Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Toxic work environment survey

    You can only edit your post for a limited amount of time after it goes up, after that you lose the capability to change anything. Probably best to abandon this post and direct people to a new one,...
  2. Orca

    School nurse spots leukemia in a pupil

    Dr. Google. I love it! Going to have to use that
  3. Orca

    Why are nurse managers jerks?

    Apparently so, given the question posed by the OP. Being a jerk is assumed, and the only thing lacking is the reasons for it.
  4. Orca

    Blindsided by a colleague.

    When someone throws around a word like "incompetent", IMO it goes beyond just questioning your judgment in this given situation. I would be doing a slow boil in your
  5. Orca

    Orders from hell...

    We had a psychiatrist who wrote a Geodon order that was impossible to carry out. He wrote the order for a PO dose to be given with food. If the patient refused the PO, we were supposed to give an IM...
  6. Orca

    Funniest/strangest dementia patient stories

    Several come to mind. Inpatient geropsych unit in a metropolitan hospital, female patient who seemed to have her days and nights inverted, resisted being put to bed at night. Would walk the halls...
  7. Orca

    Why are nurse managers jerks?

    I had to score at least 90 percent on a jerkiness test before they let me have this
  8. Orca

    Vitamins are a controlled substance?

    I worked on a unit where everything was dispensed from a Pyxis, and everything had a count. The main value for the non-narcotics was to let the pharmacy know when they needed to
  9. Orca

    Confused

    In that situation, I would have requested more mentoring because my preceptor was not able to spend adequate time with me due to other
  10. Orca

    Living without notice???

    Most employers will understand, and appreciate, that you want to give your current employer proper notice before leaving. If you speak to your new employer, you might explain that a tight deadline...
  11. I work for a state agency, and our HR department contacts everyone we interview in writing after we interview them. We make a point of telling interviewees this, because most of us have been through...
  12. Orca

    Thinking about correctional nursing

    One of my colleagues once likened it to working in a small town - because that is essentially what you are doing. The medical team responds to emergencies and minor complaints. I have worked with both...
  13. Orca

    Hmm...that's nice

    Point taken.
  14. Orca

    I Inherited A Bully

    There should be no "fight". You are the administrator, and it seems that you have the backing of those who hired you. My guess is that your predecessor (and perhaps more than one) was probably too...
  15. Orca

    Help i want to quit my first nursing job

    As a manager who frequently has to investigate rumors involving employees, I can speak to this. When I call an employee into the office, that is part of my investigation of the rumor. I am not...
  16. Orca

    IV medication that can not run fast

    I was given this during a hospital stay once. I couldn't tolerate it. Within about 30 seconds, my arm felt like it was on fire. I shut off the pump and called the
  17. Drug companies can't give us a ballpoint pen or a paper clip holder at informational dinners because that might be undue influence on prescribing, but they can put ads on television saying, "Ask your...
  18. Orca

    Texting While Working

    I read an article about a sculpture in England. It was moved because people texting on their phones kept walking into it. Sculpture moved after texters kept bumping into it I have a Smartphone and I...
  19. Orca

    Hmm...that's nice

    She walked in during the conversation. I wasn't explaining anything in front of her. I would not have jumped in on a colleague like that. You're assuming details that I didn't
  20. Orca

    Hmm...that's nice

    If it were a civil question, that is what I would have done. With the attitude that I
  21. Orca

    A Cautionary Tale About Student Loan Forgiveness

    That's a load of crap. A person makes a life-altering decision based upon information that is supposed to be reliable, only to be told later that it's "not binding and can be rescinded at any
  22. Orca

    House supervisors!

    I was offered $150K per year to take over a 30-bed inpatient mental health facility in SoCal, a lot less responsibility than a house supervisor. However, the state income tax (I live in a state...
  23. You're within little more than a year of being vested at your current place. I'm not sure how close you are to retirement, but that money could make a big difference later versus cashing out
  24. Orca

    offer letter

    I sit on a lot of interview panels. We never discuss salary, as that is determined by the HR department after the
  25. Orca

    New Grad SANE?

    This webpage from the International Association of Forensic Nurses says, "To become a SANE, you must first be a registered nurse (or advanced practice), preferably with two years or more experience in...