amesly15

Latest Activity

1. Meds in jail first 30 days

   amesly15 posted a topic in Correctional

   I work as an RN in a county jail. We all know the type...inmate comes in, hasn't been to their mental health clinic appointments in months, quit taking their medication, and started using street drugs to self medicate. Is there anyone out there who u...

2. Bad Boys, Bad Boys... How do you handle them?

   amesly15 replied to valzRN's topic in Correctional

   What is a gunner?

3. Drug use and drug testing and Klonopin

   amesly15 posted a topic in Correctional

   I work in a County Correctional Facility. My question is...what do other facilities do with inmates booked in who say they are on Klonopin? We had an inmate who had been taking Klonopin through his MD. We varified that was the medication. We have sta...

4. Unbelievable inmate requests

   amesly15 replied to deyo321's topic in Correctional

   "I have a bad case of swamp a**" I didn't even want to ask...

5. Jail Opiate Withdrawal

   amesly15 replied to amesly15's topic in Correctional

   Thanks all. I am developing a policy for opiate withdrawal. We send those with ETOH withdrawal out to Detox at the local hospital.

6. Jail Opiate Withdrawal

   amesly15 posted a topic in Correctional

   Hi all, I am interested to hear from you that work in County Jails...do you have an Opiate Withdrawal Policy and if yes but is it? thank you

7. Correctional Nursing Supervisor

   amesly15 replied to amesly15's topic in Correctional

   Well, I am about one year in and it has been a good fit for me. I am working at a County Correctional Facility that is small. I have made some positive changes that make things easier for the nurses ...I hope. I am learning as I go along but definate...

8. Alcohol Protocol County Jails

   amesly15 posted a topic in Correctional

   I have been reading protocols from county jails. Some say send to hospital if alcohol level over 0.25. As I am new to the county jail and helping the MD with protocols....I am wondering what other jails do? I have seen protocols that say monitor into...

9. Keep on person medication

   amesly15 posted a topic in Correctional

   I am new to corrections and have read about keep on person medication. This seems like it would be helpful in cutting down on the number of inmates at med call that just come for Ibuprofen or Tylenol. The MD is in favor of using KOP meds. But when I ...

10. Staffing ratio in county jails

    amesly15 replied to amesly15's topic in Correctional

    Thank you Birdy Oh...I am new to corrections and forget that these inmates are not supposed to be sick

11. Staffing ratio in county jails

    amesly15 posted a topic in Correctional

    What are your staff to inmate ratios in county jails? Is it usual to have one RN for 120-140 inmates? Seems like at least 2 would be needed. My DON is saying she wants 16 hours covered 7am to 11pm 7 days a week. Currently nurses have been working 12 ...

12. Mar

    amesly15 replied to amesly15's topic in Correctional

    IM's yes inmates...I think there is a standard that says if inmates refuse treatment they have to fill out a form but that sounds reasonable to document med refused and report if refused 3 times. thanks

13. Mar

    amesly15 posted a topic in Correctional

    For your medication record...do IM's need to sign for meds given and / or refused? Where can I get a MAR with room for several meds on it? I am also looking for a charting system that will work in a county jail.

14. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Going to go for it...I got the position. I am looking forward to the challenges. Patti

15. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Thanks BradyR...tomorrow is my interview. For many reasons ...I do feel this is the job for me. Prior to being a Nursing Supervisor in Homecare I worked in the field for 8 years and was very autnomous. Since writing my first thread I have learned mor...