Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    New Charge Nurse

    Altra replied to Chilled1121's topic in Critical Care

    Childish, at the very least. If you ask me to change an assignment, the reason better be related to the patient and/or
  2. Altra

    WE NEED TO

    Altra replied to luv2's topic in Activism, Healthcare

    Health care is a highly regulated industry, and its administration is highly political. HouTx has excellent suggestions above about the nitty gritty actual work of the political process. Some...
  3. Altra

    Nurse Creates The Mother Lode of All Advance Directives.

    Altra replied to SmilingBluEyes's topic in General Nursing

    Great satire ... if
  4. Altra

    "My Nurses"

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

    Too much being made of nothing. I thought about this for a minute, and can name people in all roles up and down the payscale in my department who use this phrasing: when the unit clerk calls us "my...
  5. Altra

    Just curious, how many diploma RN's are in the house? Do you intend to further your educat

    Altra replied to middleagedRN's topic in General Nursing

    Proud 21st century diploma grad here. I have since completed my
  6. Altra

    Best one sentence handoff report

    Altra replied to emtb2rn's topic in Emergency

    Awesome. Thanks for reviving a great
  7. Altra

    Dedicated Trauma Nurses in the ED

    Altra replied to Lunah's topic in Emergency

    I have followed this thread with interest. The 2 Level I trauma centers where I have worked both have a dedicated trauma assignment every shift ... but this assignment is rotated among all department...
  8. Altra

    New Rule: No work bags allowed in ER

    Altra replied to DarknTwistyERRN's topic in Emergency

    It's totally not for me to dictate what size bag someone brings to/from work ... but I'm having a hard time picturing "educational resources" that I would be responsible to lug back & forth with...
  9. Altra

    Reason for IV fluids

    Altra replied to Matt8700's topic in Emergency

    Are these fluids being ordered after labs have been resulted? The above responses have given a variety of reasons why fluids might be given during a work up, until we have lab evidence of a lack of...
  10. Altra

    Why white shoes?

    Altra replied to oldsockventriloquist's topic in General Nursing

    Ruby Vee makes an important point above - the standing for long periods of time is what will dictate your shoe choice in the long run. The floors of hospitals and other care facilities are typically...
  11. Altra

    leaving clinic with Patients still in exam rooms?

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

    OP has given some indication that some of her clinic's patients have been at the hospital for other appointments by the time they arrive at her particular clinic to be seen. I also work at a large...
  12. Altra

    leaving clinic with Patients still in exam rooms?

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

    OP, it has been hard to follow some of your posts. Are you saying that: 1. You have been the staff member to raise concern about medically fragile patients in your clinic? 2. Clinic management is...
  13. Altra

    Anyone catch HIV from patients as a Nurse or Nursing student? My biggest fear!

    Altra replied to FutureLPNNursing's topic in Patient Safety Issues

    So, this means that you have read detailed case studies of these nurses, including their social histories and been able to conclude that on the job exposure, of which they do not have a clear memory,...
  14. Altra

    leaving clinic with Patients still in exam rooms?

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

    We must be reading the OP differently, because I am not sensing this kind of self-aggrandizement in the OP's posts. What I am reading, is a disproportionate worry about leaving the clinic at the end...
  15. Altra

    leaving clinic with Patients still in exam rooms?

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

    Understood. You are correct that medical response to those occurrences is the responsibility of the hospital, if the individuals are on hospital property at the time. However, do not infer that to...
  16. Altra

    Psychiatric emergency nursing

    Altra replied to Ladysin21's topic in Emergency

    I have worked in hospitals that had a separate "psych ER". In one, it was organizationally a sub-unit of the emergency department. In the other, it was a program operating under the psychiatry...
  17. Altra

    leaving clinic with Patients still in exam rooms?

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

    Agree ... and I also suspect it is a metaphor for the frail condition/restricted mobility of many of the patients in OP's
  18. Altra

    leaving clinic with Patients still in exam rooms?

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

    Though the OP may not have articulated her concerns well ... I suspect she is referring to the hospital/healthcare organization as a
  19. Altra

    leaving clinic with Patients still in exam rooms?

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

    I hesitated before replying, thinking that my reply was coming from my own assumptions. But truth be told, many other responders have also interjected a whole host of assumptions here as well. Don't...
  20. Altra

    Heat stroke & DIC????

    Altra replied to angle71054's topic in Emergency

    Dehydration & rhabdomyolysis --> multi-organ
  21. Altra

    Possible attendance write-up

    Altra replied to Pedsnurse1026's topic in General Nursing

    OP had apparently accumulated enough prior points for calling out/being late that the points for the "no call no show" on the class day triggered some corrective
  22. Altra

    Blue hair

    Altra replied to Fireflynurse's topic in Nursing Professionalism

    Agree with the others - check your dress code policy first. But if the policy does not prohibit any colors ... inexpensive clip on hair pieces or extensions would be a good way to try it out before...
  23. Altra

    Mr. Harry the Excessive Hair Patient

    Altra replied to Barbie8808's topic in General Nursing

    I work prn in a MICU - land of c.diff, tube-feed and liver-failure related diarrhea, and never-ending secretions around ETTs and trachs. For brevity, I will side-step all the ethical reasons not to...
  24. Altra

    Army medic to RN

    Altra replied to DaRunner's topic in General Nursing

    I have worked with several people who were military medics and transitioned to civilian nursing. Some suggestions: Research schools in your desired area, and apply to several. Many have wait lists,...
  25. Altra

    Will I become a bad nurse? How should I change?

    Altra replied to blueus's topic in General Nursing

    First, a general comment. Life is too short to go through it being pissed off much of the time. You only have a finite amount of energy - if it's all negative, this narrows and limits your...