Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Why do you do it?

    Having worked on the inside for a long time, I fully understand that. While there are some cases of medical neglect in prisons, most of the things that are told to outside groups, families and friends...
  2. Orca

    Why do you do it?

    To answer the original question: 1. Job security. Since I became vested with the state, I cannot be fired on a whim. I have to actually do something wrong, and there is a formal process for dismissal....
  3. OK. Sorry for the
  4. Orca

    Just a vent... medical vs psych

    When I worked for a freestanding mental health hospital, our admitting personnel (who were not nurses) often did not ask the right questions. I arrived at work one morning to find a patient on four...
  5. Your exact statement was Perhaps I misunderstood your intention because of the way it was expressed, but the way that I took it is that you don't have a nursing degree unless it is a
  6. Orca

    Panel interview & meeting with staff-advice

    I would start by having the nurses describe their shift routine, and perhaps have them give you a tour of the unit. When you meet with the other department managers, take the opportunity to ask them...
  7. Orca

    Nurse Bullying

    Disrespect and unprofessional practices are not bullying. Bullying is a threat of physical harm and/or actual physical intimidation. Too many people throw around the word "bullying" to describe...
  8. Orca

    HIPPA breach?

    I don't see any issue with you reviewing your own
  9. I hate to pop your bubble, but I have a nursing degree, and it isn't a
  10. Orca

    Forgery,

    All that you can do is make reasonably sure that you have signed consent. If you proceeded in good faith - which you did - you have no
  11. Orca

    Advice on asking for references

    I would only ask for references from people who know your work in your current capacity. People who knew you mainly as a PCA cannot speak to the quality of your work as a
  12. Orca

    Impersonating a nurse

    Never mind...didn't notice the age of the thread at
  13. Orca

    MSN in Informatics

    I personally know two nurses who went this route. Neither was able to get a job with their master's degree. One is now enrolled in a mid-level practitioner program. The other is back to working as...
  14. You broke a federal law. That is not a trifling matter. You can be prosecuted for this, and your license definitely could be on the line. Whatever your intentions, you knowingly violated the privacy...
  15. Orca

    Managing cnas

    It seems to me that you are getting pushback for holding people accountable for doing what they are being paid for. You don't say what type of facility that you are in, but I have seen many LTC...
  16. Orca

    Associates in Health Care Management

    I can't imagine that any management degree less than a bachelor's would be of much benefit in future
  17. Orca

    Notice of resignation

    This would make a significant difference. Generally speaking, in this area most line staff are required to give a minimum of two weeks notice in order to be eligible for rehire. It is considered...
  18. That is probably why two of the doctors who cared for her no longer work there (one terminated, one resigned). The only way to explain it is lackadaisical
  19. Orca

    Are We Too PC?

    The state song of my home state of Florida, Old Folks at Home (AKA Swanee River), contains the line, "Oh, darkies, how my heart grows weary, far from the old folks at home." It's a product of a...
  20. Orca

    Responding to psych patient requests/comments

    I wouldn't have blatantly said that I didn't believe the story, but I might have explored it by asking questions about the dog (color, breed, size, how long the patient had had it, how long ago it ran...
  21. Orca

    Do not understand scheduling issue

    Perhaps the service manager is trying to be tactful, and they are trying to determine whether this physician will work out. I agree with encouraging the patients who complain to you to take their...
  22. Orca

    Are We Too PC?

    That takes my mind to the 1957 song by the Every Brothers, Wake Up Little Suzie, about the boyfriend and girlfriend who fall asleep in the car at the drive-in movie. In it is the line, "Our reputation...
  23. I had much rather have a nurse ask questions about something that he or she is unsure about than to blindly charge ahead and do the wrong thing. I never mind questions. Margo was indeed fortunate to...
  24. Orca

    Do you miss bedside nursing?

    I went from hospital nursing into correctional nursing. I would not willingly go
  25. Orca

    Seeking advice of correctional nurses

    If you are looking for a population that a lot of people had rather not be bothered with, corrections may well be your niche. Histories of criminal behavior, substance abuse, drug trafficking, gang...