Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    I got a contingent offer from state of CA prison

    Orca replied to bluesky197868's topic in Correctional

    I can't speak specifically about California, but our backgrounds usually take about 10-14 days to complete. Once the background is done we send the prospective employee for a urine drug screen, which...
  2. Orca

    ADN's being pushed out

    Orca replied to MSN Student's topic in Diploma, ADN, BSN

    Very well put. There are those who choose to divide the profession for various reasons. Some will profit from students going to school longer, while others seek to divide RNs into subclasses, with...
  3. Orca

    Volunteer organization requires me to sign a statement of faith

    Orca replied to EarthwormRN's topic in Spirituality, Religion

    Some organizations blur the line between a ministry and a profit-making enterprise. It seems that this is one of them. I was also raised in a Christian faith but I have since adopted another faith...
  4. Orca

    New Grad, where to start career?

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

    I went straight from nursing school into mental health, and it cost me big time down the road. There is a stigma applied by many to mental health nurses, and once you are in that field some people...
  5. Orca

    Appropriate Notice for Resignation

    Orca replied to ERnewbieRN's topic in Nurse Management

    Two weeks is considered the standard in terms of notice, but for upper management positions it is usually appropriate to give at least 30 days if
  6. Orca

    Nurse Practitioner Pay in Federal BOP

    Orca replied to pennprincess's topic in Correctional

    Unfortunately, when you work for a government agency, your compensation is a matter of public
  7. Orca

    Is it really a violation of H.I.P.P.A. law to share your concerns with the doctor?

    Orca replied to Alnitak7's topic in HIPAA Challenges

    I can't add much to what has already been said. It is beyond asinine for them to tell you that talking to the patient's physician is a violation of HIPAA. I also totally disagree with TBlase, who said...
  8. Orca

    the number of over-weight and obese nurses continues to increase

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

    I am underweighed. I avoid scales
  9. Orca

    Nursing is not related to gender

    Orca replied to MohamedElsayed's topic in Men in Nursing

    And for anyone who says that men aren't drama queens, I have worked with several
  10. Orca

    New grad and just accepted a psych position

    Orca replied to tag2007's topic in Psychiatric

    One thing to remember is that mental health is as much art as it is science. On a medical unit, if you have a patient undergoing a specific procedure, you pretty much know what you are going to do for...
  11. Orca

    Advice for dealing with addicts?

    Orca replied to garnetgirl29's topic in Addictions

    I work in a prison setting, and we have pretty much stopped prescribing Neurontin at my facility. We had such a serious trafficking problem that even crushing didn't stop it. We found out that inmates...
  12. Orca

    Invega sustenna question

    Orca replied to GalRN's topic in Psychiatric

    Assertive Community Treatment. Basically, the clients of this system have serious and persistent mental illness or personality disorders, with severe functional impairments. There is more information...
  13. Orca

    New Grad offered Pediatric Psych Position

    Orca replied to StellaLunaRN's topic in Psychiatric

    Based just upon what I have read, that facility is trying to do things on the cheap and squeeze every last dollar out of it by skimping on nurses and trying to do everything with techs. You can bet...
  14. Orca

    41 yr old male wanting to start a 2nd career in nursing?

    Orca replied to simonJ's topic in Men in Nursing

    I was in my late 30s when I made the decision to go to school, turned 40 about three weeks after I finished school. I went to a community college, and the median age in my class was probably about 35....
  15. Orca

    Has this ever happened to you??

    Orca replied to Quit Floating Me's topic in Psychiatric

    There has to be someone who you report to. I looked at my state's Nurse Practice Act, which says the following about patient abandonment: 6.  An act of patient abandonment occurs if: (a) A...
  16. Orca

    Nurses laid off - Thanks to Obamacare

    Orca replied to amygarside's topic in Activism, Healthcare

    The Affordable Care Act has been blamed for everything from employee layoffs to increased tire wear. It hasn't even fully taken effect yet. I don't buy everything I
  17. Orca

    How to climb up the ladder

    Orca replied to AllAngelsRN's topic in Nurse Management

    It's "utmost", but I digress. A good place to start is by doing more than the minimum necessary to get by. In order to be noticed, you have to stand out from the crowd. I volunteered for additional...
  18. Orca

    I made the wrong choice...

    Orca replied to nanaz25's topic in Diploma, ADN, BSN

    Although I graduated a long time ago, I also finished when there was a nursing surplus. Just the year before, hospitals held recruiting dinners to entice our graduates to sign up with them. My class -...
  19. Orca

    New Grad offered Pediatric Psych Position

    Orca replied to StellaLunaRN's topic in Psychiatric

    I have worked peds, adult/CD and geropsych. Peds is a whole different ballgame. Not my cup of tea, but it may be yours. That is a really large unit to only have one nurse on duty. Sounds badly...
  20. Orca

    Has this ever happened to you??

    Orca replied to Quit Floating Me's topic in Psychiatric

    I was stuck on several occasions. I worked swings on an adult/CD unit and there were at least two occasions when the night RN was a no call/no show, some when there were call-offs with no available...
  21. Orca

    help - psych tech position for rn

    Orca replied to edie1's topic in Psychiatric

    A case could be made that nurses on any unit deal with patients with psychiatric issues. The central point, IMO, is whether they are involved with treating those issues. If the answer is no, it isn't...
  22. Orca

    Question for Nurse Managers/Hiring Managers

    Orca replied to RNikkiF's topic in Nurse Management

    I don't see that there is much of a distinction. To be honest, my agency doesn't even care if the person has a BSN. I'm a DON, and I have an
  23. Orca

    Male Nurse Hair Styles

    Orca replied to Benners's topic in Men in Nursing

    Appearance definitely matters. I do a lot of employment interviews, and I have seen people show up for an RN interview dressed like they're going on a fishing trip. Scrubs and lab coats we expect,...
  24. Orca

    Report Interruption--Was I Wrong?

    Orca replied to Pinky89's topic in Medical-Surgical

    It should have been enough for you to say that you were in report and you could help as soon as you were done. Transfers are generally not a medical emergency. The aide needs to learn to approach you...
  25. Orca

    Invega sustenna question

    Orca replied to GalRN's topic in Psychiatric

    We only use Invega for people with impaired liver function who cannot take risperidone. Frankly, I haven't seen either drug make a profound difference for too many