My California CDC experiences thus far.

Specialties Correctional

Published

Hello all,

Well, where to start? I am a recent "new grad" who got my foundation in the ICU. I learned all the basics, mastered content, delved into the science, and came out alive. However, I wasn't very content.

My fiance' works at a state prison here in CA in accounting; therefore, she saw how much all the different categories of employees made. She mentioned one day how much Registered Nurse - Correction Facility nurses made. I just about fell out of my chair. Working in the ICU I made $24.75 per hour as a new grad (plus 10% for weekends and an additional 10% for nights). So, working a weekend night 12 hour shift would gross me about $348.00. Take that a step further and go beyond the standard three-day work week and add in an addtional day: comes to about $1300.00 for the week --> $5200.00 per month. Keep in mind, this amount is for working 48 hours.

Now, due to the Plata vs. Davis lawsuit (which carried over to Arnold), inmates in the state of California were awarded many more rights concerning their health, dental, and psychological care. The state of healthcare in the CDC was so poor, that a special position was created in Sacramento to oversee CDC healthcare for the next 5 years or so; this was done to prevent the Federal government and Bureau of Prisons from taking over CDC healthcare.

Fast-forward to October 2006. This newly appointed government official started to clean house in a big way. However, the stigma of correctional nursing being only for "nurses who suck" was powerful. This official had to overcome this stereotype in order to bring in strong nurses. And the best way to do that? You got it: money. Therefore, most new RN hires are brought on under "Plata positions" and they are VERY well compensated. The starting wage for a Registered Nurse, Correctional Facility (Plata position) is from $7045.00 to $8100.00 per month. Let that soak in a moment.

So, let's break this down. Taking the "step A" wage of $7045.00 per month for 40 hours worked, it comes out to be just over $44.00 per hour. This is working five 8 hour shifts with two consecutive days off in a row. Instead of working either day or night shift at the hospital, you have the choice of three shifts, or "watches." These run from 6am - 2pm (second watch), 2pm - 10pm (third watch), and 10pm -6am (first watch). So, not only do CDC RNs make $19.25 more per hour, they gross more than a RN working at the local hospital who worked 5 days in a week; a total of 60 hours (depending on which hospital's overtime calculation you are going off of).

But wait, it gets more interesting: overtime.

You want overtime at the CDC? You got it...in boatloads. Sometimes you are actually stopped at the gate and told to report back to your unit in order to do another 8 hour shift. Some may hate this, others may like it; it's all personal preference I suppose. Want to pick up some extra overtime? No problem. Many live for the chance of overtime, but many more want to go home at the end of their shift. I'm in the boat of people that love overtime. This is how overtime works (basically):

You don't have to wait until you are over 40 hours for overtime to kick in. If you work over your 8 hour shift, you automatically begin overtime hours. Overtime at CDC is time-and-a-half. This works out to be roughly $66.00 an hour. Now, let's compare again:

Hospital day:

12 hours x $24.75 = $297.00

Hospital overtime day (assuming overtime = "double-time"):

12 hours x ($24.75 x 2) = $594.00

CDC regular day:

8 hours x $44.00 = $352.00

CDC overtime day:

(8 hours x $44.00) + (8 hours x $66.00) = $800.00

This may not be a true "apples-to-apples" comparison due to the fact that the hospital worker is working a 12 hour shift, while the CDC worker is working a 16 hour shift. But, here is where the fun comes in...

Let's say I work M-F from 6am to 2pm. This is a standard 40 hour workweek at CDC. For doing this every week in a pay period, I will gross $7045.00 per month. Now, let's add in two days of overtime shifts. Remember, that is two 8 hour shifts at $66.00 per hour. So, combine the 40 hour week at $44.00 per hour with the 16 hours of overtime at $66.00 per hour, you get $2816.00 per week; now, multiply that by 4 weeks = $11264.00 per month for working a 60 hour week for 4 weeks.

Working a 60 hour week at the hospital (5 twelve hour shifts) makes approximately $1960.00 per week; again, multiply that by 4 weeks = $7920.00.

So, the difference, in raw hours worked (with overtime figured in) is approximately $3344.00 per month in favor of the CDC RN. Let's take it a step further again just for fun.

