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Orca ASN, RN

Corrections, psychiatry, rehab, LTC
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Orca has 25 years experience as a ASN, RN and specializes in Corrections, psychiatry, rehab, LTC.

Orca's Latest Activity

  1. Orca

    Nursing Is No Longer Worth It

    When the first hospital I worked for was sold by the city that owned it, there were several suitors. The one that they went with had no other hospitals in our area (which was part of the appeal). One of the competing companies had already taken over another hospital in our metropolitan area, where they laid off about a third of the work force. This company sent postcards to all of the employees at my hospital wanting us to lobby the city council to select them. I wrote back, telling them that with what I had seen at the other facility, it would be a cold day in Hell when I went legging for them.
  2. Orca

    New names for placebos!

    George Carlin had a whole list of product names for contraceptives in a comedy routine years ago. The ones that I remember: Preg Not Embry No Nary a Carry Momma Not Kiddie Kill Fetus Fail Poppa Stopper
  3. I was once given an order along those lines that was impossible to carry out as written. The patient was prescribed oral Geodon, to be taken with meals. If she refused the PO, she was to be given a Geodon injection before she ate. She was already eating when she refused the PO, since it was supposed to be given with food.
  4. Orca

    Nursing Is No Longer Worth It

    I have been in this profession for over 25 years. It was a mid-life career change, much more rewarding than the miserable dead-end desk job that I had prior to this. That said, I hear, and have experienced, much of what the OP talks about. It is one big reason that I got out of hospital nursing years ago, and I have no intention of ever going back. The first hospital that I worked for fresh out of school was owned by the community where I lived. It was sold to a corporation, because the city decided that they could no longer afford the investment that it would take to keep the hospital competitive from a technology and equipment standpoint. The new company immediately dismissed everyone in management except for the head of human resources, and all of us had to reapply for the jobs that we already had. Some were not rehired. After relocating, I worked for a stand-alone mental health facility that was part of a large national chain. After flying someone in from corporate to lie to us and tell us that we weren't closing, two weeks later I discharged the last patient from the facility and I was unemployed. I found out near the end that we could have remained open because we were for sale and we had a buyer, but corporate killed the deal by insisting that the buyer assume liability for any pending lawsuits as part of the sale. I worked for a branch of a major rehabilitation hospital chain. The CEO apparently did everything but walk on water because his photo, and quotes from him, were plastered all over the building - until he was convicted in federal court of multiple counts of fraud, then they magically disappeared. The last hospital that I worked in, geriatric psychiatry unit. I worked night shift going into the day when the facility changed ownership, so I was on duty when the change occurred. They had an employee whose sole duty it was to find every employee on duty, and to stick a small strip of paper onto our ID cards that covered up the name of the old owner and bore the name of the new. Great set of priorities. Over the years, I have found that hospital managers love to throw around the phrase "quality care" when making a sales pitch to the public, while behind the scenes they do everything that they can to make it impossible for us to deliver it. They understaff, underpay and undertrain. When you gain experience, rather than seeing the value in that and locking you up long term, they dump you because you are costing them too much money. You are then replaced by someone with far less experience who will work for less money. As the OP says, when something goes wrong, blame the nurse. To them, we are disposable and interchangeable, and we don't generate revenue. Physicians, on the other hand, can make mistakes all over the place, but they bring in cash. Got to protect them. I don't regret going into the profession, because it has given me a good living, and my current job is secure. I am glad that I left hospital nursing, however. I still can, and frequently do, get sued (when you work around inmates it's an occupational hazard), but the Attorney General represents me.
  5. Orca

    Are Sanitized N95 Masks Safe for Reuse?

    Fortunately, ours have rubber band-type loops, so fit isn't an issue. Sometimes the bands snap, though.
  6. Orca

    New names for placebos!

    Ah, another Python fan. Brilliant.
  7. Orca

    New names for placebos!

    Funny that this should come up. Years ago, I worked on a hospital adult mental health unit. We would occasionally get a patient in who the doctor wanted to try a placebo with to see what happened. With one patient his instructions to the pharmacy were to construct the biggest, ugliest capsule that they could, and they absolutely delivered. Horrible looking, pale blue things, absolutely huge. Another patient, always in "pain". Tried her on a placebo, and these were artwork. Capsules, orange on one end and clear on the other, inside were small, round circles of sugar, some orange, some white, reminiscent of the "tiny time pills" in Contac, for those old enough to remember it. I knew that the patient was going to ask what it was, especially since she claimed that it gave her more relief than anything that she had ever taken. The bottle sent up from the pharmacy was labeled Cebocap, so that is what I told her. She asked detailed questions about it. I told her that it must be new, because it wasn't in my drug book.
  8. If you present a medication with two tablets and the patient only takes one, that isn't the same thing as altering the dose, which was done in the situation that the OP detailed. The correct dose was presented to the patient. In that situation, I would just document that the patient refused half of the dose.
  9. Orca

    Nurse Managers - moving from 8 hour to 10 hour shifts

    I love my tens. Having a third day off every week is a big plus.
  10. Orca

    ADN w/ no experience moving to California

    California is always looking for nurses in the prison system. I have been in correctional nursing for almost 20 years, and it is an area that can be very rewarding. The tradeoff is that prisons (anywhere, not just in California) tend to be in isolated, often rural, areas. If you are thinking about a 20-minute drive to the beach, that probably won't happen if you work for CDCR. Since you would be direct employees of the state (California doesn't use a contract agency), once you make probation you would have job security that just doesn't exist in the private sector, plus a pension program. I am an ADN nurse, and I have been a DON in my system in a western state for the past 13 years. Advancement is definitely possible. Many hospitals will only hire BSNs, but corrections is more flexible. I am originally from Florida, but I did not get my ADN there.
  11. Seems to me that this is a potential criminal issue that could have been prosecuted.
  12. Orca

    Vent Sesh

    On one message board that I frequent, we have one. It is a picture of Patrick Stewart (as Jean Luc Picard on Star Trek: The Next Generation) with his palm over his face.
  13. I had a coworker years ago who "found" a fire in one of the women's restrooms, and she "saved" her coworkers by reporting it. Investigation eventually revealed that she had set the fire herself, then reported it to make herself out to be a hero. She was charged with arson. I never found out what happened to the charges because, as you might suspect, she was fired as soon as the results of the investigation came back. This was a large, older building that contained a lot of flammable material. It was also the administration building for a major state agency. Had her stunt gone wrong, she could easily have killed a bunch of us. I worked on the second floor, and the fire was set in the ceiling of a first floor rest room.
  14. You can find micromanagement and lack of autonomy in just about any specialty area. It largely depends upon management.
  15. Orca

    Ageism in Corrections?

    I manage a staff of about 50 people. Several of my nurses are petite females. They are among my most productive and effective staff. As others have said, it's about how you conduct yourself. Stature and appearance have nothing to do with how effective that you will be in this environment.

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