Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Ethical Dilemmas of Correctional Nursing

    Inmates will also insist that they have all kinds of undiagnosed conditions, and that their rights are being violated because they aren't being treated. I was once sued by an inmate (I'm a DON, so I...
  2. Orca

    Anyone NEVER been hit/hurt working psych?

    I was not injured when I worked inpatient mental health, but I have experienced pretty much everything except being bitten (although one of my coworkers wasn't as lucky). I have been kicked, punched,...
  3. Orca

    I put my foot in my mouth.

    One thing that you will learn very quickly in management is that speaking your mind openly can be deadly to your career. There are venues that are appropriate for open expression, but the meeting that...
  4. Orca

    Ethical Dilemmas of Correctional Nursing

    Your opening statements sound like someone ripe for compromise. You talk about caring about "the health and quality of life of the most marginalized and vulnerable members of our society", then you...
  5. I don't understand that advice at all. There is no legal issue
  6. Orca

    Constant Complaining

    If someone brings a complaint into my office, my first question is, "What do you suggest that we do to solve this?" After a while, staff realize that they aren't just going to walk in, dump a problem...
  7. Orca

    Ridiculous medical mistakes on TV

    But then there wouldn't have been anything for the DA to beg the judge
  8. Orca

    What do they teach these days in school?!

    I work in a prison. We had an inmate come in who most of you would know, a former pro football player. We had many instances of people looking up his information in the online record just out of...
  9. Orca

    Do Psych Nurses Travel?

    With any travel assignment, there is usually a good reason that a given facility does not have permanent staff to fill the spots given to
  10. Orca

    Do you think I can get my job back?

    I can't imagine why you would want to get this job back. You would be working under the same conditions with the same
  11. Orca

    Unethical Former Boss- Advice?

    Impersonating a nurse is against the Nurse Practice Act in every state that I know of, and it is encoded in state law. It is a crime. The BON may decide not to pursue prosecution in her case if she...
  12. Orca

    ADON position with Centurion?

    This is sound advice. I work for a state facility and we are not NCCHC accredited, but we frequently refer to NCCHC prison standards when developing policies and procedures. I have a copy of the...
  13. Orca

    Ridiculous medical mistakes on TV

    A couple of days ago I watched an episode of Everybody Loves Raymond entitled Sweet Charity. Ray was volunteering in a hospital, and he immediately expressed a phobia about blood. A nurse walks up to...
  14. Orca

    Ridiculous medical mistakes on TV

    I realize that this is a comedy, and realism isn't paramount, but in Airplane, a woman with a guitar begins to sing to a child who has an IV hanging. As she swings the neck of the guitar, she knocks...
  15. Orca

    Do women find male nurses attractive?

    Funny, the same thing struck me. If you're ugly, your profession isn't going to make a huge
  16. I don't miss dealing with some of the families that we dealt with in a hospital setting. They were often more troublesome than the patients. I do deal with families from time to time, but only because...
  17. Which would be your account of it, not your employer's. I still maintain that if a person frequently changes jobs, the jobs are probably not the primary issue. Sometimes you have to look at the common...
  18. Orca

    Open to Interpretation

    Sounds like a consent to
  19. Here is the principal point, IMO. Had she just made verbal statements to that effect, this probably would not have happened. However, when she went public in an easily accessible forum in her...
  20. I do a lot of interviewing for hiring, chiefly RNs. If I see an application showing several positions over a fairly short period of time and none of them are promotions, major red flag. The problem...
  21. Among the inmates in my facility have been three doctors, three professional boxers, and one well-known NFL Hall of
  22. Orca

    My Apologies

    That should have read "many bipolars". My
  23. I had a nurse manager who set me up to fail, and then she forced me out. She was a personal friend of the CNO. I still saw this as my last shot to set the record straight, and to let the CNO know that...
  24. I finished in 75 questions, and I was deliberately trying to take my time. I looked down at my watch after I answered the 75th question and the test ended. I had finished in 25 minutes - average 20...
  25. Orca

    My Apologies

    Recognizing and acknowledging your issues and how to control them puts you ahead of any bipolars, who are notorious for being noncompliant with treatment. I have worked with a number of nurses who I...