Yearly gross hospital worker income on 60 hours worked per week:

$95040.00

Yearly gross CDC worker income on 60 hours worked per week:

$135,168.00

Total difference:

$40,128 per year

Pumped yet? Need more info? Good :), continue to read on.

Oops, forgot to mention the $4500.00 sign-on bonus.

Okay, so what is the application process like? Well, first you have to register on the Ca state website and take a "test." It's not even really a test; more like a survey of what you have done within the last 6 months or so. After completing the test, you get an immediate grade which then ranks you against everyone else in Ca applying for the job. There are a total of 14 ranks (I think) and CDC usually only pulls applicants for interviews out of the top 3 ranks. As it stands now, there is roughly 3000 to 4000 people who are ranked for interviews in the entire state. So, you basically have to wait your turn to be interviewed. This process took about four months for me. When I tested, I ranked 4 out of 14.

Then one day I got a call to come in for an interview. I arrived and had to answer questions in front of a panel of three interviewers. After the interview, about two weeks passed until they started to call for references (keep in mind that the CDC will usually only call for reference checks if they are thinking of hiring). After that round of waiting, I received a call one week later with the job offer pending a TB test, physical, and DOJ/FBI background check.

So, with all of that out of the way, I was hired. So, time from completing the online test to starting my first day at worked took about 4 months (your mileage may vary). At the prison I was applying for, they were hiring a total of 14 new RNs and interviewed approximately 150 applicants.

I'm a little tired tonight to type out what my days are like, so I will continue this thread at a later date. Needless to say, I LOVE my job. I love going to work, I love working overtime, and I love the excitement, challenge, responsibility, and the compensation. I didn't even mention the retirement, benefits, etc which are equally spectacular (safety retirement rules).

So, if you are curious about going into a career in correctional nursing, reply to this thread and I will answer what I can from my experience. It was the best choice I've ever made.

To be continued...

From what I've read on other posts, you will probably need some experience before coming to CDCR as the online exam you are speaking of is not really an "exam" per se, but an accounting of your experience...Points are assigned somehow based on your responses and then you are placed on a list based on the total number of points based on your experience...When I applied roughly 2 years ago, there wasn't much competition...now, with the salary increase, there is a lot of competition...Since you have your heart set on working in corrections, you might see if you can get in to county jail first to get your experience...The Department of Mental Health is also another way to get your foot in the door with the state so that you could possibly transfer to CDCR in the future....A lot of DMH patients come from state prison anyways (CDCR even provides custody for the perimeter of state hospitals) so you'd get a taste of what you will be dealing with as far as mentally ill inmates...I'd search online and contact county jails to find out what type of support staff is hired for the medical staff to see if you can't get your foot in the door...Some state prisons are hiring CNA's as well, which might be another way you could get your foot in the door before you get your RN...I applied for and tested for my CNA after my first semester of RN school, which allowed me to work a part time job seeing what nurses did...Let me tell you though, I thought I knew what it was like to be an RN after my observations, but it's a whole other world when you actually have that license...it's not just about the tasks you observe the RN doing...it's also the critical thinking skills that you can't see that the RN is doing that people don't realize goes in to nursing...I was overwhelmed when I first started out on my own...It's an amazing and humbling experience to be an RN...Good luck to you with your education and don't worry about whether you have med/surg or not...There are many different jobs for nurses within CDCR from public health to med passes to triage and sick call...If there was any one class that I wish the state would offer to the nursing staff of CDCR, it would be an EMT class because it would better prepare us on how to handle riots and trauma...If you have time, I would recommend seeking out an EMT class or at least reading up on the skills of an EMT and may be even doing some work in an ER as a student nurse...My skills as an EMT and ER nurse have helped me tremendously with CDCR...I even took an EMT recert class a couple of weeks ago to brush up on my skills...Hope this helps...

Specializes in correctional, psych, ICU, CCU, ER.

Well, I'm a little south of Los Angeles and our pay just went up to $29. and change/hr. (base)

OT is pretty good.

The PD is great, jailers are great, Chief of Police is awesome!!(and I send him a bill every time I say that)

Benefits are superb.

