Quote from wyogypsy
I would keep it simple, doing a SOAPE note on what I saw them for and what was discussed during that visit. By doing a head to toe, and learning more about them than you may want to know, you are opening yourself up to liability for taking action on everything you have learned. Always keep in mind that many of these other issues are chronic, that they have not had them taken care of on the streets when they had the ability to do so on their own, and that we cannot fix everyone. Don't open your facility up to liability for 'not' taking care of issues that the inmate might have never brought up unless you specifically asked. I am not trying to be cruel, it is just that if they do not take care of their own health, we can not take it upon ourselves to treat what they themselves have not chosen to feel was important until someone else was paying for it.
Thanks for that idea. I agree. I was actually chosen for this job due to prior administration, law enforcement, and hospital nursing experience because previous staff have swamped the facility in litigation, and I'm going in with both RN and LEO credentials (no CO but actual LE) by request. The problem is that although I am intimately familiar this segment of society (criminals and inmates) I have never practiced in let alone managed a clinic. That's why I'm hesitant to jump right in and do a head to toe, etc. I don't want to be obligated to treat something that I found that they (inmates) didn't report. I'm keenly aware that the inmates will use the jail clinic to treat problems that they wouldn't have otherwise treated due to their own since of entitlement as well as seek a pass out of their cell for a day or even an hour. I want to treat their medical issues appropriately, however, I have no desire or intent to give the inmates a bunch of free healthcare for them to take advantage of while they're paying their time.
I am, however, puzzled by exactly what assessment I should do. For example, as many of them report with toothaches and an assortment of skin bumps, mostly staph infections, should I even delve off into a full set of vital signs, lung sounds, etc? I'm thinking, yes. When I worked back on an ambulance a long time ago we did this on everyone, and when I go to the doctor for the rare health issue this is done in the clinic. It goes without saying that it's done in the hospital, but my jail isn't a hospital so, like I say, I don't know exactly where to draw the line on what is enough assessment in this case. And my only concern is erroneous litigation.