Integrated Pest Management is extremely important, so you will need to combine different things. I've been hearing from East Coast growers increasingly having more difficulty managing different types of scale and I suspect there might've been some resistance to 4A insecticides developing.
Most insecticides recommended for scale are systemic and belong to the "4A" class which target nicotine receptors in bugs affecting life functions. Among these are Acetamiprid, Bifenthrin, Dinotefuran (Safari), Marathon, Thiamethoxam. They all have different concentrations, etc. Safari is really good stuff, but also really toxic to pollinators, and it's relatively toxic to humans. Good PPE should be used.
I haven't dealt with Scale but in my experience fighting other bugs, I've found the combination of an insecticide and an IGR (Insect Growth Regulator) to be extremely important. Insecticides kill mostly adults, whereas IGR stunt the development of the larvae and nymph stages. In some insects IGRs cause eggs to become inviable and females to become sterile. IGRs are generally harmless to humans.
Most bugs will go through a young phase in which they either won't feed or their nervous systems aren't developed, making them somewhat immune to many good insecticides. That's what the IGR covers. I would follow the label and find the right insecticide that can be combined with another IGR. Try combining Safari with an Azadirachtin based IGR. Azadirachtin is extracted from Neem Oil but Neem Oil formulations only contain about 0.25% azadirachtin or less. Azamax which a lot of people use for spider mites contains 1.2%. Generally, insects can't develop resistance to IGRs so even if you've been treating with Neem, you can try Azamax.
If your situation is really really bad and you want to save your expensive orchids, do a full treatment following label. I think you can apply most systemics every 2 weeks up to 3 applications, but you can apply the IGR weekly (try every 5-6 days) to control the young bugs.
If that first treatment doesn't work, then it's time to change chemicals completely. Don't go from Safari to another 4A insecticide.
Something that you can try is Spinosad, which also affects nicotine receptors but in a different way. It's not labeled as systemic but some studies show it has systemic properties.
You can also switch up (or even combine!) IGRs. Fenoxycarb might work. I've heard a lot about Buprofezin (brand: Talus) but that's prohibitively expensive.
More suggestions on an IPM approach are here:
https://irac-online.org/documents/su...rsion/?ext=pdf
Finally, if you find success but want to do some sort of maintenance, you should look into Beauveria bassiana, which is a fungi that is parasitic to many insects but seemingly harmless to humans (or maybe I'm saying this because I, like in The Last of Us, have been controlled by this fungus...)
Beauveria bassiana hasn't been studied well for scale but it is effective in mealybugs and whiteflies which are actually fairly closely related to scale and it might help keep new infections from settling in.