Hospice, corrections, psychiatry, rehab, LTC
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Orca has 27 years experience as a ADN, ASN, RN and specializes in Hospice, corrections, psychiatry, rehab, LTC.

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  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 no yelling, no accusations, no denigration. The emp...
  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 difficulty getting hired elsewhere after working ps...
  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 agency.
  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 who know nothing about the hospital will work ther...
  5. Very well put. It is very easy to offer advice when you will not be affected by the decision.
  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 charge.
  7. Agreed totally! This was a difficult mistake to make, unfortunately,  it was still made and only caught after it was too late. 

  8. 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 a HIPAA violation, as people in the photo may be ...
  9. Orca

    Charting Bloopers

    So two Wrights made a wrong. Thanks for sharing.
  10. 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 RT on the jury that unanimously convicted her.
  11. 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 to be recostituted, which supposedly would requir...
  12. Orca

    About Gout | Knowledge is Power

    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 the surgeries the elbows would periodically become i...
  13. 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 didn't renew it after the initial certification period...
  14. 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 conversion table with me, and I figured out how much that...
  15. 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 round trip to turn in an ID badge seems over the top...