Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Nurses not making enough...wait what?

    Bolding/emphasis is mine. OP, if you are in the US, educate yourself here: http://www.bls.gov/bls/blswage.htm ... THEN re-evaluate what you've said here.
  2. Don't sweat it OP ... Anyone claiming "flightiness" or any other such thing just because someone expresses a moment's hesitation before taking an enormous leap without a net ... has possibly never...
  3. This. I would carefully consider whether or not to speak personally with the nurse manager as well ... the offer of employment is coming from XYZ Hospital, represented by the HR department (that is...
  4. Altra

    ER Ratios and Delegation

    How do we do it? By busting butt. I don't mean to sound flip. But I've worked in an ER where the support staff situation was as you describe ... and in ERs with paramedics who could start lines,...
  5. Altra

    healthcare cost

    Consider this ... even if your wife declined any analgesia/anesthesia ... she was in a setting where those options were immediately available, should they be needed. She was still in the same setting...
  6. For cripes sake ... That chip on your shoulder must get heavy. OP, I hear you. I also had another career before being a SAHM for several years. It was never assumed that I would remain out of the...
  7. Wow. At age 29, this poster feels s/he can cut others some humble pie. Oxymoron, much? Hopefully some day this poster will have the maturity to get out of his/her own head, and know that being...
  8. It's the same 72 hours per pay as 3 12s per week ... The 11pm start time allows for better sleep, IMO. Working more days per week will force you to stay on the midnight sleep/wake cycle ... but there...
  9. Altra

    No more Dickies scrubs?

    Dickies has changed ownership, and some long-time styles have been discontinued, but they are still going strong. I find them in a couple of different scrub chain stores ... and they are available...
  10. Altra

    healthcare cost

    I sincerely regret that more nurses do not have a basic understanding of cost center accounting. When you are charged $1000 for an ultrasound, this includes: 1. the total cost of purchase, or the...
  11. Altra

    extra shifts

    Why would I feel obligated, or feel like I need to explain
  12. Experience does not equal "good fit" ... for you or for the unit. Even in a unit in the same specialty as your previous experience, there are so many, many things that can make a job a poor choice....
  13. Altra

    PT/INR/PTT info?coumadin/heparin-

    OK ... no one else but me find this to be an unusual question from a poster whose profile indicates 6 years of experience and certification in medical-surgical
  14. Altra

    Bedside report/hand off

    Is this the most effective way for trained professionals to communicate with each
  15. Altra

    Bedside report/hand off

    I was a patient at a hospital where this was done. It was a non-event for me as a patient because I was an A&O walkie-talkie patient, and a nurse, who understood everything said in report. It...
  16. Are you sure about this? Is there a possibility that the parent is simply (understandably) concerned and that the conversation is not about your abilities as a nurse? Is there another way to conduct...
  17. It is unlikely that this has anything to do with you personally ... the agency either conducts periodic re-checks, or some local or state regulatory agency has changed reporting requirements,...
  18. By working part-time (or very part-time ... PRN) as a new grad, you are greatly prolonging the length of time you will remain inexperienced/underexperienced ... and you run the very real risk of then...
  19. Altra

    PT/INR/PTT info?coumadin/heparin-

    What resources have you used to learn these concepts in the past - e.g., when you were studying for your med-surg certification test? Or throughout your six years of med-surg, emergency, ortho and...
  20. Altra

    Malpractice Insurance

    Absolutely. The employer's insurance looks out for the organization. Your insurance ... looks out for you. This is not saying that your employer is evil, or out to screw you over ... just logical...
  21. OP is not a nurse, according to his previous
  22. Altra

    How long do you stay over shift to finish work?

    Putting on my "mom" hat ... You've been on the job 4 days, and nursing home patient loads per nurse are notoriously huge. Maintain your goal of increasing your speed, but realize that no one is as...
  23. Altra

    Time to call a duck a duck?

    Can you provide a source/reference for this "legal
  24. Pursue any type of relationship, including platonic friendship, while the patient is a patient ... no. Not ever. Boundaries, please!! If I coincidentally met the ex-patient again some time later, in...
  25. Altra

    Credit checks and employment