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Wonder how often this happens



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No. 20
Old Jun 27, 2009, 07:45 PM

Default Re: Wonder how often this happens
Really? How many inmates at those facilities, and are they medically screened to go to those prisons?
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No. 21
from JDCitizen
Old Jul 01, 2009, 08:20 PM

Default Re: Wonder how often this happens
Originally Posted by MadisonsMomRN View Post
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!
Georgia: Our medical doctors continue mental health medications on intakes for a short time until they can see a mental health doctor otherwise we just consult with mental health; we don't prescribe.
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No. 22
from Orca
Old Jul 02, 2009, 04:24 PM

Default Re: Wonder how often this happens
We don't accept scripts, or medications from outside sources. The recommendations of hospital doctors are advisory only in a prison environment. We give pain medications up to and including Oxycodone, but an inmate must be housed in the infirmary in order to get them.

Antipyschotics require eval by our mental health dept. They are IMO over-prescribed in the general population by pcp's.
Very true. Seroquel in particular is a problem. It is so popular with drug users that it has acquired street names. Abuse and sales on the yard were such big problems that Nevada DOC took it off the formulary entirely. The first warning sign is that we started getting written requests for treatment (when I worked outpatient mental health) that said merely "I need Seroquel" without stating what the problem was.
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No. 23
from JDCitizen
Old Jul 02, 2009, 04:55 PM

Default Re: Wonder how often this happens
Originally Posted by Orca View Post
We don't accept scripts, or medications from outside sources. The recommendations of hospital doctors are advisory only in a prison environment. We give pain medications up to and including Oxycodone, but an inmate must be housed in the infirmary in order to get them.


Very true. Seroquel in particular is a problem. It is so popular with drug users that it has acquired street names. Abuse and sales on the yard were such big problems that Nevada DOC took it off the formulary entirely. The first warning sign is that we started getting written requests for treatment (when I worked outpatient mental health) that said merely "I need Seroquel" without stating what the problem was.


Sort of like the inmate that told me that his pain was helped by an Ultram a friend had given him on the dorm.
Problem with that statement: Ultram is a DOT medication and given only on pill call.
Instant change in policy: All Ultram is now crushed and floated.
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No. 24
from Truegem
Old Jul 05, 2009, 12:06 AM

Default Re: Wonder how often this happens
In regards to the first question asked in thie thread....I don't think the deputy/officer was trying to make a decision. I think he was trying to tell the MD that that is all the jails will order. And he probably didn't literally mean Tylenol. He was probably using the word Tylenol to mean basic non-narcotic pain meds. Not necessarily true, as I'm seeing that some facilities give Tylenol with Codeine or Darvocet, etc. The only narcotic we give is Tylenol with Codeine. It's fine. I have never had anyone complain that their pain wasn't being covered adequately.
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