Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Weird meeting with manager

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

    This was my first thought. I look for system problems first whenever things like this happen. It sounds like this place has a crappy med system that is prone to generating errors, and they apparently...
  2. Orca

    tuition reimbursement- illegal?

    Orca replied to saraelizanne87's topic in Nursing Professionalism

    I have never heard of tuition reimbursement for anyone who was less than full
  3. Orca

    My due date is in the middle of my last semester

    Orca replied to Catarina82's topic in General Students

    If you commit to returning that fast, you are not allowing for any potential post-partum complications. You're not exactly going to be loaded with energy or feeling your best at that point either. Be...
  4. Orca

    Received job offer, but have interview for my first-choice facility?!

    Orca replied to MotesRN's topic in General Nursing

    I would not bring it up. If you mention the offer from Hospital B, Hospital A could take it as you trying to either play one against the other or pressure them into making a quick decision, and you...
  5. Orca

    Hmm...that's nice

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

    Several years ago, I worked in a rehabilitation hospital. We were about to receive a Hollywood celebrity (you would immediately recognize the name) who was recovering from an injury. The CEO told us...
  6. Orca

    Hmm...that's nice

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

    I had just the opposite happen. I was visiting a relative in the hospital in Canada. He had just had orthopedic surgery, and he asked me what he could expect post-op. The nurse who was taking care of...
  7. Orca

    Patients afraid of needles...

    Orca replied to Brian's topic in Nurses Rock

    I work in a prison setting. We do routine PPDs as part of the intake process. It always amuses me when an inmate with 20 tattoos says that he is afraid of needles. In our case, inmates who refuse TB...
  8. Orca

    I can't win for losing

    Orca replied to NurseBeans's topic in School

    I work in a prison setting, and I have been through several BON investigations. Inmates have a tendency to file things whenever someone tells them "no". Anyone can allege anything. As ohiobobcat said,...
  9. Orca

    Irony regarding cellphone use at work

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

    I don't have such problems. I work in a state prison, and it is a crime for me to carry my cell phone at
  10. Orca

    Applying for Jobs pre-grad

    Orca replied to smartiipants's topic in General Nursing

    No one can hire you as an RN until you are licensed. I see no point in applying now for a job that will be gone by the time you qualify for
  11. Orca

    Hired at a correctional....any advise?

    Orca replied to Xxlala02's topic in Correctional

    This article was passed around my facility by a custody supervisor who found it. It is a great resource for identifying manipulation, and it is also an object lesson in not disclosing personal...
  12. Orca

    VA Hiring Process

    Orca replied to wife&mommyRN's topic in Government, Military

    I applied with my local VA, and got a "thanks but no thanks" e-mail saying that someone else had been selected. Wasn't even interviewed. I have over 20 years of
  13. Orca

    NP new grad How to get experience???

    Orca replied to arose26's topic in Nurse Practitioners, NP

    My sister just finished her NP, and she can't even get an interview. She is in a major metropolitan area in the
  14. Orca

    Quit fulltime job for per diem prison job?

    Orca replied to Kittynurse619's topic in Correctional

    A DON who I once worked under told a story about a woman who came to his facility for an interview for a nursing job. They walked onto the yard, and as soon as the gate closed behind her, she said "I...
  15. Orca

    I Inherited A Bully

    Orca replied to Natkat's topic in Nurse Management

    Some people don't take things seriously until they are put on paper. Management is a tough enough job without subordinates actively working to undermine you. Addressing it directly is the best way to...
  16. Orca

    Quit fulltime job for per diem prison job?

    Orca replied to Kittynurse619's topic in Correctional

    I can't speak for California, but our per diems have strict limits on the number of hours that they can work, and it is nowhere near a full time load. I would not go into a job like that expecting a...
  17. Orca

    Real vs fake chest pain

    Orca replied to Findingmynitch's topic in Correctional

    I follow one simple rule in potential emergencies: I had rather be accused of doing too much than too little. In our system, the provider makes the ultimate call in sending anyone out. I try to...
  18. Orca

    Advice for men in nursing!

    Orca replied to francoml's topic in Men in Nursing

    I had a female patient who needed a straight cath for urinary retention. I could tell that she was uncomfortable with a male performing the procedure, so I did a task swap with one of my female...
  19. Orca

    Advise wanted. Considering 2nd career as NP

    Orca replied to elmtree's topic in Advanced Practice

    You are never going to find a work environment that doesn't have variables that get in the way of good nursing practice. Anywhere that you work, there will be a person or persons whose sole job it is...
  20. Orca

    Ridiculous medical mistakes on TV

    Orca replied to adventure_rn's topic in Nursing Humor

    I don't know if this would really qualify as a medical mistake, but soap operas are notorious for ridiculous medical situations. On an episode of As the World Turns (which I can't believe is still on;...
  21. Orca

    Ridiculous medical mistakes on TV

    Orca replied to adventure_rn's topic in Nursing Humor

    Your reference to soap operas jogged my memory about a few observations (aside from every patient having either amnesia or a brain tumor). There is an apparently huge hospital, but you only see one or...
  22. Orca

    Not just seen on TV!

    Orca replied to datalore's topic in Nursing Humor

    In my last semester of nursing school (we won't talk about how long ago that was), I had to change a cancer patient's bed. The physician, who was in the room, helped with the bed change. "She used to...
  23. Orca

    When patients self-harm, who tends to it?

    Orca replied to LilaDavis's topic in Psychiatric

    Years ago, when I was working on a geropsych unit, I had a patient who managed to open up her arm with a paper clip - while I had a JCAHO inspector on the unit. One thing about it - the inspector saw...
  24. Orca

    Good looking male borderline patient.

    Orca replied to benji66's topic in Psychiatric

    I have known staff who have hooked up with former patients, and the outcome hasn't been pretty. Aside from being unethical and profoundly unprofessional (perhaps even illegal, depending upon the...
  25. Orca

    I Inherited A Bully

    Orca replied to Natkat's topic in Nurse Management

    Definitely this. This employee has serious control issues, and cornering you and monopolizing your time as soon as you arrive is an extension of this. Tolerating this kind of behavior only encourages...