. Altra

    How do you treat headaches?

    Altra replied to Anagray's topic in Emergency

    Any ... ANY ... credence I might have given to this post just dissolved with this
  7. Altra

    Textbook nursing vs. real world nursing.

    Altra replied to dudette10's topic in General Nursing

    Age, maturity, personality and previous life experiences have a great deal to do with whether the textbook vs. real world learning curve will be slight or
  8. Altra

    Textbook nursing vs. real world nursing.

    Altra replied to dudette10's topic in General Nursing

    Nursing school (and, by extension, professional training in any field) teaches a blueprint approach to problem-solving, including the scientific/academic underpinnings of professional practice. It has...
  9. Altra

    Sad cases

    Altra replied to AlisRN's topic in General Nursing

    Is it contrary to say that I agree with just about every poster in this thread? That is ... the motivations of human beings run the whole gamut. After 5 years in urban EDs I thought I had seen it all...
  10. Altra

    skin & joint complaints commonly seen & heard

    Altra replied to Torley's topic in General Nursing

    I'm not sure what you're asking. To some extent, I do think that some joint pain/stiffness in the elderly is par for the course (and in my mid-40s, I already know that my left knee will be an issue...
  11. Altra

    ER wait time clocks????

    Altra replied to bonestAx's topic in Emergency

    A marketing gimmick ... nothing more, nothing
  12. Altra

    EM nursing

    Altra replied to big bang theory's topic in Emergency

    OP, are you in Canada? If so, there might be a Canadian forum where you can get better answers to your questions. In the US, the emergency department is commonly called the "ED" or the "ER" (from...
  13. Altra

    New guidelines for gastric residuals

    Altra replied to IheartICUnursing's topic in General Nursing

    Yes, this sounds like our practice in the ICU in which I work. It can be a tough sell to families of patients who have had g-tubes for a long period of time, and have gotten ingrained with the mindset...
  14. Altra

    ER nurses, let me pick your brains...

    Altra replied to carolmaccas66's topic in Emergency

    I don't think you missed anything. The solution to the pneumo is the chest tube insertion. O2 supplementation, careful monitoring, and pain control pretty much complete the ED course of
  15. Altra

    Intimidated Nurse, Informed Patient, and WebMD

    Altra replied to rnccf2007's topic in General Nursing

    I'm not here to bash you ... but did you feel effective when you were taking care of this patient? Or did you feel you had lost that because of interpersonal dynamics with the family
  16. Altra

    Question for those who hire, regarding reference checks

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

    I disagree, Karl. There is a difference between verification of past/present employment -- which is limited to dates employed, job title, and rehire status ... and listing a person as a personal...
  17. Altra

    $450 scrub top... yeah, I know, for real.

    Altra replied to A&OxNone's topic in Scrubs, Uniforms, Gear

    Geeezzz, guys & gals ... :smackingf I'm no fashionista, but these ARE NOT SCRUBS. They are a "trendhunter" pick for upcoming fashion -- couture inspired by scrubs. No one thinks you're going...
  18. Altra

    Healthcare Statistics and Reporting

    Altra replied to johnny depp23's topic in General Nursing

    Statistics classes are a hell of a lot easier these days, with the use of spreadsheets, than they were back in the day when you actually had to do the
  19. Altra

    Intimidated Nurse, Informed Patient, and WebMD

    Altra replied to rnccf2007's topic in General Nursing

    I think we've all encountered these families from time to time. My new all-time favorite quote, courtesy of another thread here at allnurses (paraphrased): The degree to which families are a PITA is...
  20. Altra

    can nurses negotiate their salary?

    Altra replied to adpiRN's topic in General Nursing

    Her comment leads me to think that there may be some room for negotiation ... but be prepared -- office jobs are almost always lower-paying than hospital nursing jobs, because of the more desirable...
  21. Altra

    Physical restraint on uncooperative children

    Altra replied to Aleccandra's topic in General Nursing

    Abuse indeed ... administering benzos to a 6-month old so the parent can avoid some brief
  22. Altra

    Physical restraint on uncooperative children

    Altra replied to Aleccandra's topic in General Nursing

    OK, a paragraph with a 6-month old ... the numerical pain scale ... and benzo administration before vaccines ... this is a completely ridiculous hijacking of the OP's thread. News flash ... it was MOM...
  23. Altra

    Physical restraint on uncooperative children

    Altra replied to Aleccandra's topic in General Nursing

    No, a young child cannot dictate his/her treatment, e.g., refuse a medication. No, there has been no abuse described in this thread. And if you prefer a chemical restraint -- how do you propose it be...
  24. Altra

    Is anyone else annoyed by the expectations of male nurses in transferring patients?

    Altra replied to WillRegNurse's topic in Men in Nursing

    The answer to this dilemma is the same as the answer to many others ... safe staffing levels. Even if there is equipment available, utilizing it safely with 400 lb+ patients takes considerable time...
  25. Altra

    "You are an angel!"

    Altra replied to Anna Flaxis's topic in General Nursing

    Clinically astute physicians are usually recognized as such by their patients, even when they exude a brusque manner or have suboptimal communication and/or interpersonal skills. But it is often the...