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| No. 10 | 
Jun 20, 2009, 07:24 PM
 Re: Wonder how often this happens Originally Posted by deyo321  iwanna, I am sorry for what you are going through. That being said, we do not use methadone here either. I have posted before that I have had inmates thank me and say if they knew it was that easy they would have stopped years ago. They are clean and different people. Then they get out and come back and I do it again.
We have protocols for ETOH and Narcotic withdrawals. These are based on my assessments, not just on what the inmate tells me. I have had inmates sit right here and tell me they do not use drugs when I can clearly see that they are in withdrawal. Two hours later they are begging to come back and see me again.
Antipyschotics require eval by our mental health dept. They are IMO over-prescribed in the general population by pcp's.
The officers here are very professional. I am sure your daughter is miserable, she's in jail. But I would like you to consider that we are professionals and do deal with alot of drug abusers. What an inmate cries to mommy may not be the exact truth by a long shot. Drug abusers often have a victims attitude and want sympathy for what "we" are doing to "them". Not many of them take responsibility for their outcomes. Not saying that this is your daughter, just what a great deal of my experience involves. And yes I consider addiction a disease, I so often see the ravages of it. Not intended to offend, just offering the other side.
You are SO right. They do play victim!
 | | Advertisement Sponsored Links | | | | No. 11 |
Jun 20, 2009, 09:26 PM
Re: Wonder how often this happens
This used to be the case in California, not any longer. First of all, upon discharge, all hospital discharge documentation is place in an envelope, sealed and handed to an officer that delivers it to medical staff where the inmate is assessed as soon as he returns to institutional grounds. Pain management will be based on those recommendations, and what is available in the formulary (Tylenol #3, Ultram, Methadone, etc.)
| | No. 12 |
Jun 21, 2009, 12:08 AM
Updated
Jun 21, 2009 at 12:13 AM by iwanna
Re: Wonder how often this happens
The officers here are very professional. I am sure your daughter is miserable, she's in jail. But I would like you to consider that we are professionals and do deal with alot of drug abusers. What an inmate cries to mommy may not be the exact truth by a long shot. Drug abusers often have a victims attitude and want sympathy for what "we" are doing to "them". Not many of them take responsibility for their outcomes. Not saying that this is your daughter, just what a great deal of my experience involves. And yes I consider addiction a disease, I so often see the ravages of it. Not intended to offend, just offering the other side.[/quote]
No offense taken. My daughter has played the victim many of times, not owning up to any of her part in the situation. And, you are right, I was not there, so I don't know the whole story. I will never know all versions of what happened. But, I am still angry about her not getting her meds that were prescribed by her psychiatrist.(non-narcotic) And, yes, the bottom line is that its her fault for being in jail.
I am glad that the officers are professional where you work. Many jails have some very "unprofessional" officers.
| | No. 13 |
Jun 21, 2009, 12:13 AM
Re: Wonder how often this happens
That sucks.....its definitely a conflict. I mean....as a nurse or doctor it is your duty and it should be your want to heal and help eveyone.....but then again you can understand that they have probably had situations where problems arised.....hard situation to deal with.
| | No. 14 |
Jun 21, 2009, 10:54 AM
Re: Wonder how often this happens Originally Posted by Troublant RN This used to be the case in California, not any longer. First of all, upon discharge, all hospital discharge documentation is place in an envelope, sealed and handed to an officer that delivers it to medical staff where the inmate is assessed as soon as he returns to institutional grounds. Pain management will be based on those recommendations, and what is available in the formulary (Tylenol #3, Ultram, Methadone, etc.)
Here in Georgia even with the patient having a signed release we don't always get that envelope of hospital discharge information and/or workup... Phone calls: Very hard to get information due to no one wanting to give out non-dictated information.
As for management we look at the ER/Hospitals diagnosis and treatment regiment directions (when available): We use them, change them or send the patient out again because or original reason for sending the patient out was ignored...
Overall the occasional officer may try to plug in his/her two cents worth at the hospital I won't deny that does not happen. I will say some patients went to the hospital because of officer did his/her job and chimed in.. The officers are good at plugging in information the patient may not remember or know.
| | No. 15 |
Jun 27, 2009, 12:05 PM
Re: Wonder how often this happens
I don't believe "Always", although I don't say that officers may not say that.... My question is why is the physician giving officers instructions???? There is absolutely no reason why he should do this. Staff should be folding the paperwork, sealing with tape, with instructions to give to the medical department.
The final decision regarding pain medication lies with the prison physician and he will prescribe what he believes appropriate in the circumstances... in some cases, this may indeed be tylenol.
| | No. 16 |
Jun 27, 2009, 12:32 PM
Re: Wonder how often this happens Originally Posted by prison_nurse I don't believe "Always", although I don't say that officers may not say that.... My question is why is the physician giving officers instructions???? There is absolutely no reason why he should do this. Staff should be folding the paperwork, sealing with tape, with instructions to give to the medical department.
The final decision regarding pain medication lies with the prison physician and he will prescribe what he believes appropriate in the circumstances... in some cases, this may indeed be tylenol.
Some prisons don't have 24x7 medical on hand. Those very officers in some circumstances will be calling a doctor on call.
The question should be why the medical folks in the hospitals make no attempt to give report to other medical persons who for the most part initiated the trip and/or will be taking care of the patient on his/her return.
| | No. 17 |
Jun 27, 2009, 01:05 PM
Re: Wonder how often this happens
I know that some jails and juvenile facilities do not have 24 hour nursing staff, but I am not aware of any adult prisons without nursing staff. I think this inmate, from the post, came from a maximum security facility.
I think it would be rather dangerous not to have a 24 hour nursing staff.
| | No. 18 |
Jun 27, 2009, 01:14 PM
Re: Wonder how often this happens
Here in Georgia not all prisons have 24x7 coverage on site.
| | No. 19 |
Jun 27, 2009, 07:22 PM
Re: Wonder how often this happens Originally Posted by deyo321
Antipyschotics require eval by our mental health dept. They are IMO over-prescribed in the general population by pcp's.
Our mental health dept (psychiatrist) prescribes mental health meds. Our doctor does not prescribe any mental health meds. We are strict on what we give out due to all the drug seeking out there!
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