Hi. A little background: I am both a RN and a police officer with experience in both capacities albeit separately, lol. I've been hired recently to help rebuild a jail's infirmary after previous staff undertook in both illegal and unethical acts. I have hospital nursing experience, EMS experience, and more police experience than either of those put together. I am being hired with a desire by the agency to carry both my law enforcement and RN credentials into the jail (in this state jailers cannot charge inmates with crimes, are not trained to use or carry weapons of any type, etc. and relegated mostly to security but certified police officers have no restrictions).
So broad, detailed questions with anecdotes if I may...
I have been reading the ANA Correctional Nurse scope of practice statement, fyi.
1. In corrections, settings has anyone become intimately familiar with being both an officer and a nurse? For example, I may be called upon to transport specifically to healthcare settings outside the jail, help quell riots, and function in other aspects where armed officers are traditionally used. At times, I may have to use force against an inmate, that may or not be a "patient," or any other conceivable scenario a deputy might find himself in. So with this I ask about personal experiences and how that "goes" with state boards of nursing. As an aside, I will be carrying both nursing malpractice insurance as well as police officer's liability insurance so as not to rely solely on agency/county legal assistance and qualified immunity.
2. Where does HIPAA come into play in the corrections setting? In general law enforcement, personal health information is not private if entered into an incident or arrest report because LE reports are public record. In the corrections setting, how is (or is it) this information shareable with other jail officials? For example, telling jailers what disease/condition an inmate is in could be critical to security and safety as could be medication usage, etc.
3. Can anyone point me toward educational materials to both train myself and "modernize" our infirmary?
Thank you for the support.