Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Clinical Program Manager?

    Generally job announcements list the minimum qualifications. If you see a master's or doctorate in social work or psychology, you have your answer. As far as reporting, in my state an RN must be...
  2. Orca

    Scared of Termination

    I would like to know how sneering and eye rolling are bullying. Bullying involves coercion through either verbal threats or physical intimidation. This is neither. Sorry, but one of my pet peeves is...
  3. Orca

    Working Relationships

    You will never get burned for following
  4. Orca

    Bullying

    I'm a bit confused. Bullying involves some kind of coercion, through verbal threats or physical intimidation. Coworkers who are unpleasant and question your judgment are not great to work with, but...
  5. Orca

    Nurse Leadership Assignment-SIUE

    If that doesn't work, PM me. I am willing to help you
  6. Orca

    OMG JACHO IS HERE!

    I was on duty when JCAHO came through a mental health facility where I once worked. I had a patient who deliberately cut her arm that morning. I was dressing the wound when the inspectors arrived on...
  7. Orca

    New LTC DON - need support!

    You are absolutely right in limiting the complaining. You might even consider having suggestions for facility changes submitted only in writing unless it is something that requires immediate...
  8. Orca

    Nursing is not for me

    You might consider circulating in surgery. When I went through the OR during nursing school, the circulator that I worked with said that one thing that he liked about the job was that his patients...
  9. Orca

    DON after hours expectation

    I turned down a job as a nurse manager on a hospital gero-psych unit because of the expectations and the pay. I would have been expected to go into the community with the program director to help...
  10. Far too many people categorize anything that they don't like as bullying. Bullying generally involves coercion and/or threats. Ragging on somebody's makeup or nail polish doesn't
  11. I worked at the women's facility in my state for eight years. The women were provided pads. The inmates didn't always get what they wanted, but they got what they needed. In reading the article about...
  12. Orca

    Lost newish grad

    It sounds like your school didn't do you any favors in preparing you for the realities of the hospital work environment. I graduated from an ADN program, and by my last semester I was carrying a full...
  13. Orca

    Advice on exam room cleaning

    If you leave it to fester, the situation won't improve or go away. The fairest thing under the circumstances would seem to be to alternate the two, with the understanding that it will be a CNA duty...
  14. I was wondering the same thing. There is a fair amount of information missing. I got an e-mail a while back offering me a master's degree program from "a prestigious non-accredited university". Seems...
  15. Orca

    Please critique my resume

    I would list the experience before the education. A prospective employer will be more interested in what you have done than in where you went, and putting the thing that they want to see most first...
  16. Orca

    90 day notice??

    They are clearly trying to get out of paying you for all of your time, and the 90-day notice period is a deliberate disincentive for anyone planning on leaving. Few employers are willing (or able) to...
  17. If an inmate starts popping off, I tell the officer "We're done here", and the visit ends. No placating abusive people because they are paying
  18. Orca

    60 Days In

    Nursing staff should observe the inmate taking the medication. As far as using liquids, the sheer volume would make setting up for pill call a nightmare - besides the fact that liquid medications are...
  19. Orca

    Pharm tech access to medical records

    This happens all the time. I also run into it at the doctor's office, with medical assistants and such. The meds that I take are not
  20. Funny that you should say that. Before getting into correctional nursing, I worked in a metropolitan hospital that wasn't in the best of neighborhoods. Many times when I was walking the back hallways...
  21. The Board of Nursing isn't going to investigate a verbal disagreement with someone in HR, let alone pull a license over it. You can't abandon patients that you never assumed care of. You are entitled...
  22. Orca

    Interview

    One mistake that a lot of interviewees make is trying to fill the time while interviewers are writing down responses by talking freely. Several applicants have talked their way out of a job offer with...
  23. Orca

    Whats important in your career progression?

    I have been contacted by head hunters for several jobs that would require relocation. They don't seem to understand that a slight increase in salary is not an incentive for me to relocate at my own...
  24. Orca

    Lost my husband on Holiday Break

    Sorry for your loss. Sometimes you do everything right, and you still don't get the outcome that you want. You can be at peace about your efforts to save your husband's life. Years ago, I worked with...
  25. I work for a state agency. Government outfits are notorious for "this is the way that we have always done it". My philosophy is that I change and fix what I can and laugh at the rest. I have seen some...