Continuing on my basic jail nurse questions thread, how many of you, if any, complete some type of history, physical assessment or review of systems form when you assess inmates?
Since there isn't a form already in place at this facility I want to put something together, or preferably copy someone else's (lol). The existing database allows any employee to view inmate-stated health problems and medications they're on. However, before I do anything to them, or with them, previous healthcare experience suggests I do some element of an assessment, even if only a problem focused assessment (preferable).
Granted, I'm not looking for some inpatient type of assessment form that goes on ad nauseum since I haven't the time or resources to devote to health issues that inmates don't list on a "sick call" request form or present to the booking officers upon intake and since we're not obligated to treat what isn't made known or whatever may arise in an emergent circumstance.
So...know where I might find such a beast? Thank you!