Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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About Orca

Orca has 30 years experience as a ADN, ASN, RN and specializes in Hospice, corrections, psychiatry, rehab, LTC.


Latest Activity

  1. Orca

    Supervisor Interview

    I don't recall the exact situation, but a nurse had been making mistakes in medication. The DON called her in, and very calmly explained what the issue was and what issues that it created. There was...
  2. I have found that psychiatric nursing is held in very low esteem by many employers. You won't see sign-on or relocation bonuses for it - only for critical care or emergency medicine. I also ran into...
  3. Orca

    From home health travel to prison travel?

    I have never heard of it. Prisons either have their own staff, or they use a contracted
  4. My sister did travel nursing for a while. She said that there is a reason that certain hospitals need travel nurses - mainly because they have such a poor reputation in the community that only people...
  5. Very well put. It is very easy to offer advice when you will not be affected by the
  6. Orca

    Radonda Vaught Trial

    Malpractice is a civil charge, with a monetary award if the defendant is found to have engaged in it. The presence of insurance would have no effect on any criminal
  7. Orca

    HIPAA violation?

    The sources that I have read all say that it is a violation of HIPAA. For example, An emergency room employee who snaps a photo and posts it to social media to show how busy it is would represent...
  8. Orca

    Charting Bloopers

    So two Wrights made a wrong. Thanks for
  9. Orca

    Radonda Vaught Trial

    Just a guess, but I believe that I might have noticed the big red ring stating WARNING - PARALYTIC AGENT on the top of the vial when I pulled it. BTW - I noticed that there was an RN and a former...
  10. Orca

    Radonda Vaught Trial

    From what I have been able to tell, this was far from an easy drug error to make. There were multiple warnings along the way, which she apparently ignored. The final straw was that the medicat6ion had...
  11. Orca

    About Gout

    I have had tophi in strange places. About a year and a half ago I had olecranon bursectomies on both elbows (done one at a time about a month apart) because my elbows protruded abnormally. Prior to...
  12. Orca

    Diary of a Nurse Who is Not 'Exceptional'

    I worked for a place that pushed ANCC certification. Unlike your place, we received nothing for the certification. It just gave the hospital something to brag about, at our expense (literally). I...
  13. Orca

    Being sued

    My first injection was given to a patient on an OB-GYN floor. I was nervous enough as it was, but also the ordering physician had written the order in grains. Fortunately, I had my handy-dandy...
  14. The first question that occurred to me is why the employer is insisting that the ID be delivered in person. Mail makes a lot more sense, given that the OP is in the middle of moving, and a 150-mile...
  15. I have had several facility tours conducted by medical staff. Officers are only necessary when you are performing a duty that will put you in close proximity to