Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    HIPAA and TV

    If someone has consented to have his medical treatment filmed for a television show and have details disclosed to a national television audience, he would be hard pressed to complain about a breach of...
  2. Orca

    Hippa breech question

    If you didn't disclose any details about his reasons for being there or any medical information, HIPAA doesn't come into play. If I see you sitting in the waiting room at my doctor's office and I...
  3. My experience has been that LTC DONs generally don't last very long in the position. It is a revolving door. You are basically responsible for everything on the nursing end - including covering for...
  4. Orca

    Specialty Poll for male nurses

    Mental health, eight years Long term care, three months (hated it, but it was a quick job when I relocated) Rehabilitation nursing, six months (most physically demanding thing that I have done in...
  5. Orca

    Advice from current nurses or students?

    The reputation of nurses "not being smart" has not been true for decades. It is one of the most difficult courses of study that one can take on. Doctors only look down on me one time, then we have a...
  6. My employer is behind the times technology-wise (they replaced Windows XP with Windows 7 about 2-3 years ago), but I have access to my e-mail at
  7. I don't want to know what an inmate is doing time for, because I don't want it to color the way that I see him or deal with him. I never try to find
  8. Orca

    Considering Correctional Nursing

    Can't really speak for ICE facilities. The only one in my state is operated by a private company under contract. I know some people who have worked there per diem, but that is about it. I work in a...
  9. Orca

    Enough is Enough...

    The odd thing is that I am in the position now that my successor was in before. The first thing that I noticed when I arrived was all of the things that were left undone - things that I had taken care...
  10. Orca

    EVP for 12hr shifts

    I tried something similar to this. For a while it seemed to work. Then call-offs increased, and no one was available to pick up the shifts because everyone was working such long stretches. This isn't...
  11. Orca

    Enough is Enough...

    In early February I took a voluntary demotion from my position. I had a great job, but for the good of my agency I decided to take on a facility that had been a source of problems for years. Major...
  12. Orca

    Today's grossest lunch award goes to...

    My father used to do this.
  13. Generally speaking, you would not give a short acting injection for treatment of a chronic condition (schizophrenia, etc.). That would be normally addressed with PO
  14. People who live in states in which Republicans hold sway - and that is most of us - can forget about anything being done that cuts into corporate profits. That isn't a statement on partisan politics,...
  15. There is definitely information missing here. I cannot imagine a travel agency keeping and continuing to pay the housing for a nurse who missed a month and a half of work, minus some catastrophic...
  16. Orca

    Injection Gone Wrong: Part 1

    I once had a patient in the hospital who wound up having a leg amputated due to a botched injection. This is very uncommon, but it does happen. And no, I didn't give the injection. The leg was already...
  17. I received a patient from ER after a reported suicide attempt driving his car into a utility pole (adult MH/chemical dependency unit). The patient came to the floor in a wheelchair. Since he was...
  18. Every day I'm scheduled I have full intention of going and then something happens. I don't know if it's anxiety, habit, or what but I call and take my self off the schedule for that night. I live...
  19. This place clearly doesn't care about you beyond being a means to fill extra shifts. I would say goodbye. Do it in the right way, though, because if this is your first nursing job, you will need a...
  20. Orca

    ADON Interview thoughts

    amoLucia's comments seem dead on to me. The fact that both of the top positions in the facility are open at the same time indicates that working conditions are probably not great. It's a shame that...
  21. Orca

    Share Your Funniest Patient Stories...

    Back in the days when some people were still giving cardiac thumps prior to initiating CPR, as an orderly I was making my routine rounds through the hospital. I walked past a room where one of our...
  22. Orca

    Orders from hell...

    Infused with a mallet.
  23. Orca

    Today's grossest lunch award goes to...

    My m other frequently sent me to school with a sandwich made with Vienna
  24. Orca

    Blindsided by a colleague.

    If that is the case, she doesn't seem to have made any effort to communicate that to the people who she popped off to earlier. Not that it can be undone, but I would have sent an apologetic e-mail to...
  25. Orca

    Teachers who frequently check their temperatures

    Mermaids don't poop? Who knew?