Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Ridiculous medical mistakes on TV

    Maybe it works faster if you give it IM.
  2. Orca

    Psych Nurses. Do you hug your patients?

    It has a lot to do with maintaining professional boundaries. Some people with mental illness may misinterpret your display of affection as romantic interest, and they may react badly or be emotionally...
  3. The last time that I worked long term care, I was the only RN on duty on a 120-bed unit. I had five LPNs who performed the med pass (that was after they hired the fifth one; before that, I passed one...
  4. Orca

    Today's Mini Rant

    I'm not a school nurse either. I was originally drawn into this forum by a thread on the main page that caught my eye, and I have been returning ever since. This is a greatly underappreciated...
  5. Orca

    Struggles of being a male nurse

    Trades are fair. When I worked rehab nursing, I had a female patient who needed periodic straight cathing for a bladder issue. She preferred a female nurse. One of my female colleagues had a male who...
  6. Not an issue where I work. I work in a state prison, and it is actually a crime for me to carry my cell phone while on duty. I wouldn't get past the metal detector with it,
  7. I'm wired for swing shift. I have been on days for about 15 years now, and I have never fully adjusted to it. I'm in upper administration, so I don't really have a
  8. In our system, nurses are not involved at all in use of force incidents. If there is a use of force, all of the hands on stuff is handled by custody. All that the nurse does is administer an emergency...
  9. No need to discuss it in the past tense. We are three weeks into the 15th season of the
  10. Orca

    Endorsement/Fingerprints

    My experience is no. I have been licensed in the state for several years, and we have to submit fingerprints every five years with license renewal. I just turned mine in. I went to a place that...
  11. Orca

    Will prisons hire a board ordered nurse

    I have the same thought as hppy. Given that this is a drug issue, and you have admitted to diverting controlled substances, your chances of being hired into a specialty in which background checks are...
  12. Orca

    End of Year Reviews...finally done!

    IMO you did remarkably well getting them done in the time frame that you did. It's not as if every other responsibility competing for your attention came to a dead stop while you completed annual...
  13. Orca

    Do you think I have a case? HIPAA

    That depends upon the seriousness of the offense, and whether it is an actual HIPAA violation or just a violation of the hospital's personal conduct code. I make it a personal policy not to discuss...
  14. Orca

    Transitioning to Psych / tips wanted!

    Other than a pen and a note pad (and my unit keys), I kept all of my other supplies in the nurse station (stethoscope, bandage scissors, etc.). You will be around patients who don't think rationally,...
  15. Orca

    End of Year Reviews...finally done!

    Their lack of action should not constitute your short deadline. I understand that they need to be done, but management needs to be realistic on the time
  16. Orca

    RACISM IN NURSING

    Not to put too fine a point on it, but this isn't "your mission". Nothing happened to you. I fully agree that what happened was disgusting, and there should be consequences for it. You need to let...
  17. Orca

    When to apply

    I suggest contacting HR for whatever agency you are applying with. Some agencies (mine included) will not accept an application for an RN job from someone who is not already
  18. I am assuming that you were promoted in a facility where you were line staff, and now you are in a different role. You definitely have to strike a fine balance between keeping a good personal...
  19. Orca

    Nurse Management

    From people who are fresh to the profession, I am not looking for proficiency in clinical skills. Generally speaking, students don't do enough of any one thing in clinicals to get really proficient at...
  20. Orca

    End of Year Reviews...finally done!

    That is insane. Sounds like management was intent on you rectifying someone else's lack of
  21. Orca

    my weekend story

    That is absolutely
  22. Orca

    "LPNs are glorified CNAs"

    I know of nursing personnel who don't believe that DOs are physicians. One said about a DO on staff, "It's a shame that he isn't a real doctor." That became a running joke between that physician and...
  23. Orca

    How NOT to Write an Incident Report

    That went over my head,
  24. Orca

    Medically necessary care

    Bingo. Several years ago, our warden asked us to do a health fair for inmates. We had to carefully edit the material that we used to educate them on a number of topics. You want to give them enough...