jjrn76

How much mandatory ot is required at the facility your working. Are the medical records electronic. The upgrade to an EMR has been sloww to non exsistant wher I currently wrk

Ask for a tour.They need you more than you need them. As R.N.'s ,along with the aging prison population ,inovation,new ideas,and a fresh perspective are a Nursing Directors dream. Your license carries the ball into a side of society, that wants to be forgotten by John Q.Public.Prepare for the worst,and expect the best.Dress conservatively, and be confident...An Old Salt that remembers the haldol shuffle ! Good Luck&God Bless

having worked in Michigans prison system 22.5 years, it has become safer.As far as TB , have you ever attened a crowded ,closed in stuffy church during the flu season?Universal precau!!! Disease process',much more accellerated, d/t a multitude of reasons.Certainally it pays more, in Mich. my first taught lesson:security, keeping the inmates locked up. It has been rewarding, but tune up on your assessment skills

Keepig perspective on who is actually locked up. To look at the gaurd towers at some of Michigans oldst prisons they are light houses, a port in a storm. I find that with to much attitude and condescention it is easy to loose focus n takongcare of the pt. It becomes a peyton place that the cons pick up onand eventually yourin the bosses ofice . I enjoy the challenge of rising above that and attempt to go against the grain, creating ahospitable place to practice my art of Nursing. It seems like a short time ago I started and yet 22 years have lapsed since entry. In new employees school 20 pusyrs ago, we were asked as a class,with both custody staff and non-custody,do tou want to do the big eight or the litle 8. Obviously its easier said tan done. Sorry bout the typing skills We are stil doing a lot of long hand in the great Lake State

Redundant, and repeated information.Caregivers nee a breif picture of te history. It takes listening skills to dtermine what and hen to write or type.Most MDs i work with dont takethe time to read my notes.It is frustrating to beso precise, and onlyto be asked something thats already on the pts. file. I find that to streamline it takes time to build a repore with the prescriber. Before asking have yourducks ina row. What does the pt. look like.Avoid the buz words,less drama, and get tothe point in a systamatic approach, which takes a little practice and time

Unnessary and repeated documentation