Medical/dental for family of 4 is about $80.00/mo--that's a PPO medical and dental, life ins, vision, RX, etc--(I was paying close to $500.00 in the private sector for less)

Our retirement, is well, you judge--we have Calpers (for sworn fire and police, they get 2.9% x number of years in service x ending salary with a cap of 90% and can retire at 52 ) we get 2.7% x number of years in service x yearly salary at the time of retirement, retire at 55, and have NO CAP which means that if I was smart enough to get hired here when I got my nursing license at 20, I could retire in December (at 55 yrs old) and collect 94.5% of my salary. If I hold out until I'm 65, I'd collect 121.5% of my salary!!!!!!!!!! We have jailers who are about 135%-plus, you can buy back military service time to count towards retirement.)

I've only been here since 2-99, so I can only collect 21.6% if I retire (which I'm not)

I'm PUSHING my sons to get a job with the city--I don't care what they do!

We have a good thing going here. I'm glad you found it!!

Specializes in correctional, psych, ICU, CCU, ER.

Adam, we had a rotation with Cal State nurses (BSN program) where they spent 8 weeks with me. It was wonderful for all-they learned there's more to nursing than med surg/hospital and we had new thoughts from them. Does your school have this? It was part of their public health rotation.

Specializes in ER, PACU, CORRECTIONAL HEALTH, FLIGHT.

aint read all the replies, but the CA CDC hourly rates are probably needed to offset the cost of living in the State of California.

now, when i go back to corrections in Texas, i will be taking a pay cut, but right now, as an ER nurse, base pay is in the low 30's/per hour..and my cost of living is probably half what it would be in California. i can buy a house on acreage for under 50K. average rent i have paid for a 2br house has been anywhere from 350 to 650 a month. so that, lets say, 32/hour goes a LONG LONG way when your rent/mortgage is that low, overall cost of living is low, and no state income tax............

plus Texas is the friendliest state in the union!

aint read all the replies, but the CA CDC hourly rates are probably needed to offset the cost of living in the State of California.

now, when i go back to corrections in Texas, i will be taking a pay cut, but right now, as an ER nurse, base pay is in the low 30's/per hour..and my cost of living is probably half what it would be in California. i can buy a house on acreage for under 50K. average rent i have paid for a 2br house has been anywhere from 350 to 650 a month. so that, lets say, 32/hour goes a LONG LONG way when your rent/mortgage is that low, overall cost of living is low, and no state income tax............

plus Texas is the friendliest state in the union!

Generally the cost of living is cheaper in Texas but, it doesn't always mean more money in your pocket.

I've worked for CDC for two months and I've already gotten a 3.4 percent pay raise ... so base pay for all but three facilties is $7285 a month (higher in the Bay Area). In three years the base pay gets to $100K or $8,400 a month with the excellent pension that was previously mentioned (not to mention great OT).

If I lived in San Francisco then, the $100K wouldn't matter much but, since I live in a much cheaper part of California ... I'd have make $75 to $85K base pay in Houston or Dallas Texas to bring home the same amount of money (even with lower taxes, lower cost of living in Texas) ... which isn't likely since nursing wages in Texas generally are much lower.

So it really depends on how much you can make .... as well as which town you're living in, and which town you're moving to ... not so much the state itself.

Hi, Sheri257 -

I have a year left in nursing school.

I have been interested in correctional nursing for years now, ever since I worked for a little bit (maybe six months, years ago) in a county jail and talked with some of the RNs there.

So now, I'm finally in a BSN program and a year out from finishing.

I wanted to ask you about your path to correctional nursing, if you don't mind.

You mentioned taking a low-paying job at a private prison (I think that's what you said?) to have corrections experience, is that right? Was this a health care job, or specifically an RN job even...or non-health care?

I would do any job in a private prison if I thought it would seriously aid me in my goal of working in a state prison.

Of course, being a new grad, there's that as well. I don't know how much that would go against me...or if I should just plan on taking the test (that online test...you have to have a license to even take it, right?) as soon as I'm licensed, but plan on doing med-surg or something until I get an interview?

Thanks for your time and your help on all this. It's been great reading your posts (all of you). So grateful to have the information.

