Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. A former boss told me about a nurse who came out for an interview. As soon as the yard gate closed, she said "I can't do this", and she left. This was one of the smallest facilities in the system, and...
  2. If you want hands-on medical stuff and a lot of it, maybe the California Medical Facility at
  3. Like you, I am a child of the Cuban missile crisis. I also lived in Florida, and my father was in the military. Not until years later did I find out how serious the situation was, and how close we...
  4. Usually the major medical units are standalone or separate within a major institution. Ours is the latter, inside the fences of one of our major medium security facilities. If we knew where you were...
  5. Orca

    Is a government job worth it?

    The same thing happened at Tinker AFB (Midwest City, OK). I worked at the area hospital for four years, and we were the official care provider for military personnel and dependents after the base...
  6. Orca

    Sick Call costs

    We have an appeals procedure for inmates to request reversal of medical charges. In order for a charge to be reversed, the request must be legitimate. Normally, the inmate has to prove either that the...
  7. It depends upon where you work. Some prison systems have dedicated medical units that resemble hospitals. In other facilities, you will mainly be doing sick call, which consists of evaluating signs...
  8. Orca

    Repealing ACA

    My grandfather lived in Canada, and he lived to be 100. I never had to worry about him having to choose between medicine and food, forgoing medical treatment because he couldn't afford it, or being...
  9. Orca

    Why are they called, "Chucks?"

    Like Xerox, to describe any
  10. When I completed my BA in psychology, my original plan was to go on to graduate school and get my Ph. D. The odds of getting in were worse than medical school. People with perfect GPAs (which I didn't...
  11. Orca

    Funniest/strangest dementia patient stories

    A male patient told me that he flew a helicopter in the Army during the Vietnam War. He was about the right age, but he didn't seem to have quite enough upstairs for the Army to hand him an expensive...
  12. Orca

    Grandma got run over

    This brings back memories. My grandmother in Canada used to make them every year for Christmas and mail them to us in Florida. They weighed about as much as a tank, and they had about the same...
  13. Orca

    Im Pagan and a Hospice Nurse....

    I am Baha'i, something that few people understand. I was raised in the Methodist Church, but after a while I had issues with their beliefs, and the fact that church leadership seemed more concerned...
  14. Orca

    Losing my religion

    I was unaware that there are apparently degrees of unwanted information, and it is apparently the nurse's decision as to whether something is
  15. Orca

    HIPAA Violation?

    Nurses have no right to health care information on patients they aren't caring
  16. Orca

    Is this Facebook status Hipaa compliant?

    It never ceases to amaze me how many people treat Facebook conversations with friends as if they are the only ones who can read them. I have found out far more than I ever wanted to know about several...
  17. Orca

    Onboarding New Staff

    One of the main things that differs from place to place, that even an experienced new hire would need to know, is forms and paperwork. Explain how the forms are properly completed and what method of...
  18. Orca

    Insubordination

    Many nursing homes try to do things on the cheap. When I relocated, my first job was in long term care. The facility paid $2-3 per hour below the area average, and they wondered why they were short...
  19. Orca

    Mandatory flu shots????

    Given a choice between having the flu or not having it, I will choose taking a pass every time. The times that I have had it (prior to vaccines being readily available to me), I would be down for 5-7...
  20. Orca

    Funniest/strangest dementia patient stories

    Many years ago, state hospital in a Midwestern state. I am monitoring patients who are watching a football game between USC and Alabama. Patient: USC is going to win. Me: Why do you say that? Patient:...
  21. Orca

    Net Neutrality

    The entire Trump Administration has been about maximizing profit for large corporations. This is nothing more than a cash grab by the telecom companies. It allows them to monetize basically...
  22. Orca

    Falsified a Blood Sugar

    It depends upon the board in your state. You have falsified a medical record, which is a legal document recording information that could influence a patient's treatment. My guess is that you will be...
  23. Orca

    Unit Memorialization of deceased co-workers

    My unit has a plaque at the entrance memorializing the first DON here, who was killed in an auto accident by a drunk driver. The narrative on the plaque says that the unit is dedicated to her...
  24. Orca

    Advice please :)

    If your coworkers don't apply for the position, then they have no right to gripe, IMO. No new manager comes in knowing everything, and staff shouldn't expect you to. Knowing where to find answers...
  25. Orca

    Newly Fired

    As far as your employment goes, a lot will depend upon what action the BON takes in regard to your license. If it is suspended or revoked, you won't be able to practice at all (in the case of...