ptreebs

I am in a small county jail. We have No KOP's. Inhalers are kept in control or booking, CO's deliver. I/M must kite for prn's. We have a 3 med pass system. Even though the CO's pick up kites at checks they only pick up and deliver med kites to us at 3 times a day... Inmates are required to take responsibility of getting kites out on time for prn's. If they go to bed after breakfast when they asked for Ibuprofen, that is no show. Routine drugs are usually offered at next med pass. I try to find out what the issue is and be reasonable but if they just dont want to get out of bed and come to door for the prn they requested then oh well. Analgesics and some prn are on commissary for them to use at their leisure if they have money.

cheek it then crush to snort. You might see behavior changes, act like on amphet. Can cause seizures more easily in those prone to them as the rush is faster than digesting. Not to speak of the other people in tank who are sharing or being threatened not to talk. I've heard of I/M doing the same with trazadone for a quicker sedation effect.

We have no keep on person meds. What do you do with both IDDM and NIDDM inmates who decide to stop blood sugar checks, meds, diet? Is having them sign against med advice forms and charting enough?

If you like family members to tell you what you are doing wrong all the time, complain that mom isn't getting treated well (even though staffing by acuity is NEVER done), deal with dysfunctional people because let me tell you there is nothing like death to bring out the worst in people then thats the job for you. Not to speak of all the people who finger paint, spit on you, cough in your face, hit you, try to strangle you with your stethascope, etc, etc. Corrections any day.