Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Care Credit

    We had a Care Credit account for or some dental work once. I ran across the card last week after years of not thinking about it, and after calling the company, found out that they had closed the...
  2. Orca

    Hired at a correctional....any advise?

    I have seen far too many things like this happen over the years, often to veteran employees who you would believe would know better. A dental assistant was fired after bringing in CDs to her...
  3. You will not become "almost like a psychiatrist" as an RN, with certification or without it. A psychiatrist is an MD or DO, which is an entirely different level of training. Certification is just...
  4. Orca

    Moving down in the world

    I completed RN school in Oklahoma. Several of us took PN boards after the third semester. It allowed me to start orientation on my job earlier, as I waited for my RN license. Somewhere in the deep...
  5. Orca

    Should I resign or wait for being terminated?

    This is my thought. Don't wait around to be canned, which is almost certainly coming the way that the OP described it. If it's going to happen, leave on your own
  6. Orca

    Needing help with a decision

    I don't see how a CNA certificate would be of much benefit to you. The level of responsibility is not comparable to nursing, nor would you be given any credit for nursing experience for having
  7. Thank you for saying what I was
  8. Orca

    Recent patient drunkenly kills motorist

    I'm not sure what makes a psychiatric hospital "up and coming", but I digress. Some people are going to continue down a self destructive path regardless of what kind of mental health treatment they...
  9. Orca

    Silent Treatment

    I wouldn't read anything into the first
  10. You never get in trouble for saying that you cannot discuss other patients. Do it tactfully and you won't have any
  11. Orca

    Is this a matter for the State Board?

    Back to the OP's question - It sounds as if your coworker is exaggerating and fabricating patients' symptoms. You can inquire of your BON and see if this is a reportable offense. IMO a doctor has...
  12. Orca

    Personal leave of absence?

    You don't mention how long you have been with your employer. If you have been with them for a year or more, apply for FMLA (Family Medical Leave Act). This protects your job even if you run out of...
  13. Orca

    Is nursing for me ?

    You went into the profession for the wrong reason. My experience has been that when pharmaceutical companies hire nurses, they have years of experience in the field. They are not fresh out of nursing...
  14. Orca

    New Manager Question

    I have a witness all the time regardless (normally a first-level supervisor; if the employee is female, so is my witness). That way, there can be no allegations about what was said or done in the...
  15. Orca

    New Manager Question

    You don't have to justify observing the operation of your own unit. My opinion is that if people are complaining about you being more visible, you must be stopping them from engaging in some bad...
  16. Yes. If the hammer falls on this place, you don't want to be standing under it. A lot of warning signs are already there. You can bet that if anything happens, administrators will be throwing nurses...
  17. Orca

    What would you think if you saw this patient?

    I would definitely send to ER given the two choices, but there is another possibility, depending upon the medication. I have had patients who were on antipsychotics develop similar symptoms...
  18. Ultimately I have to come in and cover if no other solution can be found to a staffing issue. On the occasions when I am on leave, that falls to my second in command. That is part of the...
  19. Orca

    Blocked by agency for work

    Legally I don't see how they can, since your application at the facility preceded your application with them, and you can prove
  20. Generally speaking, your manager will likely have periodic staff meetings. These will involve conveying feedback about unit performance, as well as new information (upcoming policy changes, etc.). She...
  21. Orca

    Nurse practitioner arrested in opioid pill mill

    Tramadol? Really? I got Oxycontin from the other pill
  22. Orca

    July 4th: why women live longer than men

    Somehow some people about four blocks away from me managed to get some commercial grade fireworks last year. The resultant fire took out a palm tree and about 50 people went to the
  23. Orca

    HELP, what to do when orientation goes wrong????

    It sounds like your trainer is a burnout case with a bad attitude, and you aren't going to learn much under those conditions. You did the right thing by taking this to your nurse
  24. Orca

    Working in Ca, living in another state

    The cost of commuting and temporary housing alone should be a deal