SinMiedo
has 7 years experience and specializes in Corrections, Psych.
I've worked LTC, MDS/CP, residential gero-psych, assisted living over the years, but got hooked on corrections after taking a travel assignment. Haven't ventured "outside the walls" ever since. :)
I have recently learned the hard way to make sure scheduling policies are absolutely crystal clear before hiring on. My current job was described as "3 8 hour evenings and 2 8 hour nights a week", which sounded great, although a bit vague. Turns out,...
I work in prison, so we're a bit limited in what's allowed to come inside, but we got a couple days of lunches and a t-shirt. Also, one of the inmates made a really awesome Happy Nurses Week card that we hung up in the clinic. It was a really nice ge...
SinMiedo replied to 2k15NurseExtern4u's topic in Uniform/Gear
I find that I have to let the hems out of most "Tall" scrub pants, but the Smitten ones I mentioned upthread are the perfect length. (35" inseam here as well. :))
SinMiedo replied to 2k15NurseExtern4u's topic in Uniform/Gear
Those are my exact measurements, and I now have a new way to describe myself, lol! As far as scrubs go, I have had good luck with NRG by Barco in either XST or ST. The XSs are a little snug around the booty, so I have lately been buying smalls and al...
Just thought of another one! I work in a large-ish city jail that, while better than some, is not the most sanitary place to practice. One night the officers brought a gentleman to medical with a complaint of ear pain. He stated that he had been sl...
Oooh, we had one of these too! Gentleman comes into jail intake for a medical screening, and the nurse on duty notices a "crinkling" sound. She gets to the STI portion of the questions, and gentleman announces that he has a "little drip". He then pro...
SinMiedo replied to Tina, RN's topic in Correctional
My dad-- a recently retired DOC Lt-- told me when I started working corrections, "If an inmate has something coming to him, give it. Otherwise be polite, be alert, and stay in your lane." I feel like it was a pretty comprehensive guide to working in ...
SinMiedo replied to NurseyNursington's topic in New Nurse
20-something opioid detox patient to me (after I had loaded her up with all the PRNs in an effort to make her slightly more comfortable) during a follow up check: Her: "Nurse...?" Me: "Yes ma'am, whatcha need?" Her: "Nurse. I just really like your gu...
SinMiedo replied to military spouse's topic in Correctional
We do V/S q shift automatically any time someone is in TCU. In an admission, the provider will sometimes specify that he/she wants them done q 6/8 or at intervals after giving meds. Our admission sheet has areas for all sorts of superfluous orders (e...
SinMiedo replied to military spouse's topic in Correctional
Basically, our 23 hour obs is nurse-initiated rather than requiring an MD order. The paperwork is different, but equally as voluminous (as is the paperwork for everything we do :/). That's really the only difference.
I second all the PPs in saying that you are most NOT over-reacting. In fact, I'll see the "tell HR" responses and raise you a "File a police report!" The grabbing your hips thing.... Ugh. That's (as someone has previously said) sexual assault, which...
SinMiedo replied to sallybgoode's topic in Correctional
I could have sworn you worked with me until you got to the part about having a union steward. My facility is nearly identical to your situation, and I'm at my wits end as well. If you'd like, PM me which company your facility is affiliated with; I'm ...
I apologize if I'm wrong, but I don't believe I ever recommended stepping outside my scope of practice. I merely said that if the situation warranted, I would do what I had to to ensure a good outcome, e.g. send the pt to the ER. That's basically the...
Ditto!!! My motto is "Better to be in trouble for doing too much than for not doing enough." I feel like a genuine, good faith correct intervention through potentially unorthodox channels that results in a positive outcome is preferable to a "by the...
Personally? I'd send their happy butts out. (But I'm rather salty like that.) Generally I call the on-call MD several times, then the non-OC MD. If I get no response, I'm sending the pt. to the ER. If it's a legitimate urgent/emergent issue and ther...