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Staff nurse

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  1. 2003rn

    Wexford health care in corrections

    We have Wexford, it's ok, but PTO time isn't good. We have to use PTO as sick time as well as vacation time, also if you're late, even by one minute, you get 15 minutes of PTO time taken away, it just isn't fair. We are in need of new equipment, (thermometers, pulse ox, b/p cuffs, etc.,) it seems like we have to do without quality equipment because the company is cheap. Just my humble opinion...
  2. 2003rn

    Med errors--

    Thanks for your input. Our MARs are preprinted, but there are so many new orders or changed orders by the time we get them, that we pull charts to make sure the orders are written correctly. Changeover is a big deal for us, we have to have every MAR triple checked before the actual changeover, the orders that have changed have to be verified by pulling the chart and actually reading the order again. We are all having to do chart checks before we put the charts back on the rack, etc. But we always have a few med errors. I get upset when an inmate takes her meds, then tells you that she thinks that she got the wrong pills. I tell them to check the pills before taking them...
  3. 2003rn

    Med errors--

    :rolleyes:There have been a lot of med errors in the last few months in our correctional facility. We are double checking physician's orders, checking each others orders as they are taken off the order sheet and placed on the MARs. Does anyone have any more suggestions, to further reduce errors. One of our provider's has terrible handwriting, he has been talked to about it, but his handwriting hasn't improved. Some of our suggestions are to keep the inmates quiet while pill call is going on, some of them act like it's social hour, talking and laughing, etc. Also we would like to have 2 pill nurses, that would help them to take more time to double check the meds as they are pulling them. I would appreciate any suggestions on this matter. Our facilty has over 450 inmates, our nurse sick calls are getting out of hand, then complain about their copay ($3), they would rather use their money to buy junk food from the commissary, they buy all the spicy junk food, ramen noodles, pepperoni, soda, etc, then come to medical to get antacids or zantac, but they say it's not their diet causing the heartburn, etc...I could go on and on about this...but I'd really aappreciate any help at all, to cut down on med errors... Thank you, 2003rn