I have been in corrections for about 1.5 years in both medical and psych. I do like the autonomy and the fact that most patients/inmates do respond to being treated with sincere gratitude. Yes, they do lie, but no more so than folks I have encountered on a regular med-surg floor. The key thing is to realize that letting them get you angry or insulted is a form of "intimacy". That is strictly forbidden and many corrections nurses seem to forget that that aspect exists. They are my patients, they have few choices of their own autonomy they can take. The worst is refusal of meds, it harms them but I have to understand that is one of the only ways they feel they have "control" over their prison experience and work from there. Most times you can reason with them but often, not. I just do the best I can within the scope of my practice and give the best care I can, just as I would in ANY nursing situation. I love my job, it has been the most fulfilling one I have had yet, including, mom-baby, ante-partum, surgical, med-surg, and clinic. I have worked for private, public, state, and federal institutions and have loved them all but this is the best fit for me.