Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    HELP HELP HELP

    I am a DON in a state women's correctional facility. Having worked with both male and female populations, I can tell you that there is a definite difference between the two. Generally speaking, women...
  2. Orca

    Got my flu shot today

    Got mine at work one day last
  3. My charge nurse called an employee who was a no-call, no-show, which was uncharacteristic for this employee. She swore that it was a different day of the week than it was. The CN assured her that it...
  4. Orca

    Working at new DSH / CHCF

    Another book I have found very useful is Essentials of Correctional Nursing by Lorry Schoenly and Catherine M Knox. This book talks about management of common conditions and situations (such as drug...
  5. Orca

    Working at new DSH / CHCF

    A good place to start in policy development is the standards of the National Commission on Correctional Health Care (NCCHC). Their publication, Prison Health Standards, is pretty much the go-to...
  6. Orca

    License on the line!!

    You have made several mentions in different threads about practicing outside of scope, but I haven't seen any examples. Can you give us an idea of what you're talking about? It seems a bit over the...
  7. Orca

    License on the line!!

    Obviously I have never worked anywhere you have. I have never been asked to do anything even remotely outside my
  8. Orca

    Seizures Real vs Fake

    They have helped us to separate a lot of the pretenders. I was doing pill call on the yard one night. For some reason, we started about 45 minutes later than usual. While out on rounds, I got a call...
  9. Our clinical instructors used to tell us that their job was to expose us to as many different situations as possible to prepare us for the real world. As long as you comply with universal precautions,...
  10. Orca

    Acute psych questions

    I worked a lot of acute, and I didn't find it scary at all. We received proper training in handling crisis situations, and it both increased our confidence and decreased our restraint situations. As...
  11. I also have a BA in psychology, and I decided on nursing school precisely because it qualified me for so little. I had a dead-end desk job with a state agency that paid probably a third of what I make...
  12. Orca

    Application Process for State Prison

    One possible reason is job security. When you work for a private sector firm, you work at their pleasure, and they can cut you loose at any time with or without cause. State facilities also do not...
  13. Orca

    Shift report

    As far as the training for report goes: I would tell the nurse to stick to the basics. Report any changes in condition, medications and/or treatments; any new, changed or discontinued orders; any...
  14. It depends upon the employer as to whether reading materials are allowed on the job. In the case detailed by the OP, what was done was not done tactfully, but bottom line, you aren't paid to study. On...
  15. Orca

    Received a verbal position

    I echo what others have said about giving proper notice. If you leave without it, not only can you not return there if you should need to in the future, you also cannot use that employer as a...
  16. Orca

    Leaving hospital to correction facility?

    I moved over 12 years ago and I have no plans to return. Some of the great things about it: 1. Never called off for low census. 2. Position is essentially permanent once you complete probation. 3....
  17. Orca

    Leaving hospital to correction facility?

    It might be an issue. We do a lot of different things, just not enough of any of them to get really proficient at them if correctional nursing is all you have done. I am glad that I started out in a...
  18. Orca

    Received a verbal position

    Traffic violations normally aren't a issue unless they involve an accident with serious bodily harm. Speeding tickets shouldn't be a problem, espeically since there aren't a lot of them. Don't...
  19. Orca

    Well.. I guess I am going to be canned

    This isn't even a scope of practice issue. A piece of tape turning into a potential lawsuit? Somebody is grossly overreacting. If they fire you over this, they suck as an
  20. Orca

    Did anyone enter a nursing school with a BS?

    I went the ADN route (due to time constraints; had to work full time while attending school). I had a BA in psychology when I
  21. If any applicant is a no-call, no-show for an interview, we remove them from consideration for any future
  22. That is what I get out of it. The OP is suing because he didn't benefit from the fraud he is accusing the school of committing. It is somehow discrimination because his admittedly failing grade was...
  23. Orca

    Las Vegas LPN

    The obvious answer is long term care and rehabilitation facilities. Healthsouth has a significant presence here, and they hire LPNs. Few local hospitals hire LPNs. Some state agencies also hire LPNs....
  24. Orca

    Reinforcing a Perception of Reality

    When I worked a hospital adult/CD unit we had a companion geropsych unit next door. Their more active patients occasionally came over to our unit for activities. There was an elderly man who was...
  25. Orca

    New ADON feeling overwhelmed

    Unfortunately, you're reaping some of the "benefits" of ineffective leadership that preceded you. A friend of mine took a DON spot in a facility where the techs basically ruled the roost. It took a...