Adam

I worked as an RN at the private prison but it was only for a month. Basically, I'm still a new grad but, I guess they hired me because I had at least some experience with inmates. Because I am a new grad and I only worked a couple of hospital jobs during nursing school before that, I didn't score very high on the CDC exam. But, I got lucky because this particular facility was expanding and was on a brief hiring spree at the time.

However, the other posters are right ... besides corrections and mental health experience, ER experience is probably best for corrections and my facility has also hired a lot of ER nurses. I was going to take an ER job right before I got hired because I certainly could have used the experience but, with the CDC waiting lists and all of this competition for these jobs ... I just couldn't take the chance of trying to get hired later on.

Triaging these inmates is very tough as a new grad ... the biggest problem is so many of them are fakers and with this federal court order they're definitely taking advantage of the system. So you get tons of guys who are just looking for female attention and take a lot of the time and resources away from the really sick inmates because, under the federal court order ... you've got to see everyone with every complaint, no matter how minor it is ... within 24 hours.

It really makes it difficult to identify and treat the really sick inmates. Nevertheless, despite my lack of experience ... I think I've made some pretty good triage calls. With the exception of one inmate, all of the guys I sent to the TTA (our mini- prison ER) for further evaluation and treatment ended up going to the hospital ... in other words, they were really sick.

The fact that they had to go to the hospital may sound like a bad thing but, the experienced veteran ER nurses who work in the TTA hate it when you send them inmates who are faking because that wastes their time also ... they're very busy and don't want to waste their time on some manipulator.

But, the scary part is if you decide someone is faking and they're not ... it can happen very easily because so many inmates claim they're critically ill and you have to check them all out. So far that hasn't happened to me yet but, I worry about it all the time.

On the other hand, you can't waste all of your time on the fakers either... so you've got to make a lot of quick judgement calls and hope you're right. In the end, hopefully what I learned in nursing school carries me through ... and it's been working for the most part.

fascinating discussion thus far. I'm a nursing student and interested in all critical areas, such as ER/ICU, but haven't really considered prisons until recently. The pay does sound tempting but the work sounds downright intriguing at this point. I'll be interested to see the continuation of this thread.

Richard

JailRN - Hm. Interesting. Haven't had public health rotation yet. Maybe we'll have such an opportunity at my Cal State school.

Sheri257 - Thanks for the extra information. Very interesting. I guess I'll just be patient, cross my fingers and hope for the best...get some ER experience, etc., and hope I can get hired some day in corrections.

Sheri257 - Thanks for the extra information. Very interesting. I guess I'll just be patient, cross my fingers and hope for the best...get some ER experience, etc., and hope I can get hired some day in corrections.

From what I've seen, they tend to hire nurses with experience in these three areas: corrections, psych and ER/critical care.

Obviously corrections experience helps because they don't want to go to the trouble of hiring someone who's going to freak out working with inmates. Strange as it may seem, we still have some new hires who somehow think they shouldn't have to work with inmates. They want the money but, don't want to get their hands dirty, so to speak.

Psych is huge in corrections, and the state is planning on expanding their mental health faciltiies so they also tend to hire psych nurses, especially nurses who have already worked for state criminal psych facilities. As previously mentioned, lots of people who already work for the state transfer from mental health so, that's another way to potentially get your foot in the door.

Emergency/Critical Care: Even though you're mostly dealing with minor ailments like athlete's foot, triaging is the most important thing you do. For example, you get lots of inmates who complain of chest pain and most of it's bogus but, I did have an inmate this week with a nasty EKG, ST elevations, etc. who had to go to the hospital.

I was planning on getting experience in all three areas and working at least two jobs because, you never know where the openings are. If they need a nurse in mental health at the time but are already fully staffed in the TTA/ER then, that experience might not help you as much ... just as an example.

However, they also tend to move people around a lot because people call out sick, go on vacation, etc. One week you might be filling in at mental health, another week you might be triaging so ... that's another reason why experience in all three areas would probably increase your hiring chances.

fascinating discussion thus far. I'm a nursing student and interested in all critical areas, such as ER/ICU, but haven't really considered prisons until recently. The pay does sound tempting but the work sounds downright intriguing at this point. I'll be interested to see the continuation of this thread.

