Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Pregnant and new job

    Orca replied to R5RN's topic in General Nursing

    You changed employers. You don't qualify for FMLA until you have been with an employer for a
  2. Orca

    Social Media and Patients

    Orca replied to NurseDrizzles's topic in Nursing Professionalism

    Since my patients are inmates and my position prevents me from associating with anyone with a criminal record outside of work, my answer would be no - but then my situation is somewhat
  3. Orca

    PICC/IV question

    Orca replied to BSN16's topic in General Nursing

    If you're talking about inserting an IV distal to the PICC in the same vein, the PICC catheter could partially or totally block the vein proximal to your IV site, causing the medication to pool behind...
  4. Orca

    What would a single payer system look like?

    Orca replied to Xlorgguss's topic in Activism, Healthcare

    A hospital physician once told me that one of the biggest frustrations in running a medical office was dealing with a multitude of insurance companies, each one with different forms and procedures,...
  5. Orca

    Best strategies to deal with verbal abuse from patients?

    Orca replied to mmjp77's topic in Psychiatric

    I worked with an LPN years ago who was a master at letting things roll off and getting on with business. We had a verbally abusive patient who had just arrived on the unit. He stunk to high heaven,...
  6. Orca

    New grad from Toronto (Canada) wants to live and work in California (USA)

    Orca replied to erikasarah's topic in Immigration Advice

    Working in the US This is a link to U. S. Citizenship and Immigration Services, not one of those law firms who want to charge you a fee for something you could do yourself for free. California Board...
  7. Orca

    Is psychiatric nursing a dying profession?

    Orca replied to LilaDavis's topic in Psychiatric

    Part of the issue, especially with mental health units in hospitals, is that there is more profit in other areas. The homeless often use mental health units as refuges especially when the weather is...
  8. Orca

    Hi! New ADON here!

    Orca replied to JerseyTomatoMDCrab's topic in LTC: Directors, Assistant

    Your DON should be a resource person regarding your exact job duties and what you should be monitoring and overseeing. If all they have done is to give you a title and say "Go get 'em", that isn't...
  9. Orca

    Repealing ACA

    Orca replied to OnceMorewithFeeling's topic in Activism, Healthcare

    I can't watch any program, especially at night, without seeing a solicitation to join a class action lawsuit regarding some drug or medical device. It has become a cash cow for certain law firms. For...
  10. Orca

    No rehire !!!!!!!!!!

    Orca replied to Yorker's topic in General Nursing

    This is where you are wrong. A company can label someone as ineligible for rehire in their organization for any reason that they want. It is their choice and their
  11. Orca

    No rehire !!!!!!!!!!

    Orca replied to Yorker's topic in General Nursing

    Word of mouth has been doing this for years. Colleagues talk, and word gets around when somebody gets burned. It seems that you are trying to make this personal when it isn't. You burned your own...
  12. Orca

    Hi! New ADON here!

    Orca replied to JerseyTomatoMDCrab's topic in LTC: Directors, Assistant

    Perhaps if you told us a little more about what you are overwhelmed with, we would be better prepared to give you some
  13. Orca

    How Long Would You Wait for the Best Offer?

    Orca replied to purplegal's topic in General Nursing

    As an ADN who is an upper level administrator, I wholeheartedly agree. I am in my position because of knowledge and
  14. Orca

    Should I resign or wait for being terminated?

    Orca replied to txsky SRNA's topic in MICU, SICU

    I suppose that depends upon what you mean by "support". I am an upper level manager, and if it is possible for me to accommodate a school schedule and still provide adequate coverage for the unit,...
  15. Orca

    Negotiate Vacation time

    Orca replied to angie16451's topic in Nurse Practitioners, NP

    I work for a state agency, so our leave rate is fixed by statute with no negotiation
  16. Orca

    No rehire !!!!!!!!!!

    Orca replied to Yorker's topic in General Nursing

    There is no "right of employment". Any employer who I interview with has the right to either offer me a job or not. I am not entitled to that offer, and if they don't make an offer, I keep...
  17. Orca

    How easy is it to lose a license in correctional setting?

    Orca replied to reptilesavvy's topic in Correctional

    That is why I always wait for the letter from the BON before acting on anything. Many times inmates threaten to file complaints but don't follow through on
  18. Orca

    What's the funniest most unusual baby name?

    Orca replied to nirvana1's topic in Nursing Humor

    In my travels through corrections, I found a couple of examples of parental ambition that didn't quite turn out as planned. One was named Senator, and the other was named
  19. Orca

    Just started Corrections as LPN

    Orca replied to hjoanne's topic in Correctional

    I walk the yard every day at the largest prison facility in my state. It is also an intake facility. I feel safer on the yard here than I did walking the back halls of the hospitals where I used to...
  20. Orca

    Difference between an NP and a Certified Psych Nurse

    Orca replied to Guitarstrings's topic in Psychiatric

    APRNs have prescriptive authority. Certified psych nurses
  21. Orca

    Male nurse, female peri care

    Orca replied to FerruzAXP's topic in Men in Nursing

    It is likely illegal to record conversations without the other person's knowledge or consent. From Digital Media Law Project: From a legal standpoint, the most important question in the recording...
  22. Orca

    Male nurse, female peri care

    Orca replied to FerruzAXP's topic in Men in Nursing

    I was given this same advice during my orderly days more than 40 years ago. It is still valid advice. I don't go into rooms with females alone, and I make sure that my witness is
  23. Orca

    Capitalism vs. Greed: What Has Been the Nursing Impact

    Orca replied to Mijourney's topic in Activism, Healthcare

    This has been one of the main criticisms of Paul's plan. It dumps people into the open market for health insurance, with insurance companies being free to charge extortionate rates to anyone who might...
  24. Orca

    Cover Letter Help

    Orca replied to eckesler's topic in General Nursing

    This was my thought. The letter read more like a resume than a cover letter. Cover letters should be brief and to the point, just to introduce you. The information that you have is good. IMO the cover...
  25. Orca

    Heartbroken (long winded-sorry!)

    Orca replied to Fatsacktommy's topic in General Nursing

    In my opinion, your current boss did make you a job offer, albeit verbally (since she announced it in a meeting, it would be disingenuous of her to deny it). After she did, she was probably told by...