Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    'My Patient died' Facebook post

    I find it much easier to simply avoid discussing work at all on Facebook. If you say nothing, there is no room for interpretation by your employer or anyone
  2. Orca

    HIPAA violation?

    I wouldn't do it without a signed
  3. Orca

    Hipaa violation

    This is explicitly against my agency's policies on computer usage, and my guess is that your employer has a similar policy. Convenience is not an excuse for not using one's own
  4. Orca

    Opposite Sex Coworker Social Boundaries

    I am fortunate to be married to someone who understands the realities of working in health care. I am a male working in a female-dominated profession. I am an administrator, and most of the people who...
  5. Orca

    911 call

    I had much rather be accused of doing too much than too
  6. Orca

    Exorcisms anyone?

    I can't wait to see the diagnostic criteria for this. I also believe that there are people who rush to attribute to a supernatural cause that for which they cannot find a reasonable
  7. Orca

    Homeless working the system, multiple admissions

    So that we can catch the fraction of one percent who are actually doing it? The states where this has been implemented for welfare recipients have shown it to be a colossal waste of money, money that...
  8. Orca

    nurses dating nurses?

    I doubt that I am alone in not having any idea what this
  9. Orca

    Would you File a Complaint?

    If our respective boards of nursing disciplined everyone who used profanity in the workplace, none of us would be working, and they would waste all of their time investigating workplace language...
  10. Orca

    Writing Bad Orders

    Far too much room for interpretation, and it opens the door for the provider to claim that the nurse misinterpreted the order if anything goes
  11. Orca

    Going management: Pros and Cons

    It is true that you won't have the camaraderie that you had on the floor. The saying "It's lonely at the top" means that there will be a very small group of people who you are able to vent to when...
  12. IMO it is a lot easier to explain landing in a job that is less than ideal than to explain months of inactivity after obtaining your license. One possible side benefit - during my (fortunately) short...
  13. Orca

    Essential Oils

    If you use a multi-syllable word to describe something, it automatically becomes better and more effective. If you use a word associated with medicine, even more
  14. Orca

    Poorest lack of judgment EVER!!!

    This is precisely it. The teacher could not dump responsibility for the situation fast enough. She was hoping that as soon as she texted you, you would assume responsibility for the situation and she...
  15. As a manager, I consider it pretty spineless to not communicate an issue directly to an employee, but instead to communicate it to a superior who then communicates the message. This isn't leadership,...
  16. Orca

    Would you File a Complaint?

    I don't know about your state, but I can tell you for an unqualified fact that they investigate practice issues in my state. I had to testify at a hearing at which an LPN's license was revoked due to...
  17. Orca

    Job stability

    Being in Florida, I wouldn't worry too much about change coming very quickly. The state is run by Republicans, who generally are more geared toward high levels of incarceration and not so much toward...
  18. Orca

    Department of corrections- Nevada

    Bear in mind when considering the mandatory contribution to the retirement system that Nevada state employees do not contribute to Social Security (Medicare yes, but not SS). That will partially...
  19. Orca

    Sitting out another station

    Like others, I see it as an exercise in futility to fight over charting on someone else's unit. Taking it to the DON or corporate makes no sense
  20. Orca

    How Proactive Should I Be?

    I once got a call for a reference on an employee who we had terminated while he was on probation. I was thinking to myself, how desperate for references do you have to be to list the DON of a place...
  21. I know that it was ugly of me, but I had to laugh at this one.
  22. A couple come to mind. The first one, female patient on a geropsych unit. The patient was not difficult to care for, but her son and daughter-in-law scrutinized everything that the staff did. They...
  23. Orca

    New to Correctional Nursing, any tips?

    Being courteous to inmates is fine, but don't be overly friendly. Terms of endearment should be left at home. Keep hands on treatment to only what is necessary to get the job done. No hugs or physical...
  24. Sounds like a good situation. Best of
  25. Orca

    Geri-Psych Admissions: Where's the Line?

    Having been on the receiving end of situations like this, what I often found was that the LTC staff wanted a vacation from a particular patient, so they would work to get them admitted to geropsych....