Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    LVN Student with an eye on Corrections

    You mentioned that you aren't impressed with the pay scale. Also bear in mind that due to unpaid furloughs caused by the state's budget problems that you will be making significantly less than the...
  2. "Ma'am, you forgot your hash browns." :) Seriously - good thing you were
  3. Probably anyone who has been a nurse manager for any length of time has run across individuals who say that they don't want to perform this task or that one, using the excuse that they don't want to...
  4. Orca

    When SW try to micromanage Nurses

    Yours is a tough situation, but a common one in mental health. I have worked on two hospital mental health units, and both had a management structure like the one you have described. Many of these...
  5. Orca

    How is it like to be a Psych Nurse..

    If your facility does a good job training people, you will be ready for the emergency situations when they happen. It can be a very gratifying field to practice in. You have to give of yourself, and...
  6. Orca

    How to introduce change to the ward?

    If you are seeking something that requires buy-in from administration, I agree. Put a cost figure on it and you have a lot better chance of getting it through. It can be the best idea ever, but unless...
  7. Orca

    Feeling So Defeated

    ICU nursing is very intense. They get the worst of the worst, and caring for them can be very taxing both mentally and physically. If I were in your spot I would look at possibly transfering to...
  8. Orca

    The "risk my license" game

    With the LPN, it was just the latest in a long string of attempts to get out of doing pill pass. To put it bluntly this was a lazy employee who had been at several stops within my division - and...
  9. Orca

    7 nights in a row!!!!

    In the last rehab facility I worked in, the night nurses carried about twice the patient load of the day shift. I used to leave after my shift feeling literally numb from the exertion - and I worked...
  10. Orca

    do you skip your lunch break routinely?

    I'm eating at my desk as I write this. That probably answers your
  11. Orca

    Report or not?

    As a manager I had rather the employee call off, even if it is not within the established minimum time, instead of showing up and immediately wanting to leave. Once the employee shows up my staffing...
  12. Orca

    The "risk my license" game

    It's not a frequent occurrence. It's just something that has come up from time to
  13. Orca

    The "risk my license" game

    My post was not meant to imply that there are not legitimate situations in which a nurse does not feel qualified to perform a certain task and has the right to decline. I was seeking responses more...
  14. Orca

    One of THOSE nurses.

    I used to work with a nurse who tried to corner the DON every morning when he came to work, with the sole purpose of informing him of everything she had found that others had done wrong. I spent...
  15. Orca

    adn degree title

    Mine is an Associate of Applied Science in Nursing. The important thing is that it qualifies you to sit for boards. I have never been asked what exactly my degree is. Employers are only interested...
  16. In every organization I am aware of, you can be immediately terminated for making false statements on your application. Saying that there had been no action when there had been and hoping that the...
  17. Orca

    Trend To Decrease Use Of Seclusion And Restraint

    The quality of training given to the staff has a lot to do with the number of restraint situations. I was the first swing shift charge nurse on a new hospital mental health unit, and despite the nurse...
  18. If they wanted a commitment, the time to ask was before they paid for the course. Someone in administration is probably crapping themselves now because they realize they have a highly-trained employee...
  19. Orca

    Hostile staff

    I had an issue with this just recently. A subordinate applied for a promotional position within my department that was given to someone else. He felt entitled to the job, often referring to it as "my...
  20. Orca

    Jail or Prison

    I also work in a state women's facility. I have not worked in a jail, but many of my employees have. One of the main differences is inmate turnover. A state prison has a lot less of it, and you get...
  21. Orca

    student feeling discouraged...

    You are delivering nursing care. Just because you aren't using a syringe or IV catheter doesn't make it any less so. In mental health you have to give of yourself. I used to tell my staff that we save...
  22. Orca

    Nurses Misbehaving While Caring For Inmates

    I see the handwriting on the wall, and this will be my final post in this thread. Tbird, I have to say one thing for you: I would never have the audacity to go into a forum and lecture veteran nurses...
  23. Orca

    Nurses not speaking english at work

    I've found this to be the case far too often. Often it goes like this: A small group of workers will be speaking their native tongue, look in your direction and laugh. You have no idea what they have...
  24. Perhaps, but your level of training isn't up to the task. Bluntly put, a nursing student has no business going on a medical mission. I'm not trying to be cruel, but that is the reality of
  25. Orca

    to go or not go to pinning ceremony?

    This day is about you and your accomplishment. Don't let your family gyp you out of it because they weren't supportive. You accomplished this despite them, so