Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. I work in a prison environment, and I frequently run into meddling by facility administration, who have little understanding of how a medical operation should run. They have tried to become involved...
  2. Orca

    Common Correctional Nursing Interview Questions

    In my system, that wouldn't have an effect one way or another. We ask the question at the end of each interview whether the applicant has a friend or family member incarcerated in any correctional...
  3. Working in corrections is not unlike being a nurse in a small town. You see a lot of different things. I have seen medical conditions that I could have gone an entire career in conventional medicine...
  4. Orca

    Have you ever been attracted to a patient?

    You are wise to be honest with yourself about this, and to be open with colleagues about it. Physical attraction happens. There are people who we find attractive who we would never actually pursue a...
  5. Orca

    My dad died yesterday

    I lost my mother 33 years ago to breast cancer with mets to the esophagus. My mother was a career RN, one of the most clinically accomplished and caring nurses I ever knew. I spoke to her on the phone...
  6. Orca

    Do you think I have a case? HIPAA

    You could not be given more solid advice than this. Once you put something in writing online, it is there for perpetuity. I never, ever discuss work matters on social media. My employer has a clause...
  7. Orca

    Thread for Trolls

    Kudos for the Life of Brian
  8. Orca

    So Burnt I'm crispy

    What you are talking about is one of the main reasons that I got out of hospital nursing. I became very tired of having to placate people when nothing had been done wrong, because they were...
  9. Orca

    HELP! How to get my CNA's to do their job

    The stakes for not addressing the issues are potentially very high. People coasting through the shift not doing their jobs is very tough on morale. Eventually it could lead to you losing nursing...
  10. Orca

    I hate being a nurse

    A brief piece of advice: Don't go the no-call-no-show route. It is disrespectful to an employer who has made a commitment to you, and since this is your first job out of school, this would be your...
  11. We have a pension, plus health insurance. When the economy got bad, they increased our deductibles and our premiums. We have yet to get back what we had. As a medical administrator, I have run into...
  12. Orca

    Inmate patients- keeping the guard happy too

    I am a correctional DON. I once found myself in the middle of a dispute between officials from my agency and hospital personnel over an inmate treatment issue. A floor nurse called me at the office,...
  13. I would be very reluctant to talk to a psychologist who worked for my employer. I would never be completely sure that my information would remain confidential within the same company. I worked on a...
  14. I don't relish having to talk to people like this, but I know the consequences if I don't. Ultimately, you are in charge, and unpleasant RN has to comply with your orders or be insubordinate - which...
  15. Perhaps not funny, but strange. I went to my doctor's office with an acute gout attack, the first time that I had ever had one. I told the doctor what I believed to be going on, and I described the...
  16. I was four years into a charge assignment when one of my former subordinates was appointed nurse manager for my unit. She put all of the problem employees on my team, then told me that if she heard...
  17. I generally tell people that they need to stay focused on the job. We don't have to be best friends, but we do have to get along well enough to get the job done. jrt4 also poses a valid question. If...
  18. Orca

    Psych nurses all have a mental illness

    When I worked an inpatient hospital unit, visiting time was often very revealing. I would often find that the person who we had on the unit was the most well-adjusted member of the family, and they...
  19. Orca

    Should I go to the interview?

    I have gotten something out of every interview that I have gone on, even if it is only the knowledge that I would never want to work for the employer who I just interviewed
  20. It gives the impression that your mind is elsewhere, and that you have one foot out the door even as your current unit is just beginning to orient you to what they do. It's bad form to imply that you...
  21. Orca

    Nurse Mgr opportunity

    I would do some research about the financial stability of the company you are planning on joining. The opportunity isn't worth much if they fold and leave you unemployed. I have been there. I...
  22. This is a major issue. A lot of "colleges" sprung up to take advantage of easy student loan money, and many don't care what they deliver. My stepdaughter attended a college whose name you would...
  23. Orca

    Help with resume please

    A minor point, but it's Bachelor of Science, not Bachelor's, and Associate Degree, not Associate's. I would also take out the dates on your education. When you finished doesn't matter as much as that...
  24. Having started in mental health, this advice comes with a caveat. You definitely build people skills, and the stuff that you see and hear puts you in a position that nothing fazes you. The problem...
  25. It is tricky. However, I'm sure that most everyone has a story of something ridiculous that tied up ER personnel for something insignificant (like the single mother who brought her nine children into...