Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    best paid

    I was a bit confused until I went back and looked at the original post date. I have to take issue with the OP's statement that cars are "very cheap to register and insure." I have never lived anywhere...
  2. Orca

    Coping with a depressed boyfriend

    This is a blatant rationalization. If he is using alcohol to cope with a personal issue it's a problem, whether there is a physical addiction or not. Not to be cold, but I would be lacing up my...
  3. I have used this method before. Since I was giving out meds to nearly 400 inmates in 16 different units in one pill pass, this was the only practical way to do it. Otherwise, pill call would have...
  4. Orca

    Clipper usage in jail

    We soak and autoclave ours between
  5. Orca

    Cheeking Wellbutrin

    We took Wellbutrin off formulary because of the extreme potential for abuse. Our first hint of trouble was when we started getting kites asking for it by name without stating an underlying
  6. Orca

    Sick of being a nurse in the Prison

    Right on the nose. One major difference is if an inmate is being nasty to you, you can end the interaction and send him/her away without treatment. In a hospital you are expected to placate anyone who...
  7. Orca

    any ideas?

    I don't know of any correctional facilities with "community nurses". Kat's response is dead on. That falls under the realm of social work in the jail and prison
  8. Orca

    Recipe for Disaster or Welcomed Change?

    It all comes down to cash. I found the same thing when I worked on a hospital geropsych unit. They routinely mixed Alzheimer's patients and people with organic brain problems with those with more...
  9. I earned a BA in psychology about 12 years before I started nursing school. It had no effect on my studies, other than that I had already completed the general education requirements for my degree at...
  10. She may have an RN license, but her capacity at your facility is CNA. She cannot presume to perform nursing duties while filling that
  11. Orca

    what nurses do in this situation?

    In my work setting the only forced medications are through court order. These are generally mental health patients who are out of control without meds but they refuse to acknowledge that they have a...
  12. Orca

    Make license inactive?

    One thing that blew me away: Florida was going to charge me as much for making my license inactive as I would have paid for a renewal (Oklahoma charged me nothing). I obtained the license by...
  13. If someone is that distracted during the hiring process, it raises serious doubts with me about the way they run the
  14. The area where I live is notorious for prospective medical employers who don't follow up - whether it is an application or an interview. I have never understood the disrespect. That said, there may be...
  15. Orca

    No worse end to a night shift!

    Several years ago I worked in a long term care facility. I worked swing shift, 3-11 PM. I didn't have the narcotics keys, but I had the key to the door alarm, which was turned on at night so that...
  16. Orca

    Question for those that hire ...

    It is also a matter of quality control. Otherwise I could hypothetically take a bunch of classes at an inferior college, take the last three hours that I needed at Harvard and claim a Harvard degree....
  17. Orca

    my co-worker set me up

    The moral of the story: If you need someone's permission to make a schedule change make sure that you have it, not just someone else's word that you do. I have had discussions with several employees...
  18. Orca

    How often do your pts thank you?

    As a native southerner, I was raised this way. It is a cultural thing. Some friends originally from Chicago who traveled in the south for the first time remarked about how courteous people are to...
  19. Orca

    Drawing blood

    I have offered my arm many times to colleagues who want to
  20. Orca

    Those who want to get out of nursing..

    That was true until the job market collapsed. It seems that we are pretty much stuck now unless something falls into our
  21. Orca

    How to Supervise "Older" Employees?!?

    The experience and such are nice, but LVNs cannot legally supervise RNs. It is a violation of the nurse practice act in every state I know
  22. Orca

    Nurse with very strange behavior.

    I don't agree with this. Having worked in mental health for many years, if someone is repeatedly displaying bizarre behavior on the job it is a symptom of a deeper problem. I don't believe that you...
  23. Orca

    Assessment Testing Madness

    My first impression is that your school is doing everything they can to ensure that their students are ready for the NCLEX. They are probably also gathering information about how effective their...
  24. Orca

    New grad got fired, help

    When I am called on a reference for a former employee I tell the truth. I believe that I owe that to the prospective employer who takes the time to call me. I hope that they will reciprocate if I have...
  25. Orca

    Depressed about new job-hate it- quit???

    It sounds like this place has an assembly line mentality, and anyone who slows down the line gets roundly criticized. That is a miserable work environment. I would look for a way out, but not tip my...