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

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

Nurse Practitioner Looking to expand my Career

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All Content by altomga

  1. altomga

    Artificial Fingernails

    altomga replied to Stillanurse's topic in General Nursing

    My facility does have a written policy against artificial
  2. altomga

    Nurses who let NAs Boss them around

    altomga replied to PhePhe's topic in Patient, Colleague Relations

    I have to totally agree with disablednurse! Management does not back you up with reprimanding the NA's. They can come to work when the want, do what they want, refuse to do things, eat before they...
  3. altomga

    documenting short staffing question

    altomga replied to angelbear's topic in General Nursing

    I wish there was a easy answer to this...documentation of incident reports are anonymous at my facility..and yes I fill them out!! Tonight I have to go to work knowing we have only 5 RN's staffed on a...
  4. altomga

    Do you nurses get breaks?

    altomga replied to marilynmom's topic in General Nursing

    I can certainly understand your frustration if the "smokers" on your floor take more breaks than others. Let me just say as a smoker myself. Yes I take breaks if time allows (we are allowed 2 15min...
  5. altomga

    Chest Tubes and Clamping

    altomga replied to nightingale's topic in General Nursing

    No....we never clamp a chest tube!! For transport purposes and depending on what type and how bad the "pneumo" was we may ask the MD if we can transport with it on water
  6. altomga

    Overdoses...

    altomga replied to rnnurse2b's topic in General Nursing

    my floor get's illegal and legal drug OD's. One that comes to mind is a guy that was using cocaine..didn't give him a good enough high so he started cutting rat poison into it... Until he admitted...
  7. altomga

    How long does report take?

    altomga replied to RNnites's topic in General Nursing

    my gosh that is a long time:eek: We use a form of Kardex so each nurse isn't writing report down. We go through the kardex and then ask questions if needed of one another. Report may take minutes...
  8. altomga

    Orange doesn't mean what it use to...

    altomga replied to Flynurse's topic in General Nursing

    The hospital I work at is in the midst of switching...This is stupidity on behalf of the manufacture don't you think??!!! I mean come on....two syringes that are for specific uses..yea let's make...
  9. altomga

    Cardioversions

    altomga replied to katlyn's topic in General Nursing

    I work on a medical intermediate unit and we do cardioversions in the room under conscious sedation. The pt's doctor is at the bedside not an anesthesiologist. Our ratio is 1:4 always. Our floor...
  10. altomga

    have you ever "written up" yourself in an incident report?

    altomga replied to l.rae's topic in General Nursing

    Sure have...my first one was when I was still fairly new...gave a pt 2mg morphine instead of 2gms magnesium..MS04....MGso4...the hospital has actually changed it so that type of abbreviation is not...
  11. altomga

    Feeling threatened by your patients

    altomga replied to rachel h's topic in General Nursing

    I can relate to this....I deal with drug overdose, DT patients, dementia, and then the generally plain down MEAN SOB!! I have felt threatened many times...if they are A/O I call security. I don't...
  12. altomga

    Who transcribes med orders?

    altomga replied to AHarri66's topic in General Nursing

    The unit secretary is the one who normally transcribe's orders. The RN's do 12hr chart checks, the secretary does 24hr chart checks. If a MEDEX is rewritten it is checked by a second person. At night...
  13. altomga

    Being Charge

    altomga replied to longforseaair's topic in General Nursing

    At my facility we are "floating" unless there is a call out and no one will cover the hole. I work nights and am also considered the management at that time. Making assigments is the easy part. I...
  14. altomga

    so what does your hospital's ceo make?

    altomga replied to mercykitten's topic in General Nursing

    I actually have no idea...but I am sure that it is WAY TO DARN MUCH!!! Give themselves raises for what?? Take away from those actually doing the physical labor!!
  15. altomga

    Buying a bathing suit

    altomga replied to gwenith's topic in Nursing Humor

    This was just tooooooo funnnnnnnyyyyyyyyyyy......flip side is that it is sooooooooooo TRUE!!!! Gosh what I wouldn't do for a body that hadn't been havocked by 3 pregnancies.....boobs that were where...
  16. altomga

    National Nurses Week

    altomga replied to Nursie30's topic in General Nursing

    RN's and LPN's should be celebrated together,..... nursing assistants have a time of there own if I am not
  17. altomga

    Do all surgeons think that they are Gods?

    altomga replied to angiebaby's topic in General Nursing

    What is the difference between a surgeon and a puppy? The puppy grows up and stops
  18. altomga

    I decided to start my career on a Medical-Surgical unit. Looking for advice

    altomga replied to peaceful2100's topic in General Nursing

    :roll
  19. altomga

    I decided to start my career on a Medical-Surgical unit. Looking for advice

    altomga replied to peaceful2100's topic in General Nursing

    I agree with everyone here. The only other advice I have for you....don't let another grumpy, rude nurse (okay guys you know they are out there..some are famous for eating the young:) get in your...
  20. altomga

    Bonus Pay

    altomga replied to rreed's topic in General Nursing

    shoot, we only get $4.00 extra an hour for every hour worked only if you work 8 12hr shifts. then they figure the $4 separately. oh well.....such is
  21. altomga

    Should nursing charges be separate from the room charges?

    altomga replied to deespoohbear's topic in General Nursing

    I have been reading the new posts as they come and see that many people have mentioned the acuity scale to base a room charge on....... At my hospital we use a medicus system to classify pt's acuity...
  22. altomga

    Should nursing charges be separate from the room charges?

    altomga replied to deespoohbear's topic in General Nursing

    My co-workers and I have discussed this same subject. I do think that nurses should be able to charge for certain things. Some stuff increases our workload, decreases time able to spend with other...
  23. altomga

    how can i juggle nursing school, kids and a job without sacrificing either?

    altomga replied to geleesa's topic in General Nursing

    I have to agree with the posts here. Accept your limits and accept that you will have to compromise some. I went through school over 6yrs just to get my ADN!!! I took one class at a time until the...
  24. altomga

    pregnancy and isolation patients

    altomga replied to moonshadeau's topic in Patient, Colleague Relations

    I work on a medical unit that of course has isolation patients everywhere. We also take TB patients. I took care of MRSA/VRE and C-DIFF patients all the time. The only rooms I absolutely stayed out...
  25. altomga

    Nurses week Cheap gifts from admin.

    altomga replied to nilepoc's topic in General Nursing

    At the hopsital I work out we get pretty much the same trashy trinkets as already stated. And it does turn into hospital staff appreciation week. Shoot they even give the stuff to the visitors!!!!!!...