Orca ADN, ASN, RN

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

Orca's Latest Activity

1. 

   Supervisor Interview

   Orca replied to cld0607's topic in Management

   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. 

   Psychiatric Specialty Descrimination in Florida

   Orca replied to ghalles's topic in Psychiatric

   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. 

   From home health travel to prison travel?

   Orca replied to jlynn2303's topic in Correctional

   I have never heard of it. Prisons either have their own staff, or they use a contracted agency.
4. 

   Boss thinks I don't do my job when I kill myself every shift trying to be perfect.

   Orca replied to anonymous_5591's topic in General Nursing

   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. 

   How to Successfully Advocate for Better Staffing

   Orca replied to SilverBells's topic in General Nursing

   Very well put. It is very easy to offer advice when you will not be affected by the decision.
6. 

   Radonda Vaught Trial

   Orca replied to tnbutterfly - Mary's topic in General Nursing

   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. • Mommavik
   •   
   • Orca

   Agreed totally! This was a difficult mistake to make, unfortunately,  it was still made and only caught after it was too late. 

   • Mar 28
8. 

   HIPAA violation?

   Orca replied to Nursey444's topic in HIPAA

   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. 

   Charting Bloopers

   Orca replied to AHarri66's topic in Humor

   So two Wrights made a wrong. Thanks for sharing.
10. 

    Radonda Vaught Trial

    Orca replied to tnbutterfly - Mary's topic in General Nursing

    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. 

    Radonda Vaught Trial

    Orca replied to tnbutterfly - Mary's topic in General Nursing

    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. 

    About Gout | Knowledge is Power

    Orca replied to Kimberly Madison's topic in Education

    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. 

    Diary of a Nurse Who is Not 'Exceptional'

    Orca replied to PsychRN4e's topic in General Nursing

    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. 

    Being sued

    Orca replied to Tenebrae's topic in Humor

    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. 

    Quitting My Job: Returning My ID Badge- Should I be Petty?

    Orca replied to sideshowstarlet's topic in General Nursing

    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...