Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. I can walk in to my neighborhood pharmacy and tell them that I want vaccine X or Y, I fill out the consent paper, then they draw it up and inject it. No medical practitioner anywhere around. The vast...
  2. Orca

    contact tracing in Oklahoma

    It probably will. There are a lot of politicians pandering to what they believe that most voters want rather than erring on the side of caution and acting to protect the
  3. In my state, we are generally notified about 30 days or so after the complaint is filed. I work in corrections, and some inmates see it as great sport to report us to the BON if we say no to them. I...
  4. Orca

    Seizures Real vs Fake

    We once had an inmate who was suspected of faking seizures to try to get an increase in medication. During one situation, she was able to identify every medical staff who responded, and even that they...
  5. Orca

    Understaffed and feeling unsafe

    Very much this. If your employer is that entrenched in understaffing, you threatening to leave won't suddenly scare them out of it. I worked on a hospital inpatient geropsych unit....
  6. Orca

    I have a question about COVID Vaccine

    There is evidence that vaccinated people who have become infected with the delta variant can transmit the virus to others. As has been the case since the pandemic started, new information is...
  7. Orca

    Correctional Nursing

    I wouldn't say that too
  8. I graduated from nursing school in Oklahoma. I had a classmate who had a domestic violence conviction several years prior. He had to appear before the board in order to explain. Unfortunately for him,...
  9. She works around patients who are almost by definition
  10. Orca

    Tenet Hosp strike enters eighth week

    They are playing the long game. They are willing to bite the bullet for now in order to avoid long term commitments down the road. It's bean counter behavior, pure and simple. I once worked for a...
  11. Orca

    Correctional Nursing

    Corrections isn't for everybody, but for those of us who have settled in it, there isn't anywhere else we care to go. I will have been in this specialty for 20 years come September 1, and I feel a lot...
  12. It's time to cut your losses. Five months is more than enough to pick up the routine in most places. You have used four different trainers, so I gather that this is an ability problem rather than a...
  13. When I attended college, I was around a number of Saudi and Iranian students. I had interesting conversations with both, but there are definite cultural
  14. Orca

    Best hospital to work in Las vegas

    That depends upon where you want to have your home base in Nevada. Reno is much closer to large population areas in California than Las Vegas is (it's two hours and change to Sacramento), but there...
  15. Orca

    psychiatric NP and mental wellbeing.

    Listening to people's stories and helping them to identify their issues and develop ways to cope with them is part of the job. Identifying too much with them is not, and it could potentially be...
  16. This is precisely why my agency doesn't hire new grad RNs. Our operation requires a degree of independence that new graduates just don't have, and given the chronic short staffing that others have...
  17. Orca

    Nurse as the Protagonist

    It could also be a Star Trek reference. In ST the red shirts were the ones usually sent down to the surface of a new planet, and they had, let's say, a very high mortality
  18. I don't understand this statement from your insurer. If you are named, you have been
  19. If I were to call under these circumstances, the conversation would be very brief. "I remember nothing about this patient or the care that I gave. I would have to review the medical record to comment...
  20. Orca

    Does where you get your MSN matter?

    Like klone, I don't see the point of the question. The answer is yes, every facility has different rules. Unless you are doing a study of the various rules that exist, why does it matter to you what...
  21. Orca

    What can I do about bullying?

    Thanks for making this point. I see the term thrown around all the time by people who obviously have no concept of what it really means. I was once accused of bullying by a subordinate because I...
  22. Orca

    Epic (Nursing) FAILS!

    I remember glass bottles - along with the colorful language that often followed the crash after the IV therapy nurse dropped
  23. Orca

    Advice needed!!

    Nothing wrong with saying that you are looking to expand your skills by pursuing new challenges. I agree with staying away from talking about "moving up". LTC gave you a job and a paycheck, and you...
  24. I read the whole thing. This guy believed that he was untouchable. It didn't help that he had people so devoted to him that they believed that he could do no
  25. Orca

    Tired of med-surg but feel guilty leaving

    A year is a decent amount of time to work somewhere before moving