altomga ADN, BSN, MSN, DNP, RN, APRN

Interventional Pain Mgmt NP; Prior ICU and L/D RN

Nurse Practitioner Looking to expand my Career

Member

  • Content

    459

  • Visitors

    6,190

  • Followers

    0

  • Likes

    13

All Content by altomga

  1. altomga

    Rude Relative, advise please

    altomga replied to bulletproofbarb's topic in General Nursing

    I agree with purplemania....I do not get paid to put up with abuse!!! I recently had a family member removed from the hospital by our police for verbal abuse and aggressiveness towards the staff!!!...
  2. altomga

    Are you ashamed of being a nurse?

    altomga replied to Mijourney's topic in Nursing Career

    DARN PROUD OF BEING A NURSE!!! I get to help people on a daily basis; never do the samething..every pt is different even with the same diagnosis.... PROUD...VERY PROUD!!! Would not do anything
  3. altomga

    Does your hospital "lock down" after visiting hours????

    altomga replied to altomga's topic in General Nursing

    keep the replies coming:) I am going to use your examples as reasons why my facility should beef up security to protect staff safety..... Thanks Again guys!! I appreciate the support!:) (All will be...
  4. altomga

    Does your hospital "lock down" after visiting hours????

    altomga replied to altomga's topic in General Nursing

    Excellent Idea Gwenith!!! I can bring this up at our staff meeting this Thursday!! I will say that our police officers (we have both officers and security) are young and on the ball when you do call...
  5. altomga

    Tips for Dressing to Scrotum?

    altomga replied to Jay-Jay's topic in Wound, Ostomy, Continence

    sorry,,,no tips here... we also had a pt with gangrene in the scrotal area. The wound was left open until plastics fixed it up with a skin flap. It was hard as the dickens to keep clean and...
  6. altomga

    Low census days (whine)

    altomga replied to VivaLasViejas's topic in General Nursing

    LOW CENSUS?????? What is that??? I haven't seen that in years! We have not put people on call due to low census in years! My floor is lucky if we keep 1 room open all night....... Take time to...
  7. altomga

    which shift is busier?

    altomga replied to momrn50's topic in General Nursing

    I have to agree with another poster...you ask a person and they will say their shift is busier. I work nights...and I've done days on the same floor..The difference to me is the frustration level and...
  8. altomga

    Nurse Cuts Off Baby's Toe ?!

    altomga replied to Zee_RN's topic in General Nursing

    THAT IS
  9. altomga

    Do U Apply Abdominal Pressure During Colonoscopy?

    altomga replied to JEEMA's topic in Gastroenterology

    we do scopes on the floor quite often....I don't work in the GI lab....but I haven't seen it done, but they may do it down the the
  10. altomga

    How Do You Manage To Clock Out On Time?

    altomga replied to live4today's topic in General Nursing

    nursing is a big TIME MANAGEMENT job........it also depends on how many pt's you have to take care of at once. Me...I work ICU stepdown and have a 1:4 ratio.....my first scheduled med is at 2200..next...
  11. altomga

    Chronic Tardiness

    altomga replied to Tweety's topic in Nursing Professionalism

    TARDINESS:angryfire I can't stand it when people show up to work late (chronically) What happened to good work ethics??? I live almost an hour away from my facility and I am always ON TIME!!!...
  12. altomga

    Blood Administration & KCL Bolus

    altomga replied to petiteflower's topic in General Nursing

    I'm with Sharon...blood runs all by itself!!! NS connected with the blood tubing. Never run another IV into the blood
  13. altomga

    standard of how many IV attempts

    altomga replied to megpwh's topic in Patient Safety Issues

    At my facility it's 2 strikes and your out of there too!! We also have an IV expert list that have nurses names and unit they work on so people know who to call (not that a lot of nurses like it b/c...
  14. altomga

    Have you ever given report to the next shift...

    altomga replied to askater11's topic in General Nursing

    God do I hear you!!!! I hate this type of nurse and trying to give them report...luckily we use a "kardex" type of report that is updated by each shift....if the person keeps going on and on and...
  15. altomga

    How much time do you spend at bedside per shift..10 minutes???

    altomga replied to passing thru's topic in General Nursing

    It would greatly depend on the shift and the patient. On average I probably spend about 1-2hrs with each pt over the 12hrs (I have a 1-4 ratio) Sometimes though if the pt is really circling the drain...
  16. altomga

    Sick call policy

    altomga replied to goldgram's topic in Nurse Management

    WOW!!! This is certainly a topic for debate!!! There are sure a lot of ruffled feathers around here....geez! First let me tell you what our policy states. A staff member (means all levels of...
  17. altomga

    The dreaded panty line.......

    altomga replied to colleen10's topic in General Students

    That was what I was wondering myself....ok students...line up and bend over/drop them..it's Thong Checking Time!!!:roll :rotfl: :rotfl: Really though, WHO CARES!!! I never gave it much thought....
  18. altomga

    new grad needs help with documentation tips

    altomga replied to peaceful2100's topic in General Nursing

    Document everything! Of course document your assessment of the patient. Document any change from initial assessment. Even when you page a doctor; if they don't return your first page, docuement...
  19. altomga

    Step down units

    altomga replied to faithrn2002's topic in General Nursing

    I work medical step down unit. 1 nurse to 4 patients ALWAYS!! They are total care patients, vents, multiple gtts, any diagnosis that you can think of including MI, s/p sugerical procedure, etc. MIU...
  20. altomga

    Any advice for newRNstudent

    altomga replied to newRNstudent's topic in General Students

    First of all...CONGRATULATIONS:balloons: Advice? HMMMMMMMMMMMMMMM Well, be proud of yourself first off for getting accepted! That is a huge feat in itself. Next...pay attention in class, ask...
  21. altomga

    Drs. handwriting - Can you read it well?

    altomga replied to RN2007's topic in General Nursing

    Oh, but it is sooo much fun translating the md's writing. with one doc at my facility it used to be a game on who could figure the orders out the fastest....too bad that this doc has switched to all...
  22. altomga

    NArcan drip

    altomga replied to sharann's topic in General Nursing

    We have used Narcan gtt's for those pt's that took such an overdose that to keep the pt awake, etc. we use the narcan. We would try the IVP, but it wouldn't last long enough. It's not used often,...
  23. altomga

    Patient Assessment - Respiratory Distress

    altomga replied to gwenith's topic in General Nursing

    BTW-----good question......never hurts to keep your thinking
  24. altomga

    Patient Assessment - Respiratory Distress

    altomga replied to gwenith's topic in General Nursing

    Sorry, but I do work at a level one trauma center (thankfully)..If I was in a small remote hospital I would totally depend on my knowledge and critical thinking skills!! The equipment available would...
  25. altomga

    Patient Assessment - Respiratory Distress

    altomga replied to gwenith's topic in General Nursing

    Other than the normal resp assessment. Auscultation, inspection, depth and rate of inspiration, vital signs etc...I would want to know what his x-rays, verbal collaboration with pt, etc showed. Does...