Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

Member
  • Content

    2,066
  • Visitors

    30,920
  • Followers

    2
  • Likes

    841

All Content by Orca

  1. Orca

    CA State Prisons/ County Jails? (New Gard)

    One of the main differences is the transience. There is frequent turnover in county jails, as many people are there for very short periods of time. About the only ones who stay longer are those...
  2. Semantics, but essentially
  3. Orca

    If I have to leave?

    This is not accurate. You must have been with your employer for at least one year to qualify for
  4. Orca

    Older Friends

    You are collaborating with a colleague. Nothing unusual about that. Nursing puts together people of all races, religions and age groups. We share a common profession, and the desire to hep
  5. I had the same thought. IMO that question was out of bounds. As far as seeing if you can foster spiritual support, that isn't your role as a nurse. If it is a faith-based hospital, I am sure that...
  6. Orca

    HELP ME

    It means that they want to dismiss the problem without medicating for it. Years ago, I was the charge nurse for mental health for my region of the state with the Department of Corrections. We had...
  7. Orca

    Night Shift Should I Just Leave

    I worked with an assistant DON who had a restricted license. I never knew this until I was passing through her unit and she asked me to pull a narcotic for her (she was covering the floor that day). I...
  8. Orca

    Psych nurses don't know medical?

    I had a patient on my unit who was fading in and out of consciousness. For some reason, a cardiologist who we normally didn't work with took an interest in his case while he was in ER, and he said...
  9. Orca

    Psych nurses don't know medical?

    There is definitely a stigma. I went straight from nursing school into a position on a hospital adult/chemical dependency unit. Some consulting physicians took their time returning our calls, because...
  10. Orca

    New nurse questioning it all

    Long term care facilities are notorious for understaffing, underpaying and undertraining. Your experience with LTC doesn't surprise me. I wound up in a similar job after relocating, and at least it...
  11. Orca

    New Grad Moving Las Vegas

    Before moving here, I was flat-out told that by one recruiter. People come to town, they believe that it would be cool to live here, and they blanket the place with applications. Then they go back...
  12. Orca

    Working weekends

    You might want to be careful about this strategy. Some employers - mine included - make it a disciplinary issue if you are denied leave for a certain day/days and then you call off on the same
  13. Orca

    License surrender vs out of state probation

    It would forever be on your record that you surrendered your license, which could be a giant red flag for any potential employer. During interviews, we ask an unscored question at the end, regarding...
  14. Orca

    Getting a Psych Nurse Job After Graduation

    I went straight into psychiatric nursing out of school. I had a bachelor's degree in psychology before becoming an RN, which may have given me an edge. I was hired for a new unit at a hospital that...
  15. If it will involve any degree of disrobing, I have a female
  16. Orca

    Med Pass in Juvenile facility

    Our MARs are all paper. eMARs have been discussed for years, but states don't like spending money on
  17. Orca

    Co-Manager Colleague Late to Everything

    This brings back memories. My mother was a night ICU nurse for years. With her seniority, she could have gone to any shift that she wanted. I strongly suspect that she worked nights because my father...
  18. Orca

    Co-Manager Colleague Late to Everything

    That was my first thought. It is a disincentive to arrive early. "Thanks for coming in. Here is another assignment." It could either rotate daily, or once a
  19. Orca

    Co-Manager Colleague Late to Everything

    It seems like a simple matter of her ducking tasks that she dislikes, even though they are a core part of the job. As long as management allows it and others cover the duties that she doesn't, she...
  20. Orca

    Need for Nurses in Corrections

    My agency does not hire new graduates, because our specialty requires a degree of independence that a new graduate does not have. The only exceptions that we have made have been people who worked for...
  21. Orca

    Nervous New CNA

    I would speak to management about your schedule if you made it plain to them prior to hiring that you could only work 25 hours per week, and they verbally agreed to the restriction. The showering...
  22. Orca

    What's the funniest most unusual baby name?

    Reminds me of the skit in Mel Brooks' History of the World Part I, when people pronounce the Count's name "de money", and he corrects them, "de
  23. Orca

    floating medications in water to administer

    It isn't compounding in the legal sense, because you are not creating or formulating new medications. The meds would be taken together anyway. My main concern about doing this is that it gives the...
  24. Orca

    Corrections NP: questions

    If you are willing to come to Nevada, your chances of employment as an APRN are pretty good. We have difficulty hiring medical providers, especially for our remote facilities. We have vacancies...
  25. Orca

    Well...back at it!

    A fellow DON and I were discussing this just last week. Where was the talk about disciplining and firing people and testifying before the Board of Nursing for license revocation hearings when they...