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

    computers in hospital

    altomga replied to ruralok's topic in General Nursing

    I would have to agree that computer charting depends on the software your hospital chooses. I have done computer charting for 5yrs and wouldn't trade it for anything. Yes, some of it is repetitive,...
  2. altomga

    Pregnant and working as RN

    altomga replied to tcolleen's topic in General Nursing

    Well, looks like you got more than enough answers:) I work on a very busy medical step down ICU and worked up until by 3rd baby was born. I had no problems doing the 12hrs for one simple...
  3. altomga

    Speciality Differential?

    altomga replied to Chiaramonte's topic in General Nursing

    doesn't matter where you work at my hospital...you get paid base pay + whatever annual raise gives you. Speciality doesn't give you anything
  4. altomga

    The most pee ever.....

    altomga replied to KC CHICK's topic in General Nursing

    Had a paitent going through DT's and was on an Ativan gtt infusing at 30mg/hr (1-1 mix) and primary fluids. He didn't have a foley, but had been dumping over 1000cc q4h via a condom cath (he had a...
  5. altomga

    Have you ever administered IV iron?

    altomga replied to NurseDennie's topic in General Nursing

    I have also give Iron IV many times. Like the other post though...it has been awhile. Our protocol is basically the same. We give a test dose and monitor the patient with the first infusion, then...
  6. altomga

    Sewing your own scrubs

    altomga replied to obeyacts2's topic in General Nursing

    I am not a great seamstress, but my mother can sew like a banshee!! She has made me a lot, from tops, to pants, and even a sweater, and jackets too of course. It is really nice to have scrubs that...
  7. altomga

    Transportation of Telemetry/Stepdown Patients

    altomga replied to nursemouse's topic in General Nursing

    In my facility the patients must go with a Defib validated nurse on the monitor; unless the doc has written "may travel without monitor". Any pt with a trach though still has to have a nurse with...
  8. altomga

    new grads that don'y ask questions

    altomga replied to altomga's topic in General Nursing

    yms yms rn This is what I was trying to get at with this initial start of this thread. What are we supposed to do? The reason I take notes and give them to mangmn't at the end of orientation is for...
  9. altomga

    new grads that don'y ask questions

    altomga posted a topic in General Nursing

    The hospital I work at usually gets new grads in during the month of July. I love seeing them come with their excitement, curiosity, and actually nervousness. Only b/c it keeps me grounded and...
  10. altomga

    new grads that don'y ask questions

    altomga replied to altomga's topic in General Nursing

    Robin-clark, I can understand your fear of looking like a fool. I can also understand how intimidating a "old" farty nurse can make you feel. I ENTIRELY REMEMBER HOW I FELT the first day on the job....
  11. altomga

    Direct Admits

    altomga replied to MissdonditaBsn's topic in General Nursing

    :imbar oh we get plenty of direct admits to my step down ICU floor; either it be from an outside facility, doctors office, or even an outpatient dialysis unit. I actually prefer the admits that are...
  12. altomga

    new grads that don'y ask questions

    altomga replied to altomga's topic in General Nursing

    okay, let me clarify something; yes I take notes, it is expected during orientation with the "system" we use. I don't go straight to management; I discuss it with the orientee. The notes are to have...
  13. altomga

    new grads that don'y ask questions

    altomga replied to altomga's topic in General Nursing

    my gosh, did not think that this would stir such debate. again, let me say, i ask and ask questions, offer clinical experiences that they will have to be aware of, use other nurses pt problems to...
  14. altomga

    Do most pass NCLEX the first time?

    altomga replied to mom2rosebudbaby's topic in General Nursing

    Hey, stop and take a deep breath!!!!!! First off you seem to have said you are a good test taker...THAT WILL HELP! The people that I know that did not pass the NCLEX the first time were admittantly...
  15. altomga

    autonomy

    altomga replied to kmaryniak's topic in General Nursing

    Kimmy2, Sorry to hear about all the trouble your are having:( At the hospital I work at it is a large teaching university hospital (that actually is private, but is open to everyone); now there are...
  16. altomga

    new grads that don'y ask questions

    altomga replied to altomga's topic in General Nursing

    First let me say, I have greatly enjoyed this board, it makes me feel like all my thoughts, feelings, and concerns are shared by others..THANKS!! Okay, I definately do ask questions all the times,...
  17. altomga

    full nights vs. rotating

    altomga replied to bluegirl's topic in General Nursing

    I have to agree that working night-shift is not for everyone. I work 12hr nights 7p-7a and love it. I have always been a night person even before I was a nurse. I actually get to see my kids more...