Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Epic (Nursing) FAILS!

    My third semester in nursing school, I was working on an orthopedic floor. One of my patients was having issues with post-op constipation, and she had a PRN for Dulcolax suppositories. I brought one...
  2. Orca

    Guys, I need your advice

    Go for what you want. As someone else said, only in a specialty like flight nursing, where space is an issue, would your weight be a detriment. Ability to do the job and do it well are far more...
  3. Professional misrepresentation to be
  4. This struck me as well. When you tell them you are going to be monitoring how they utilize their time, that strikes me as micromanagement. I have workled for micromanagers, and it is miserable. I...
  5. Orca

    ASN vs BSN

    Many "for profit" schools popped up when student loans became more plentiful and easier to get. Most are horribly expensive, and the education dubious at best. My stepdaughter attended such a school...
  6. This jumped out at me. Your subordinates have apparently realized that if they blow you off, you will do their work for them. In this situation I would resort to counselings, proceeding to letters of...
  7. Orca

    ER RN taking psych certification

    I have taken the ANCC exam in Psychiatric and Mental Health Nursing, and I was certified for five years. The exam is tough. I thought that it was about as bad as nursing boards, and I was sure that I...
  8. Orca

    Kindred Hospital

    The ones in Las Vegas have reputations as places you had rather not work. When I worked for HealthSouth we got patients who transferred out of Kindred facilities. We heard horror stories from the...
  9. I am Baha'i, which I usually wind up explaining to people when they ask. I try not to interject religion into my practice, although its moral principles guide my actions, and I believe that all...
  10. Orca

    search me!

    We had a female patient who came to us for detox from opiates. She had a prosthesis for a BKA. The tech said that she seemed very protective of the prosthesis. When we searched it, she had...
  11. Orca

    ECT

    I saw it work wonders on a couple of patients who had failed every conceivable intervention for their depression. The first was a female, mid 50s, attempted suicide on our unit and nearly succeeded....
  12. Orca

    "Professional Dancer"

    I once worked with an RN who proudly announced to anyone who would listen that she was a Playboy Bunny back when Playboy Clubs were prevalent around the country. She had - shall we say -...
  13. Orca

    Starting my career.

    Concentrate on getting a job, period. With the current employment situation, you can't be too particular about what specialty you go into out of school. The important thing is to get experience...
  14. Orca

    Psychiatric clinical rotation nerves

    Being introverted may actually work to your advantage in that setting. Some mental health patients go into sensory overload easily, and people who are boisterous or loud can make them edgy or set them...
  15. I was a correctional officer years before I went to nursing school. It drives me crazy that the news media repeatedly uses the term "prison guard", which conjures up an image of an uneducated oaf who...
  16. In the last hospital I worked in (geropsych unit), a representative of a local nursing home brought a patient to ER for mental health admission (our admissions team had not been called) and abandoned...
  17. Orca

    New to corrections nursing what to expect

    Shadowing generally means that you will be spending the specified time with an experienced nurse and observing what he/she does. You also have the opportunity to ask questions. Four hours is far too...
  18. Orca

    New to corrections nursing what to expect

    Shadowing generally means that you will be following, and observing, a nurse who is proficient in the tasks you will be performing on your own once orientation is done. Four hours seems a little...
  19. Orca

    Funniest Things Doctors say!

    I was caring for a patient who had severe psoriasis. He was being treated with coal tar shampoo. The doctor wanted to discontinue the therapy, but couldn't recall what he was stopping. The order read,...
  20. Orca

    RN for Samoa

    It is difficult to respond without more information. For instance, you don't say where you live or where you received your nurse training. The NCLEX exam is the same regardless of where you take it,...
  21. Orca

    I need some advice from Nurses

    An article running on the CNN website this morning says that 43 percent of new RN grads can't find work. The job market is tough. It will eventually turn (such things are cyclical) but that is little...
  22. Orca

    Day-long interview...

    I can't imagine any interview process taking that long. I interviewed for 30 minutes for my current DON
  23. Orca

    pregnant psych patients?

    When we had a pregnant patient on my mental health unit, an OB/GYN was always called in to consult. This covered concerns about the health of the baby, and also about what medications could be safely...
  24. The patient is not required to give you a reason for not taking medications. Except in cases in which forced medications are court ordered (invariably antipsychotics), the patient has the right to...
  25. When you put it on your resume, make sure that you detail all the things you have done in terms of using/adding/improving skills. A DON I once worked for likened it to being a nurse in a small town...