Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    How Vietnam (97 million people) managed to keep its coronavirus death toll at zero

    Orca replied to NRSKarenRN's topic in Disaster Preparation

    Seriously? People who take measures to save lives based upon expert medical advice are
  2. Orca

    Would you ever give a lower dose of a psych medicine to a patient if that patient demanded it without a provider order?

    Orca replied to A Hit With The Ladies's topic in Psychiatric

    We were all aware of that - but the way that the physician wrote the order, it was impossible to comply if the patient refused the
  3. Orca

    Nursing Is No Longer Worth It

    Orca replied to AnonymousSuper's topic in Disaster Preparation

    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...
  4. Orca

    New names for placebos!

    Orca replied to MarkMyWords's topic in Nursing Humor

    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...
  5. Orca

    Would you ever give a lower dose of a psych medicine to a patient if that patient demanded it without a provider order?

    Orca replied to A Hit With The Ladies's topic in Psychiatric

    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...
  6. Orca

    Nursing Is No Longer Worth It

    Orca replied to AnonymousSuper's topic in Disaster Preparation

    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...
  7. Orca

    Are Sanitized N95 Masks Safe for Reuse?

    Orca replied to J.Adderton's topic in Disaster Preparation

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

    New names for placebos!

    Orca replied to MarkMyWords's topic in Nursing Humor

    Ah, another Python fan.
  9. Orca

    New names for placebos!

    Orca replied to MarkMyWords's topic in Nursing Humor

    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....
  10. Orca

    Would you ever give a lower dose of a psych medicine to a patient if that patient demanded it without a provider order?

    Orca replied to A Hit With The Ladies's topic in Psychiatric

    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...
  11. Orca

    Would you ever give a lower dose of a psych medicine to a patient if that patient demanded it without a provider order?

    Orca replied to A Hit With The Ladies's topic in Psychiatric

    Giving any dose other than what is ordered is a violation of a legal medical order, and it could be construed as prescribing. Regardless of whether the doctor's comments about giving 500mg or else...
  12. Orca

    Looking into psychiatric nursing

    Orca replied to HiddenShadow20's topic in Psychiatric

    Minor point of order: outpatient mental health isn't going to give you much of an idea of what psychiatric nursing is like. By the time when they reach outpatient, the patients are generally...
  13. Orca

    ER nurse or OR nurse?

    Orca replied to Reaz's topic in General Specialties

    Funny that you should say that. When I did my surgery rotation in nursing school, the circulating nurse who I was paired with said that one thing that he liked about his job was that he didn't have to...
  14. Orca

    Nurse Managers - moving from 8 hour to 10 hour shifts

    Orca replied to deweydecimal13501's topic in Nurse Management

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

    ADN w/ no experience moving to California

    Orca replied to dgreen2030's topic in General Nursing

    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...
  16. Orca

    Due to the Coronavirus, are freed prison inmates going to malinger their way into psychiatric hospitals?

    Orca replied to A Hit With The Ladies's topic in Disaster Preparation

    Having worked both inpatient mental health and mental health in a correctional setting, I can tell you that weapons have nothing to do with the programming, and in 20 years behind the fences, I have...
  17. Orca

    Is the Coronavirus beginning the breakdown of our society?

    Orca replied to Emergent's topic in Disaster Preparation

    I am rapidly reaching the point when I will put social media on an extended hiatus. I see so much false and inflammatory information on it, and people who feel the need to ram their opinions...
  18. Orca

    Your most annoying, obnoxious family member stories

    Orca replied to JDZ344's topic in Nursing Humor

    Seems to me that this is a potential criminal issue that could have been
  19. Orca

    Corrections Nurse for a New Grad

    Orca replied to Jah Jah's topic in Correctional

    In my state, it is pretty straightforward. Because of the salary differential between us and the private sector, we hire Correctional Nurse IIs in at the top step of the grade in the Nevada public...
  20. Orca

    Vent Sesh

    Orca replied to BrisketRN's topic in School

    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
  21. Orca

    Corrections Nurse for a New Grad

    Orca replied to Jah Jah's topic in Correctional

    My agency does not hire new graduates, other than in remote areas where they have trouble getting applicants. I am in the largest facility in the state, and this would be overwhelming for someone with...
  22. Orca

    To kill or not to kill... another person dream?

    Orca replied to KatieMI's topic in Nursing Professionalism

    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...
  23. Orca

    Which specialties of nursing have more autonomy and less micromanagement?

    Orca replied to Naturally Brilliant's topic in General Specialties

    You can find micromanagement and lack of autonomy in just about any specialty area. It largely depends upon
  24. Orca

    "(Nursing Ads) We'd Like to See"

    Orca replied to Davey Do's topic in Nursing Humor

    I always loved "Snappy Answers to Stupid Questions". I remember one in particular, in which a man (dining alone) was asked by the waitress, "Table for one?" And one of the answers was, "No, 112. I...
  25. Orca

    Ageism in Corrections?

    Orca replied to Macruzer36's topic in Correctional

    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...