Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Is it really illegal to require BSN(NJ)?

    It is not illegal. The only legal requirement is that the employer appropriately licensed individuals to fill positions. They are free to have additional requirements if they see fit. Magnet...
  2. Altra

    Quick question on civil lawsuits..

    If individual nurses are the defendants in this case, then they will be individually responsible if the court rules in favor of the plaintiff(s). They may, or may not have individual liability...
  3. We frequently use the AT&T language line. But if there are bi-lingual family present, or bi-lingual staff, we will use this avenue to get the patient's basic story and/or conduct the routine...
  4. Altra

    overreacting or not, that is the question!?!

    Good catch, ~Stargazer~ ... Makes the OP in this thread a bit more
  5. Altra

    overreacting or not, that is the question!?!

    Again -- I read the OP to mean that she went to the ER in the same hospital where she works -- not that she works in the ER. Her post is just not one that indicates an understanding of how the ER...
  6. Altra

    Okay, why do ER nurses think they're so cool?

    :hhmth:*wine I think that *intervention* by that hospital is the best idea I've heard in a long
  7. Altra

    Okay, why do ER nurses think they're so cool?

    That is Dali Lama-Enlightened-Chuck Norris-Fabulous ... if there is such a
  8. Altra

    need help with a very difficult supervisor

    There are a couple of different concepts in play here. 1. The attendance policy can be whatever the organization says it is. Sick time is not a legally-mandated benefit. Know your policies. 2. If...
  9. Altra

    Okay, why do ER nurses think they're so cool?

    I dunno eriksoln ... I am a staff RN, with some additional responsibilities for staff education and orientation within my department. We may not have been on exactly the same paragraph of the same...
  10. Altra

    Okay, why do ER nurses think they're so cool?

    On a good day -- 3ish sick patients, or 4-7 not sick patients. On a bad day, all bets are off. But -- the "worse" the day, the more autonomy. It's a daily demonstration of God's warped sense of...
  11. Altra

    overreacting or not, that is the question!?!

    I read the OP to mean that she went to the ER at the hospital where she works -- not that she works in the ER. Her post does not convey an understanding of typical ER course of
  12. Altra

    Okay, why do ER nurses think they're so cool?

    My semi-tongue-in-cheek reply to the OP: On a day like yesterday (which was only slightly more intense than a typical Monday ... just saying) -- when the number of patients currently being treated in...
  13. Altra

    Okay, why do ER nurses think they're so cool?

    The "once, an ER nurse looked at me the wrong way and it ruined my entire week" post was SARCASM -- written by an ER nurse. LET IT
  14. Altra

    Are you comfortable selling BOTOX?

    They're being very upfront about their practice, and what they expect of the RN hired for this position. It's not like they're somehow hiding the fact that they sell elective, cosmetic
  15. Altra

    Skin assessment in the ED

    [quote=amarilla;511777I remember thinking, 'who's looking at a AOx3, walky talky 38 year old appy's feet in the EMERGENCY department?!' UG!! This is exactly why I'm here to gather some info, because...
  16. Altra

    Skin assessment in the ED

    We actually did this where I used to work with one inpatient unit with which relations were becoming particularly strained. You could bring this up to your shared governance council as well. If...
  17. Altra

    ER's Turn Non-Emergencies Away?

    My point about the lab work relevant to your situation was that these are not labs that are resulted quickly, and therefore you would likely (pray - hopefully) be discharged from the ER even before...
  18. I agree. While transport times are generally 15 min. or less in my urban area (longer transports are often flown), I agree that there is nothing safe for the patient or for medics about 15 minutes of...
  19. Altra

    Skin assessment in the ED

    Skin assessments have been done on admission at all 3 of the hospitals where I have worked. This is the only practical solution, unless someone can figure out how I am to do a complete skin assessment...
  20. Do you work in an ER? And if so ... do you not see patients arrive via EMS having been
  21. If she was sitting in the back of an open ambulance ... there are places where medics provide treatment such as minor suturing in the field, without having to take the patient to an ER, prior to their...
  22. Altra

    ER's Turn Non-Emergencies Away?

    Not giving medical advice ... but where is the emergency in the above post? And does that answer your question re: why this is not something that will get solved in the ER? Hint -- TSH/T3/T4 labs...
  23. 1. Is the yahoo.com data for registered nurses? Does it include LPNs? "Nursing degree" is pretty vague. Also, nursing is a vast field encompassing a multitude of types of employment, at different...
  24. Altra

    Dr Oz and Aspirin

    Give the aspirin! Have no idea from what source you learned that 80% of people are allergic to ASA, but ... as an experienced nurse, do you find that to be the case? In caring for countless patients,...
  25. Hmm... I could match my tone to that of the OP, and say ... How can a 33-year old adult be so unaware that ANY substance on this planet, naturally-occurring or manufactured, can be harmful under...