Jail psych nurse ethics question - Page 2Register Today!
- Nov 9, '09 by military spouseQuote from OrcaWe're about the same.................To clarify, the vast majority of the medications we give from protocol orders would not require a prescription if the inmate were in the community (diphenhydramine, ibuprofen, acetaminophen, etc.). One of the few exceptions is antibiotics, for things like abscessed teeth and suspected MRSA.
- Dec 2, '09 by crystalwomnYou are absolutely right. If there are standing orders it might be appropriate. Some jails/prisons use standing orders. The National Commission on Correctional Health Care frowns on standing orders except in an emergency. If the employer is a good one and is using standing orders, I would expect to see rigorous training in the protocols and some type of testing for competence in the use of the protocols. If you don't find this to be the case I wouldn't touch the job with a ten foot pole. The standards for nurses in jail/prison is the same as that in the community. If in actuality nurses are ordering meds willy-nilly the state regulatory agency should be notified.
- Jan 26, '10 by angeljAn RN can prescribe medications under standardized procedures defined by the Board of Nursing in the State of California if the SP's are according to the Board's requirements. In any other state, check with your State Board of Nursing as to your scope of practice as an RN and check if your board allows RN's to prescribe medications based on "protocols". Be very careful as many correctional facilities who use "protocols", signed off by physcians
who have no legal authority whatsoever to do this under state licensing requirements. RN's are legally and ethically bound to follow their authorized scope of practice under their state license. Practicing ourside your scope of practice of your license means that you can be held accountable by your licensing board and in civil litigation. A physician's license never covers an RN license in any state, legally. Each license is governing by your state licensing board.