Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Nursing shoes for overpronators

    Altra replied to kdrose01's topic in Scrubs, Uniforms, Gear

    I can't say enough about how Danskos have saved my feet!
  2. Altra

    What do you consider to be nursing's biggest setback?

    Altra replied to almost30's topic in Patient, Colleague Relations

    MTs? I'm unfamiliar with the acronym. And I'm assuming it's not a typo for "MDs" because they are definitely licensed by individual state boards of
  3. Altra

    Doctor as a patient

    Altra replied to love-d-OR's topic in General Nursing

    I have taken care of several physicians. None of them have been a problem. However, in my experience, the wives of physicians ... well, that's a different
  4. Altra

    Do you interrupt report to give pain meds?

    Altra replied to nervousnurse's topic in General Nursing

    I would not interrupt report to give a p.o.
  5. Altra

    Ampule Question: Does this make sense?

    Altra replied to L&DWannabe's topic in General Nursing

    Yep, seems over the top to
  6. Altra

    reamed out for using soft wrist restraints

    Altra replied to newnurse012's topic in General Nursing

    I believe that was Esme12's point: when facilities eliminate restraints it is probably as much a cost-saving measure to eliminate the need for additional staff as it is any philosophical aversion to...
  7. Altra

    reamed out for using soft wrist restraints

    Altra replied to newnurse012's topic in General Nursing

    This is probably the quote of the day. (bolding is
  8. Altra

    reamed out for using soft wrist restraints

    Altra replied to newnurse012's topic in General Nursing

    I believe I respectfully asked a pretty straightforward question, as I value your response. Otherwise, I would not have asked. What would you do differently? In evaluting the original post, I noted...
  9. Altra

    reamed out for using soft wrist restraints

    Altra replied to newnurse012's topic in General Nursing

    I agree it is a gray area -- cardiac arrest and respiratory failure will both result in death. I have worked at hospitals where DNR was definitely interpreted to include DNI. At my current hospital,...
  10. Altra

    reamed out for using soft wrist restraints

    Altra replied to newnurse012's topic in General Nursing

    1. Was BiPAP considered? 2. Were meds (Ativan, Morphine) considered? 3. Was consideration given to the fact that this patient is likely slipping down the slope from "DNR" to "actively dying" ......
  11. Altra

    TPA and bad outcomes

    Altra replied to pb57's topic in Emergency

    I have observed a bad outcome related to TPA administration. However, I have never been in a situation where I felt it was given inappropriately. Nothing in life is guaranteed. The physicians with...
  12. Altra

    An upset elderly patient...

    Altra replied to caregiver1977's topic in Patient, Colleague Relations

    Thank you, thank you, thank you.
  13. Altra

    Get through it without laughing - dare ya

    Altra replied to netglow's topic in Emergency

    If this were an SNL skit, it would be freaking hilarious. Unfortunately it's not. Schumacher Group, http://schumachergroup.com/, is a large consulting firm which sells this BS to hospitals and ED...
  14. Altra

    Rules for the ER (long)

    Altra replied to EDValerieRN's topic in Emergency

    You are wise to recall the cynicism that bothered you when you were with EMS, and consider that when choosing a nursing position. Environments vary greatly, but I think that some protective coping...
  15. Altra

    Hanging dopamine and preventing accidental bolus

    Altra replied to neoicu2684's topic in General Nursing

    I just can't picture what you're saying. Maybe this is a better question for another nurse on your unit who is familiar with your
  16. Altra

    Anti-Intellectualism/Autonomy in nursing

    Altra replied to felineRN's topic in General Nursing

    this doesn't sound like an lpn/rn issue ... just that that particular poster works on a med-surg unit without
  17. Altra

    Hanging dopamine and preventing accidental bolus

    Altra replied to neoicu2684's topic in General Nursing

    I don't work NICU, but I'm not understanding how this happens -- surely a pressor is on a pump?? When changing bags of drips I frequently don't even stop the pump unless it's running really fast. As...
  18. Altra

    Job Hunting: MDs as References?

    Altra replied to Music in My Heart's topic in General Nursing

    I have used 2 different MDs as references, with good results.
  19. Altra

    GUM! Can you chew it on shift?

    Altra replied to SummitRN's topic in Nursing Professionalism

    Again, one poster referred to a comment made by her mother. If you have heard that from others, repeatedly enough that it bothers you, then you can direct your comments there. The rest of the...
  20. Altra

    GUM! Can you chew it on shift?

    Altra replied to SummitRN's topic in Nursing Professionalism

    So, because it's a lazy weekend afternoon, I did go back and re-read. I have quoted the 8 posters above (excluding myself) who expressed opposition to gum chewing while at work. Let's call them the...
  21. Altra

    GUM! Can you chew it on shift?

    Altra replied to SummitRN's topic in Nursing Professionalism

    Very sociologically interesting, how some in this thread who disagree with someone's description of gum chewing as unattractive and distracting from a professional image ... immediately tuned into...
  22. Altra

    I refuse to be a punching bag - NO MORE ASSAULT

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

    Someone hits you or bites you and your response is that you "do not appreciate their behavior"? No, that's not correct. Every state has statutes which make it a specific crime to assault a police...
  23. Altra

    Nurses receiving poor care....

    Altra replied to Mrs. SnowStormRN's topic in General Nursing

    Are you saying that "many times" you've observed actions that could REALLY harm you? Just asking
  24. Altra

    How could a completely inexperienced person become a nurse tech?

    Altra replied to JennNHD24's topic in Nursing Career

    You must have believed you could do the job - you applied, right? You will gain invaluable experience, and training in certain procedures such as catheterization. Congratulations -- make the most of...
  25. Altra

    Tufts nurses vote 70% to authorize strike

    Altra replied to Chin up's topic in Collective Bargaining, Union

    Not familiar with that hospital so I can't comment directly. But I would not cross that picket line or any other, just as a matter of