Angelnraged

Also, I would like to add for those in this thread that are saying “shame on you! Bad nurse! Not all seizures present the same” you are assuming that we as medical professionals do not know this? Obviously we are going to do a full assessment, protect them from injury, and everything else we would do for a “real” seizure. It’s not like we are going to say “meh! Leave him there until he’s done cause he’s a big bad faker!” Cracks me up. None of us would have licenses if we did that. So please, save your judgement.

Ammonia inhalant works every time for me. Once I had one try to hold their breath so they wouldn’t react, but could only hold their breath so long. Sure enough as soon as they inhaled it was game over. In the two years I’ve been nursing corrections I’ve seen more “seizures” and “chest pain” than I’ve seen in my entire life. And in all of those instances, I’ve only seen ONE legitimate seizure.. I don’t think I’ve ever had an abnormal EKG either.

I’ve worked corrections 2+ years. I find the best approach for me is to not acknowledge the behavior at all. They will say whatever they will, and I will stay on task, whatever it is, redirecting the conversation back to point. For example, things said during med pass. They insert their rude comments, and I simply say, take your medication or I will mark refused. If they continue I say, “OK. Refused” and walk away. Period. After a few rounds of this, the inmates learn fairly quick that I can not be rattled. Corrections nursing is a different kind of nursing. You have to turn off everything you’ve learned about being nurturing. Do I care? Of course I do. Do they know this? Absolutely not. Like another poster said, they study you. All they have is time. They are bored, manipulative, some even malicious. So it’s up to you to put that barrier in place. And once you leave the block, everything that’s been said to you there must stay there. I don’t have conversations with these people. They are not my friends. I’m not rude per se. If they tell me good morning, I will respond in kind. But above that, we do not interact on a social type basis. If they want to tell me they have a rash at meg pass, clearly I can see they aren’t in distress and I direct them to put in a sick call. We discuss nothing. Set your rules in place and don’t break or bend them.