Actually, it is a very big deal. Once you start letting the inmate get away with being an hour late to med line - which is, by the way, a required programming assignment and should receive an incident report for missing - he will start to see what else he can get away with. Maybe tomorrow he'll wander in two hours late, or come to sick call whenever he wants. Over time, you'll find that he comes and goes when he pleases and does what he wants.
The devil is in the details. When you let small things go, the big things are sure to follow. In addition, the inmate figures out real quick who he can manipulate and subvert.
If you are having trouble on a regular basis with custody getting inmates to you, the nurse manager or health services administrator needs to sit down with the custody supervisor/warden/etc. to work those issues out. Making accomodations for individual inmates is not the right way to go.
Quote from Monica RN,BSN
This is a very good thread. Personally, I give the med.. even if he is an hour late, we pre -set up our med cups, so it is no big problem what-so-ever to hand the I/M his pill cup and a cup of water. Don't make mountains out of mole hills. I do not think it is a big deal at all. would rather see the I/M be medicated a little late, then not at all. We as nurses are obligated by our state nursing laws to ensure the I/M get proper health care. Refusing to medicate because said inmate was late, could result in a detrimental effect, depending on the drug.. (Motrin, tylenol.. well that is certainly not a life altering issue if missed) but what if it were antipsychotics, antibiotics, hyperglycemic meds, seizure meds.. and the list goes on and on......sometimes it is not the I/M fault if late. I have seen many times that the I/M did not show on time simply because there were no available officers to transport to the infirmary at that time.. there are variables that will most certainly occur. If it is a matter of bad timing.. (ie: inmate has to get and be transported with c/o to medical at 6 or 7 am.. perhaps changing the time to say, 9 am would be more practical.Also take in consideration when your C/O's change shifts. In my facility they work 6a-6p and then next shift is 6p - 6a. This does affect sometimes limitations of transporters, especially when the c/o's are getting their briefing, and doing head counts at the beginning of their shift.
Just my 0.02 thought for the day