Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

Member

  • Content

    2,066

  • Visitors

    30,928

  • Followers

    2

  • Likes

    841

All Content by Orca

  1. Orca

    Forced to stay and work under mandatory evacuation?

    Orca replied to squatmunkie_RN's topic in Patient Safety Issues

    Condescending statements insulting the intelligence of people who disagree with you will not win you many allies. There have been many replies in this thread that have been less than tactful. However,...
  2. Orca

    CPR

    Orca replied to tweddington's topic in General Nursing

    Even if it isn't legally required, it seems like a good idea. You never know what you're going to walk in on, especially when you're visiting people in their homes. Even if you have to pay out of...
  3. Orca

    Horrible Interview

    Orca replied to embarrassedRN's topic in General Nursing

    One thing that often helps is to pause briefly and ponder the question before you respond. This is a technique that President Clinton used in debates, and I have found that it works well for me in an...
  4. Orca

    Legal Issues

    Orca replied to tinasueb73's topic in Psychiatric

    Generally speaking, a patient must be a clear danger to him/herself or others to be detained, and the doctor must initiate emergency detention order proceedings for this to happen. Several years ago I...
  5. Orca

    Patient education on medications

    Orca replied to rich2008's topic in Patient Education

    I know of no legal requirements for qualifications to conduct medication education. It might be a good idea to review what is being taught if you have the opportunity, both to see the content and to...
  6. Orca

    HIPAA Question or ethics issue?

    Orca replied to somedaypeds's topic in HIPAA Challenges

    It definitely isn't a HIPAA issue, because you are not the one disclosing the information. Participating in the blog might create a situation where you cross the line, however, if you post. Personally...
  7. Orca

    Changing Careers to Nursing as 35 year old man

    Orca replied to DB7721's topic in Men in Nursing

    The type of program you attend may be decided by the time commitment. In my case, I had a bachelor's degree in a social science going in. The BSN programs in my area essentially expected me to be...
  8. Orca

    New Grad Resume Questions

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

    I disagree with the use of colored headings and non-traditional formats. When I review resumes, I am looking for one that is clear, concise and to the point. It should be no more than two pages in...
  9. Orca

    Forced to stay and work under mandatory evacuation?

    Orca replied to squatmunkie_RN's topic in Patient Safety Issues

    I'm not sure what else you expect the hospital to do. The fact that they are paring down to only three units operating tells me they are discharging everyone who reasonably can be released. Beyond a...
  10. Orca

    Should a gay male LPN reveal his sexual orientation...

    Orca replied to LPNTO's topic in LPN, LVN Corner

    Self disclosure is a touchy subject. My personal policy is, the less patients know about me away from the job, the better. I have an office in my current job, and I purposely refrain from displaying...
  11. Orca

    BA degree in Sociology...wanting to pursue a BSN

    Orca replied to drumr4evr's topic in Men in Nursing

    Your previous coursework may have some serious holes in in as far as nursing prerequsites. Mine certainly did. I went to nursing school years after earning a BA in psychology, and it took me a year...
  12. Orca

    What am I doing wrong? (Hospitals & My Resume)

    Orca replied to MedSurger's topic in General Nursing

    With the job market being the way it is, there is a lot of competition. I mainly interview RNs, but regardless of the position I am always surprised at the size and depth of the applicant pool. We...
  13. Orca

    How long before a new grad can successfully transition to day shift from nights?

    Orca replied to beeker's topic in General Nursing

    Four months on nights is not a long time. Depending upon the unit, it may be a year or more before a day opportunity comes along. Most units fill day openings based upon seniority. When it happens for...
  14. Orca

    What a coincidence. . .every single student nurse who shadows me. . .

    Orca replied to thesundowner's topic in General Nursing

    I have no issue whatsoever with people who want to improve themselves. It just seems a little presumptuous to be talking about advancing in a career one hasn't even entered yet. When I went to school...
  15. Orca

    New RN Grad going to CA Prisons

    Orca replied to misspinkmeow's topic in Correctional

    I am a DON in a western state, and while I cannot address issues specific to California I can address in part the hiring issue. Honestly, someone going from CNA to RN would not get as much...
  16. Orca

    New grad RN in LTC

    Orca replied to Starfish, RN's topic in LTC: Directors, Assistant

    In my first LTC job I was the only RN on a 120-bed unit, and I was also passing meds to 45 patients due to LPN shortages. That place should have been shut down. I didn't stay for
  17. Orca

    Not even a word of English

    Orca replied to MomRN0913's topic in Patient, Colleague Relations

    There are also medical Spanish dictionaries that contain the correct words and phrases to describe what you want to get across. They can be invaluable. The one I carry is paperback and small enough to...
  18. Orca

    Talking about experiences on AllNurses a violation?

    Orca replied to mingK's topic in HIPAA Challenges

    HIPAA deals with individual patient information. As long as you don't reveal it, you're fine. Facebook is another medium that has potential for HIPAA violations. I saw a Facebook page on which a nurse...
  19. Orca

    1st nursing job in LTC ... seeking job in hospital. Help?

    Orca replied to lrwilson26's topic in Medical-Surgical

    Whether you need prior med/surg experience depends upon the hospital. As far as your resume, what is in it is far more important than how it arrives. In most places, the person receiving the resume...
  20. Orca

    Motivating Burnt-Out Staff

    Orca replied to lulain's topic in Psychiatric

    Waiting for someone else to take care of the situation is only going to add to your frustration. If that were going to happen, it would likely have happened before you hired on. Moving somewhere else...
  21. Orca

    Using haldol

    Orca replied to WildOne's topic in Patient Medications

    Haldol has been around forever, and it is amazing that it is still as popular (and useful) as it is. Studies are even finding that it is equal to or better than many of the newer and supposedly better...
  22. Orca

    Hospital bullying?

    Orca replied to Phlebandcma2rn's topic in Patient, Colleague Relations

    My first job out of nursing school was one that I totally loved. However, a new nurse manager changed all of that. From the beginning, she saw me as a threat to her authority (why, I have no idea to...
  23. Orca

    School withholding transcripts, diploma and threatening to not send application

    Orca replied to Trixyp's topic in LPN, LVN Students

    What they are doing is
  24. Orca

    What a coincidence. . .every single student nurse who shadows me. . .

    Orca replied to thesundowner's topic in General Nursing

    Nursing school only gives you a very basic framework to prepare you for what lies ahead. While higher aspirations are fine, believing that you are ready for advanced practice after a year or two as a...
  25. Orca

    Laws in involuntary treatment?

    Orca replied to JZ_RN's topic in Addictions

    If a person is potentially a danger to him/herself or others, they can be involuntarily held. This would apply to many cases of acute