crystalwomn

crystalwomn has 35 years experience and specializes in corrections, legal, med/surg, ICU,CCU,.

Latest Activity

1. Jail psych nurse ethics question

   crystalwomn replied to amyphee's topic in Correctional

   You are absolutely right. If there are standing orders it might be appropriate. Some jails/prisons use standing orders. The National Commission on Correctional Health Care frowns on standing orders except in an emergency. If the employer is a goo...

2. Sheriff Nurse

   crystalwomn replied to Marin2x's topic in Correctional

   You had lots of very good answers and good advice. Please keep us posted on your progress.

3. Sheriff Nurse

   crystalwomn replied to Marin2x's topic in Correctional

   Sounds like they have a pretty good program. Check out the NCCHC website and get a copy of the jail standards or prison standards. This will give you some idea about what types of P&P's should be in place. Make sure that if you are not comfort...

4. Discouraged!

   crystalwomn replied to Kats2's topic in Legal

   Don't give up. It can take a couple of years before you get your biz up and running. You have to keep plugging away, and not get discouraged. You are only limited by what your fear tells you is impossible. Join AALNC national, see if your county ...

5. Sheriff Nurse

   crystalwomn replied to Marin2x's topic in Correctional

   While we have had new grads who have done well, they usually have had some type of urgent care/ER or other hospital experience. As the others answering this thread have stated, as a correctional nurse you must be able to function independently, have...

6. Working for out-of-state firms?

   crystalwomn replied to alkaleidi's topic in Legal

   My rush fees depend on how fast they want it. If they want it yesterday and I have to drop everything, depending on what they need --the fee may double or triple.

7. Business

   crystalwomn replied to lecavalier4's topic in Legal

   I wrote my own business plan. Before you take out a huge loan or spend huge amounts of money, take a deep breath. Call the IRS and get you tax ID number. Decide what you want to call yourself. Get a UPS or Fed ex mailbox--they will sign for packa...

8. Structuring Fees for Cases

   crystalwomn replied to preoprn's topic in Legal

   My work is all testimony. I charge an hourly fee. I make it simple, I charge the same for chart review/report and so on. I do not charge office expenses and most of the time I forget to charge for calls--I always forget to mark down the time. I r...

9. Had something interest happen this past weekend

   crystalwomn replied to MadisonsMomRN's topic in Correctional

   Patient's with a GI bleed often run fairly stable vital signs then suddenly crash. The best way to determine if they are actually bleeding aside from hemocculting emesis and doing orthostatic vital signs. If they are bleeding they will have a drop ...

10. Death of Jail Inmate, Big Settlement

    crystalwomn replied to Vito Andolini's topic in Correctional

    I am very pro NCCHC. But negligence is negligence. I work triage and we often see patients post MVA. Some have been cleared by trauma centers and in a number of cases those "cleared" patients have had life threatening injuries. Just the other nig...

11. Holistic nursing evidence based

    crystalwomn replied to saludable's topic in Holistic

    There are a number of publications. National Institute of Health has an office of alternative medicine and has done some very interesting studies. Also, there is a book "Reinventing Medicine" by Dr. Larry Dossey which gives examples of studies. Sl...

12. Terminated!

    crystalwomn replied to kukukajoo's topic in Correctional

    First you can thank the powers that be that you are out of the facility. You can go to the union or file a complaint with HR and perhaps see an attorney about wrongful temination. Then you should go to the Office of Civil Rights, Department of Cons...

13. New Clnc And Night Shift Job

    crystalwomn replied to Aviationurse's topic in Legal

    I also recommend you not let your manager know you have your CLNC. I am aware of a number on legal nurse consultants who fired from their hospital positions because of their status as LNC's. In one case it appeared the nurse had been "blackballed" ...

14. For those working LNC- have you been questioned about the ethical aspect of this job?

    crystalwomn replied to meg5335's topic in Legal

    Yes SirI. The most important part of being an expert is the ability to remain unbiased. If you allow the attorney to interpert the case for you or fail to look at the strengths and weaknesses of both sides, your practice will suffer in the end. I ...

15. Death of Jail Inmate, Big Settlement

    crystalwomn replied to Vito Andolini's topic in Correctional

    All of us in corrections need to read this article and take heed. I have cases much worse on my desk currently. A four million dollar settlement for deliberate indifference sends a clear statement that the court means to punish those responsible. C...