Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    to AMA or not to AMA?

    Orca replied to newnurse925's topic in General Nursing

    Again, not a nurse's call. It's fine to have an opinion about this, but there is also a fine line between holding someone for safety and unlawful imprisonment. The determination regarding whether a...
  2. Orca

    fake illness...how to rule out real injury

    Orca replied to Psych77's topic in Correctional

    One of our docs at a former facility used to do this, and inmates who were hoping to finagle a really complicated diet order got really aggravated at him. He would tell them, "If you really can't keep...
  3. Orca

    Woman posing as a nurse for months

    Orca replied to KaTStudentNurse's topic in Nursing News

    Ours are now, but then they were all hard cards. My state doesn't issue a license card anymore, and employers are directed to verify licenses
  4. Orca

    fake illness...how to rule out real injury

    Orca replied to Psych77's topic in Correctional

    Sometimes the most aggravating thing you can do to an inmate is to give him exactly what is indicated for the condition that he reports. Most of them hope to leave with an OTC med, a lay-in from work...
  5. Orca

    When former inmates pay a visit

    Orca replied to poptart109's topic in Correctional

    Notify your place of employment of the contact. They will document it, and someone may also have some advice as to how to handle
  6. Orca

    Too much facebook

    Orca replied to orangelate's topic in General Nursing

    As a manager, I cannot share anything with subordinates that is being done in connection with another employee. Sometimes that leads to the perception that a problem is being ignored, but so be it. If...
  7. Orca

    Was it the wrong thing to say in a interview?

    Orca replied to imnotadoctor23's topic in Job Search, Interview, Resume

    I do a lot of job interviews, including for CNAs. People who tell us what their availability is, or who try to cut deals about when they will work before we have even made an offer, have just talked...
  8. Orca

    FNP to FL?

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

    My sister recently finished her ARNP in Florida (long time RN with an MSN), and she can't find a job with her new credentials because the market is glutted. As you mentioned, the pay isn't the...
  9. Orca

    Does surrender/revoke license question :(

    Orca replied to Nurse20112017's topic in Nursing Professionalism

    That is mainly semantics. One way or the other, once your license is gone, you cannot legally hold a nursing job. For a future employer, I doubt that it would make much of a difference as far as how...
  10. Orca

    Nursing job market in Las Vegas

    Orca replied to Independence8's topic in Health, Stress Management

    Several of the hospitals here are expending, either their main facilities or adding satellite campuses. That implies that there will be hiring going on. If you have worked in a specialty that is in...
  11. Orca

    Psych nursing while pregnant

    Orca replied to Simply Complicated's topic in Psychiatric

    I once worked with a nurse on an inpatient adult mental health unit who tried to use her pregnancy (in a very early stage) as an excuse not to perform basically any of her duties. It seemed pretty...
  12. Orca

    med/surg to correctional, CMF vacaville, questions...

    Orca replied to rNursejitsu's topic in Correctional

    One person's opinion: If you're afraid, you shouldn't go on the yard. Being aware, on the other hand, is something that you should do every time you step out there. As far as agency vs. direct hire,...
  13. Orca

    Psychiatric RN Certification Tips

    Orca replied to BigBrownPotato's topic in Psychiatric

    I don't see how it is arrogant to believe that you are prepared based upon your clinical knowledge. I
  14. Orca

    Woman posing as a nurse for months

    Orca replied to KaTStudentNurse's topic in Nursing News

    Some places are apparently so desperate to hire someone that they are willing to take their word regarding their credentials. I was once hired by a LTC facility that didn't even ask to see my license...
  15. Orca

    Accusation Against Male Nurse (Me)

    Orca replied to Lapzs's topic in General Nursing

    Early in my career, I was assigned to a geropsych unit. A patient had soiled herself, and another RN of the floor was driving herself nuts trying to find one of the psych techs, and when she did, they...
  16. Orca

    Accusation Against Male Nurse (Me)

    Orca replied to Lapzs's topic in General Nursing

    Standing in someone's way when they are trying to leave an area can be intimidating. Personally, if this is all that it takes to make this go away, I would apologize and be done with it. I would be...
  17. Orca

    Board of nursing investigations

    Orca replied to winterwonderland's topic in Psychiatric

    Quite possibly, somebody at the BON dropped the ball. This could be due to several things (staff who resigned, cases being reassigned, etc.). I once received notice of an investigation regarding one...
  18. Orca

    Psychiatric RN Certification Tips

    Orca replied to BigBrownPotato's topic in Psychiatric

    I took the exam, but it was a number of years ago. I used no study materials at all, and I managed to pass. Some of the questions seemed more appropriate for Ph. D. level psychologists than nurses....
  19. Orca

    Should Female Muslim Psychiatric Patients Be Allowed to Wear Hijabs?

    Orca replied to purplegal's topic in Psychiatric

    One of the most serious attempts I ever witnessed was done with a hospital bed sheet. The plumbing for the toilet entered the wall relatively high off the floor, and the patient tied the sheet around...
  20. Orca

    Gossiping at the workplace

    Orca replied to MissNurs2016's topic in Patient, Colleague Relations

    When I moved to my current city, I worked for an LTC center when I first arrived. I started work in early December, so it was only a couple of weeks before their annual Christmas party. The place...
  21. Orca

    Florence Nightingale's Birthday: World's Most Famous Nurse

    Orca replied to tnbutterfly - Mary's topic in Nurses Rock

    I tried to visit the Florence Nightingale Museum in London the last time that I visited the UK. Even though I visited on a day when they were supposed to be open, the museum was closed for an...
  22. Orca

    What would you like as a thank you?

    Orca replied to Quita19426's topic in Nurses Rock

    I once had a patient's family send a personal thank you card in the mail with a $10 bill enclosed. While I was touched by the gesture, I knew that it was unethical for me to accept cash beyond my...
  23. Orca

    Am I being a jerk

    Orca replied to janetpa's topic in School

    Absolutely this. A rubber turd on top of the desk or a rubber snake in a drawer is a prank. Cutting off your access to things that you might have needed in an emergency goes well beyond
  24. Orca

    Probably leaving school nursing...

    Orca replied to FloridaBeagle's topic in School

    I work in state government in one of those states. A coworker who recently retired said that the hit isn't as much as you would think, and the reason that states do this in the first place is that you...
  25. Orca

    Workplace Harassment forced me to resign

    Orca replied to Drgnfy13's topic in General Nursing

    I and several other people have made this very point. Some have told her that she has "a really good case", without any details that would say whether it is truly harassment or just a matter of her...