Richard

Well ... I've discovered that this job can be pretty stressful. If you're working on one of the yards, you typically see up to 20 inmates a day plus there's always a bunch of other stuff that comes up: inmates get into fights and you have to assess them for injuries and do all the paperwork on that. There's usually other inmates who need routine wound care, etc. Then there's the chest pains all of the other so-called "emergencies" that have to be checked out. 90 percent of it is bogus but, you've got to constantly be on the look out for that 10 percent that really needs immediate medical attention.

I've had inmates who were disciplinary problems that I had to write up and get sent to the hole. Then I've had staff who stupidly let inmates into the office without custody present ... so I had to write them up. Some of the LVN's really resent you because you make a lot more money they do so that causes a lot of tension and a potentially difficult working environment.

Basically as the RN, you're running that office so everybody from the MD to the techs are coming to you with their problems. So you're also dealing with a lot of office politics. As soon as you walk into the yard, the inmates are screaming for your attention and they're constantly trying to get into medical without appointments so, you've constantly got to control and manage the situation so you can get things done but, at the same time, not miss the really sick inmates who do require your attention.

Sheri,

I couldn't have characterized the role of the RN with CDCR medical any better. You hit it on the head. The RN is the go to person whether you are in charge or not. The reigning opinion seems to be if we're making all that money, we should be available for every problem that arises, even if you have your own assignment. Supervising RN's make themselves scarce, meanwhile. Doctors and LVN's drop everything on your lap because they don't know what to do, but they figure you will because you are the almighty RN. :lol2: It's an overwhelming, stressful, frustrating experience to say the least. A lot of responsibility (which can be awesome, but overwhelming, too). I have my good days and bad, but the pay, benefits, and experience are just too good right now to let go of. I lament how I'm able to get any work done some days with all the interruptions (man downs, LVN's/Doctors/correctional officers requesting assistance, staff bickering, phones ringing off the hook, SRN's shoveling their work off on you, staff injuries, inmate fights). There is more work than people to handle daily occurrences. I dread the thought of a riot occurring in the middle of all of this because it will be the straw that breaks the camels' back, I am afraid. You are not alone. Good luck to you.

Shell

I lament how I'm able to get any work done some days with all the interruptions (man downs, LVN's/Doctors/correctional officers requesting assistance, staff bickering, phones ringing off the hook, SRN's shoveling their work off on you, staff injuries, inmate fights). There is more work than people to handle daily occurrences. I dread the thought of a riot occurring in the middle of all of this because it will be the straw that breaks the camels' back, I am afraid. You are not alone. Good luck to you.

Shell

Since I've been working for CDCR, they've moved me around quite a bit (to fill on for people on vacation, calling out sick, etc.) and one thing I've learned is that some yards/units are definitely better staffed and more controlled than others.

If the inmates are on a yard where they have a lot of privileges and are walking around with more freedom, it's basically a nightmare for medical because they're always bugging you to see them, knocking on the windows, doors, etc. Afterall ... where are most of the women located? Medical. On the outside, everybody wants to get out of the hospital asap. But in prison, medical is the place to be. Some of them will fake chest pain just so they'll get an EKG and be touched by a woman.

But when I work on a yard where the inmates are more restricted, it's usually (although not always) a better situation. I've also learned a lot of it depends on the design of that yard/unit and the custody protocols. The hole, obviously, has more controlled security but, if the building design is such that they can yell to each other and communicate across the tiers then, that's exactly what they'll do ... and it gets really noisy. But if the building design is such that the cells are more isolated then, it's really quiet and much easier to work.

Then there's other units where the inmates ... no matter what their custody level is ... are handcuffed and shackled, period, when they are brought over to medical. So, it's still busy, but much more controlled ... making the job a lot easier.

I'm not too worried about riots because, at least from what I've seen, every time there's a fight or whatever the CO's put it down so fast you don't even have a chance to see what's happened. The alarm goes off, and by the time you look up the inmate is already on the ground within seconds. The CO's for the most part do a really good job, at least at my facility.

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