RN.38SPCL

RN.38SPCL has 10 years experience and specializes in LTC, MNGMNT,CORRECTIONS.

Latest Activity

1. Corrections /Jail good experience for public health??

   RN.38SPCL replied to chapsticknurse's topic in Public/Community

   I can't believe you got 0 responses on this. Corrections is an area of Public Health. You are treating a population of people you seldom come across in a healthcare setting. this population for numerous reasons, do not seek health care and by the tim...

2. Things you'd LOVE to be able to tell patients, and get away with it.

   RN.38SPCL replied to AngelfireRN's topic in Relations

   Exactly

3. Things you'd LOVE to be able to tell patients, and get away with it.

   RN.38SPCL replied to AngelfireRN's topic in Relations

   Dear kiwilime81, I am certain I speak for all of us who vented here, I am sorry. Let me clarify, We are talking about patients / family members who are purposfully difficult, lazy and deliberately take advantage of the Nurse. When you are out of scho...

4. Methadone as pain tx

   RN.38SPCL replied to CarrieH's topic in Medications

   i can't imagine why doctors are prescribing methadone for anyone unless they are dying. i worked hospice for 5 years and we used morphine and methadone. methadone is addictive but if you're dying it doesn't matter. i work in a jail and there are so m...

5. PPD Testing

   RN.38SPCL replied to masstudent's topic in General Nursing

   I Am An Rn And Work In A County Jail. Correctional Facilities Have Been Notorious In The Past As Being Considered High Risk For Tb. I Have Recently Been In Contact With The Cdc And My State Health Dept Tb Control Nurse. According To Both And Latest ...

6. Malingering

   RN.38SPCL replied to RN.38SPCL's topic in Psychiatric

   THANK YOU FOR YOUR CONCERN AND HELPFUL INFORMATION. NO ONE IS PRESSURING ME TO SCREEN, I WAS JUST CURIOUS, IT IS NOT MY AREA. I JUST WENT TO AN INTERESTING SEMINAR ON THE SUBJECT AND DID NOT THINK TO ASK THIS QUESTION WHILE I WAS THERE. THE PSYCHIAT...

7. Malingering

   RN.38SPCL replied to RN.38SPCL's topic in Psychiatric

   WOW, THANKS FOR ALL THE INPUT. I FOUND THE MMPI ON THE INTERNET. I'M AWARE THAT TAKES A PSYCHIATRIST. THAT'S NOT QUITE WHAT I WAS LOOKING FOR. I JUST THOUGHT IT WOULD BE MORE SIMPLE THAN IT IS. I WAS HOPEING THERE WAS A SIMPLE SCREENING TOOL SPECIFIC...

8. Things you'd LOVE to be able to tell patients, and get away with it.

   RN.38SPCL replied to AngelfireRN's topic in Relations

   To the alcholic who insisted he can't walk, feed him self, toilet himself, who lived independently prior to getting c-3 and c-4 fused, laying there naked, stinking,with a cervical colar on, refusing to let nurses see the staples, refusing to be cared...

9. Malingering

   RN.38SPCL posted a topic in Psychiatric

   Does anyone know of a screening tool nurses can use to assess malingering vs valid presentation of mental illness? I work in a correctional facility and it is beneficial for convicted felons to fake mental illness for many reasons. Also, If you know ...

10. Management of the med window

    RN.38SPCL replied to wonderbee's topic in Psychiatric

    Tell them it's their responsibility to come get their pills. they are adults right? tell them "no show...no pills..no excuses." I bet they'll show up after the first time they miss their drugs.

11. Got Beat Up Badly In Face By Patient

    RN.38SPCL replied to Aviationurse's topic in Psychiatric

    The patients' rights end where yours begins. All jobs that have risks also provide a means for protection. All psych nurses should be taught how to physically defend themselves without causing any injury to the patient. it can be done. Cops take peop...

12. Female Inmates?

    RN.38SPCL replied to PMFB-RN's topic in Correctional

    No problem, I work with men to avoid it too and I'm female.

13. How do you guys feel about supermax units (aka SHU's, Ad-seg, DDU's, solitary)?

    RN.38SPCL replied to Foxy78's topic in Correctional

    True, the only ones that will make it through the Transition programs are the ones who simply made a grievous error and have not lived their entire lives committing crimes and living in correctional facilities.

14. Drug seeking or real pain? How do you tell?

    RN.38SPCL replied to JudyPRN's topic in Pain

    Yeehah dragonnurse!:bowingpur I work in a county jail now. I used to work hospice and pride myself at knowing how to help someone control their pain and other symptoms. I have a mildly herniated disk at L-5 and S-1. When it flares up...man, I am dyin...

15. How do you guys feel about supermax units (aka SHU's, Ad-seg, DDU's, solitary)?

    RN.38SPCL replied to Foxy78's topic in Correctional

    I understand alot of what you have read. But you can google just about any subject these days. Try googleing " prison transition programs" or transition from prison to society" and see what you come up with. i have not done it yet but in my state and...