expert opinions please

[Monica RN,BSN]

I am well aware of the games inmates play in regards to "fake" chest pain and "fake " seizures. These being the most common. I am relatively new to corrections, and am setteling in very well, very quickly... now, when a signal is called in a pod..what signs do you assess and look for to determine if their condition is real or fake??.. I would hate to miss a legitamate diagnosis, if in fact it is real. Most of my co-workers have the attitude that 'they are all fakers, trying to get a trip to the ER." I agree there are many who would love a trip to the ER (ie: better food, TV (which our jail does not have) I have good assessment skils, but these inmates are very very good at making a medical emergency appear to be really real. Please educate me on how to know the real deal. I would hate to have an inmate suffer gravely becauseI missed something essentially important.

Thanks for your time to reply :)

[Monica RN,BSN]

To amend my earlier post, there is another way to check seizures for faking. As with the nipple twist, but reach lower (works for males, maybe not females). Now remember, the idea is to GRAB and TWIST. Again, if the seizure is fake, you'll have your answer pretty quick.

that is pretty funny