How to handle situations

  1. I am a new nurse and have been working at a correctional facility since the end of August. When I respond to an inmate complaining of something I get nervous on how to handle a situation. Well maybe not nervous but lack of confidence. All the nurses say dont let them pull one over you and I try to keep that in mind when I visit the cells.

    Like lastnight I had a female saying she was bleeding to death (vaginally) I did all her VS all WNL, good skin tugor, cap refill <3 seconds, moist membranes, skin warn and dry. She did have a bump on her head from where she said she fell out. I asked how much she was saturating and for how long. She said she has been bleeding since the end of Septembe and she went through 8 pads. I asked where were the pads to see how saturated they were but she said she flushed them down the toliet. I asked how her bleeding was at that moment and she said it was gushing so I asked to take a look at what she had on to get an idea and it was scant traces of blood nothing saturated. So I told her ice to the head, rest, drink fluid and elevate legs. But after I left I was thinking if I should have called the doctor or not because of the fall. I did also ask why she had not mention anything about the bleeding before and she said she didnt know she thought it would go away. I did ask for her to follow up with the clinic in the AM. When I left the cell the officers say sh ecomplains of something atleast once a week. I dont know when to take them serious and when not to. I a new grad 8 months and a LPN. Any feedback positive or negative I would appreciate. I doubt my self often and wonder if it just comes with time.
    Last edit by Momto2Boys on Oct 24, '06
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  2. 4 Comments

  3. by   santhony44
    Did you do a neuro assessment? I know she was obviously awake and alert but a little more wouldn't hurt.

    It sounds as if you did an appropriate assessment of the bleeding. Having her checked in the clinic was also a good idea.

    What I doubt was the part about flushing the pads- I don't know that she could have done that without clogging the toilet, but then I'm not familiar with the prison environment.

    Confidence in yourself and a feel for when someone is trying to con you will come with time. Give yourself a chance, it takes a year minimum to start to feel as if you know what you're doing.

    Good luck!
  4. by   santhony44
    Oh, and this is something a preceptor once told me: Crazy people get sick too. Not saying that the inmates are crazy, but it's a parallel.

    Keep in mind that they may be trying to manipulate you, but their complaints need to be checked out regardless.
  5. by   Momto2Boys
    Quote from santhony44
    Did you do a neuro assessment? I know she was obviously awake and alert but a little more wouldn't hurt.

    It sounds as if you did an appropriate assessment of the bleeding. Having her checked in the clinic was also a good idea.

    What I doubt was the part about flushing the pads- I don't know that she could have done that without clogging the toilet, but then I'm not familiar with the prison environment.

    Confidence in yourself and a feel for when someone is trying to con you will come with time. Give yourself a chance, it takes a year minimum to start to feel as if you know what you're doing.

    Good luck!
    No I didnt do a nero check. I should have.

    I didnt buy the whole flushing the pads down the toliet either and I asked the officers if she was able to do that and they said she shouldnt be.

    Thanks for the response and advise!
  6. by   Momto2Boys
    Quote from santhony44
    Oh, and this is something a preceptor once told me: Crazy people get sick too. Not saying that the inmates are crazy, but it's a parallel.

    Keep in mind that they may be trying to manipulate you, but their complaints need to be checked out regardless.

    You are absolutely right.

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