Orca ADN, ASN, RN

Hospice, corrections, psychiatry, rehab, LTC

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All Content by Orca

  1. Orca

    Supervisor Interview

    I don't recall the exact situation, but a nurse had been making mistakes in medication. The DON called her in, and very calmly explained what the issue was and what issues that it created. There was no yelling, no accusations, no denigration. The emp...
  2. I have found that psychiatric nursing is held in very low esteem by many employers. You won't see sign-on or relocation bonuses for it - only for critical care or emergency medicine. I also ran into difficulty getting hired elsewhere after working ps...
  3. Orca

    From home health travel to prison travel?

    I have never heard of it. Prisons either have their own staff, or they use a contracted agency.
  4. My sister did travel nursing for a while. She said that there is a reason that certain hospitals need travel nurses - mainly because they have such a poor reputation in the community that only people who know nothing about the hospital will work ther...
  5. Very well put. It is very easy to offer advice when you will not be affected by the decision.
  6. Orca

    Radonda Vaught Trial

    Malpractice is a civil charge, with a monetary award if the defendant is found to have engaged in it. The presence of insurance would have no effect on any criminal charge.
  7. Orca

    HIPAA violation?

    The sources that I have read all say that it is a violation of HIPAA. For example, An emergency room employee who snaps a photo and posts it to social media to show how busy it is would represent a HIPAA violation, as people in the photo may be ...
  8. Orca

    Charting Bloopers

    So two Wrights made a wrong. Thanks for sharing.
  9. Orca

    Radonda Vaught Trial

    Just a guess, but I believe that I might have noticed the big red ring stating WARNING - PARALYTIC AGENT on the top of the vial when I pulled it. BTW - I noticed that there was an RN and a former RT on the jury that unanimously convicted her.
  10. Orca

    Radonda Vaught Trial

    From what I have been able to tell, this was far from an easy drug error to make. There were multiple warnings along the way, which she apparently ignored. The final straw was that the medicat6ion had to be recostituted, which supposedly would requir...
  11. Orca

    About Gout

    I have had tophi in strange places. About a year and a half ago I had olecranon bursectomies on both elbows (done one at a time about a month apart) because my elbows protruded abnormally. Prior to the surgeries the elbows would periodically become i...
  12. Orca

    Diary of a Nurse Who is Not 'Exceptional'

    I worked for a place that pushed ANCC certification. Unlike your place, we received nothing for the certification. It just gave the hospital something to brag about, at our expense (literally). I didn't renew it after the initial certification period...
  13. Orca

    Being sued

    My first injection was given to a patient on an OB-GYN floor. I was nervous enough as it was, but also the ordering physician had written the order in grains. Fortunately, I had my handy-dandy conversion table with me, and I figured out how much that...
  14. The first question that occurred to me is why the employer is insisting that the ID be delivered in person. Mail makes a lot more sense, given that the OP is in the middle of moving, and a 150-mile round trip to turn in an ID badge seems over the top...
  15. I have had several facility tours conducted by medical staff. Officers are only necessary when you are performing a duty that will put you in close proximity to inmates.
  16. It wouldn't have mattered. The disease spread worldwide, and if it hadn't come from China, it would have come from somewhere else.
  17. Orca

    War on Nurses

    I also fear that such an approach might be utilized by the profit mongers to justify even lower salaries. Instead of a way to augment more experienced and better trained nurses, they might instead be viewed as replacements to lower costs.
  18. Orca

    Getting gate cut

    I was off the board for a while, took some time off just after Christmas. I see that you managed to get a message through. I will assist you however I can.
  19. Orca

    Paramedic discrimination?

    I'm not an EMT. I said that a classmate was. I have been an RN for 27 years.
  20. Orca

    Manager Falsified my initials

    This is a very important point. Following the chain of command doesn't include simultaneously notifying everyone above your supervisor. I have found it beyond annoying to have to explain a situation to my supervisor, who has been dragged into a probl...
  21. Orca

    Nurse/Patient relationship

    Others have stated the same, but resist any temptation to create a social relationship with a one-time patient.
  22. Orca

    Patient Yelled At Me And I Feel Stupid

    If this is the biggest mistake that you make in your career, consider yourself blessed. From the sound of it, you encountered someone who is angry and demanding. Throwing the basin is not a sign of someone who is rational or in control. If she loses ...
  23. Orca

    Which Religions Exempt Covid Vaccinations?

    I was tasked with finding information on religious exemptions prior to my agency adopting a vaccine mandate. The Muslim faith actually encourages vaccination. The only religions that I found that actively oppose it are the Church of Christ, Scientist...
  24. Exactly why I didn't bother to renew when it came due. It simply wasn't worth the money.
  25. Orca

    Advice Needed- Challenging Employees

    Bluntly put, it isn't the subordinates' place to question the work assignments or schedule of their supervisor. You owe them no explanation. You have the authority to make assignments, and you have done so.