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Orca

Orca

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  1. Orca

    "LPNs are glorified CNAs"

    These are the same people who will grab a housekeeper in the hallway for a medical issue because she is wearing scrubs. Just consider the source and let it go.
  2. Orca

    Endorsement

    They will require fingerprints when you apply. There are multiple places to get them done, but make sure to go to a place that submits them electronically, because they will be processed much faster (oddly, the Las Vegas Police Department doesn't). The NSBON website includes a list of places that do fingerprints, and it identifies the ones that submit electronically. You will also have to resubmit fingerprints every five years (mine is due now).
  3. Orca

    C'Mon Now!

    That absolutely fractured me. The way that this was phrased just brought it to life.
  4. This thread is more than five years old. I doubt that the people who you are responding to are even reading this.
  5. Orca

    Hospitals That Hurt Good Staff's Morale

    I have done hospital work, and I never encountered situations like the ones you are describing. It sounds to me as if the place is about to collapse financially, and you will have to look for a job at that point. Better to get ahead of the game now than wait until the roof caves in, and suddenly a bunch of people are dumped into the job market at once. Good luck on your search.
  6. Orca

    Washington State declares measles emergency

    Stupid is as stupid does. When I was young, there was no vaccine for the childhood diseases, and I basically got all of them (except for whooping cough). Today there is no need, and no excuse, for children to go through the disease process. Chicken pox party, indeed.
  7. Orca

    Seeking guidance..

    I wouldn't try to anticipate what the BON is going to ask for. IMO they would look favorably upon any independent effort on your part to seek treatment and begin your recovery. Best of luck.
  8. Orca

    Paramedic discrimination?

    I had a nursing school classmate who was an EMT before he enrolled. He made the statement that if something happened to him, he had rather have an EMT than an RN, because EMTs know more and are better qualified to handle emergencies. Everybody in the class wanted to punch him in the face. It left me to wonder why he entered nursing school, if he already had superior knowledge.
  9. Orca

    Why do you do it?

    Having worked on the inside for a long time, I fully understand that. While there are some cases of medical neglect in prisons, most of the things that are told to outside groups, families and friends are either exaggerated or completely fabricated. I deal with families every day who have been told a lot of outlandish things. Sometimes there is a grain of truth in what they have been told, sometimes not. One inmate's mother called, very angry about the expensive medical charges that her son incurred for an outside appointment. We don't charge for outside appointments. The son apparently told his mother that he had been charged for a procedure to get her to put money on his books. We also don't turn away inmates for a lack of funds, yet many tell their families that they aren't seen because they don't have money on the books. Then there are those who call family and claim that they have turned in multiple requests for medical treatment and their requests have been ignored. Invariably, this seems to be inmates with charts six inches thick documenting their "lack" of medical care. The higher the number of requests that they report to the family, the more likelihood that the actual number is zero (I have found this to be the case many times). Inmates can be very convincing. People who don't know the inside environment tend to believe what they are told, and they don't bother to ask questions as to how much is true, or even if any of it is. It is quite possible that your prospective employer believed that you might have spent time gathering information for the organization that you volunteer with.
  10. Orca

    Why do you do it?

    To answer the original question: 1. Job security. Since I became vested with the state, I cannot be fired on a whim. I have to actually do something wrong, and there is a formal process for dismissal. I can't be let go because someone has decided that I make too much money, or because they simply don't like me. 2. Stability of the employer. I know that we won't be bought out, taken over or shut down. I have worked for private employers where all three of the above have taken place. The facility that was shut down was part of a national chain (for the sake of discussion, let's call it Charter Behavioral Health Systems) that flew people in from the corporate office to lie to us and tell us that we were staying open. The company even sabotaged a potential sale that would have kept us open by insisting that the new owner take responsibility for all pending lawsuits. 3. Job duties. My worst day at the prison is better than being in a hospital. If anything gets very heavy, we send it out. We see enough to keep our skills up, but not so much that we are overwhelmed. 4. A paycheck that I can count on. We never call off for low census or send people home early (without pay) because of discharges.
  11. OK. Sorry for the misunderstanding.
  12. Orca

    Just a vent... medical vs psych

    When I worked for a freestanding mental health hospital, our admitting personnel (who were not nurses) often did not ask the right questions. I arrived at work one morning to find a patient on four liters of oxygen - telling me that depression wasn't his primary issue. He had a list of medical problems as long as your arm. Twenty minutes into my shift he coded, and we were unable to revive him. I found out later that before coming to us he was in a hospital about 100 miles away, so our intake people agreed to admit him sight unseen with just a telephone report. Of course, the hospital staff were careful to omit things that might have caused us to decline the admission. He made the statement "I don't want to live like this", which the hospital staff interpreted as suicidal ideation and they called our intake line. Our intake people failed to ask basic questions, such as whether there was anything running into him or out of him and whether he was on continuous oxygen. Any of this would have told them that depression wasn't the main thing that he was dealing with.
  13. Your exact statement was Perhaps I misunderstood your intention because of the way it was expressed, but the way that I took it is that you don't have a nursing degree unless it is a BSN.
  14. Orca

    Panel interview & meeting with staff-advice

    I would start by having the nurses describe their shift routine, and perhaps have them give you a tour of the unit. When you meet with the other department managers, take the opportunity to ask them what their main challenges are, and what advice that they might give to a new manager. People who have done a similar job can be a great resource.
  15. Orca

    Nurse Bullying

    Disrespect and unprofessional practices are not bullying. Bullying is a threat of physical harm and/or actual physical intimidation. Too many people throw around the word "bullying" to describe anything that a coworker or boss does that they don't like, without having any idea what the word really means. In 25 years of nursing I have never witnessed a single instance of bullying. On the other hand, I have seen quite a few instances of disrespect, and a several instances of unprofessional practices.
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