Wow, Bollweevil did a great job of explaining. Our set-up is, we have some who work in Triage, where they do the initial screening. We ask about medical history, meds, ETOH, drug abuse, psych illnesses, etc. Those patients get vitals, meds ordered, see a doctor or mental health specialist, etc and they are on their way to housing. We use our judgement, like if they just need a vital sign check for a few days, the RN's order that. That's Triage in a tiny nutshell. Then you have other areas, where the nurses do the diabetics, dressing changes, labs, etc. Day shift does routine sick call. The inmate submits a slip stating his complaint ie; a cold, athlete's foot, chest pain, etc etc etc. The nurses see them and either do nothing (for a nothing complaint), order OTC meds or creams, refer to the NP, send out to the ER, etc, depending on the problem and the symptoms and the findings. We also do man-downs; seeing an inmate who needs care at once, which also sometimes turns out to be pretty much nothing, but could also be something serious; a suicide attempt, chest pain, abdominal pain, lacerations, labor, etc!!! We don't have a "crash cart". We do BLS and call paramedics.