RN.38SPCL

RN.38SPCL

LTC, MNGMNT,CORRECTIONS

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All Content by RN.38SPCL

  1. Malingering

    RN.38SPCL posted a topic in Psychiatric

    Does anyone know of a screening tool nurses can use to assess malingering vs valid presentation of mental illness? I work in a correctional facility and it is beneficial for convicted felons to fake...

  2. Corrections /Jail good experience for public health??

    RN.38SPCL replied to chapsticknurse's topic in Public, Community Health

    I can't believe you got 0 responses on this. Corrections is an area of Public Health. You are treating a population of people you seldom come across in a healthcare setting. this population for...

  3. Things you'd LOVE to be able to tell patients, and get away with it.

    RN.38SPCL replied to AngelfireRN's topic in Patient, Colleague Relations

    Exactly

  4. Things you'd LOVE to be able to tell patients, and get away with it.

    RN.38SPCL replied to AngelfireRN's topic in Patient, Colleague Relations

    Dear kiwilime81, I am certain I speak for all of us who vented here, I am sorry. Let me clarify, We are talking about patients / family members who are purposfully difficult, lazy and deliberately...

  5. Methadone as pain tx

    RN.38SPCL replied to CarrieH's topic in Patient Medications

    i can't imagine why doctors are prescribing methadone for anyone unless they are dying. i worked hospice for 5 years and we used morphine and methadone. methadone is addictive but if you're dying it...

  6. PPD Testing

    RN.38SPCL replied to masstudent's topic in General Nursing

    I Am An Rn And Work In A County Jail. Correctional Facilities Have Been Notorious In The Past As Being Considered High Risk For Tb. I Have Recently Been In Contact With The Cdc And My State Health...

  7. Malingering

    RN.38SPCL replied to RN.38SPCL's topic in Psychiatric

    THANK YOU FOR YOUR CONCERN AND HELPFUL INFORMATION. NO ONE IS PRESSURING ME TO SCREEN, I WAS JUST CURIOUS, IT IS NOT MY AREA. I JUST WENT TO AN INTERESTING SEMINAR ON THE SUBJECT AND DID NOT THINK TO...

  8. Malingering

    RN.38SPCL replied to RN.38SPCL's topic in Psychiatric

    WOW, THANKS FOR ALL THE INPUT. I FOUND THE MMPI ON THE INTERNET. I'M AWARE THAT TAKES A PSYCHIATRIST. THAT'S NOT QUITE WHAT I WAS LOOKING FOR. I JUST THOUGHT IT WOULD BE MORE SIMPLE THAN IT IS. I WAS...

  9. Things you'd LOVE to be able to tell patients, and get away with it.

    RN.38SPCL replied to AngelfireRN's topic in Patient, Colleague Relations

    To the alcholic who insisted he can't walk, feed him self, toilet himself, who lived independently prior to getting c-3 and c-4 fused, laying there naked, stinking,with a cervical colar on, refusing...

  10. Management of the med window

    RN.38SPCL replied to wonderbee's topic in Psychiatric

    Tell them it's their responsibility to come get their pills. they are adults right? tell them "no show...no pills..no excuses." I bet they'll show up after the first time they miss their

  11. Got Beat Up Badly In Face By Patient

    RN.38SPCL replied to Aviationurse's topic in Psychiatric

    The patients' rights end where yours begins. All jobs that have risks also provide a means for protection. All psych nurses should be taught how to physically defend themselves without causing any...

  12. Female Inmates?

    RN.38SPCL replied to PMFB-RN's topic in Correctional

    No problem, I work with men to avoid it too and I'm

  13. How do you guys feel about supermax units (aka SHU's, Ad-seg, DDU's, solitary)?

    RN.38SPCL replied to Foxy78's topic in Correctional

    True, the only ones that will make it through the Transition programs are the ones who simply made a grievous error and have not lived their entire lives committing crimes and living in correctional...

  14. Drug seeking or real pain? How do you tell?

    RN.38SPCL replied to JudyPRN's topic in Pain Management

    Yeehah dragonnurse!:bowingpur I work in a county jail now. I used to work hospice and pride myself at knowing how to help someone control their pain and other symptoms. I have a mildly herniated disk...

  15. How do you guys feel about supermax units (aka SHU's, Ad-seg, DDU's, solitary)?

    RN.38SPCL replied to Foxy78's topic in Correctional

    I understand alot of what you have read. But you can google just about any subject these days. Try googleing " prison transition programs" or transition from prison to society" and see what you come...

  16. Is It Easier?

    RN.38SPCL replied to henryswife's topic in Correctional

    I agree with Michell RN. You do have to be sharp. I have seen things in jails I never would have seen in the health facility setting. Since we have illegal immigrants of many types, I have also...

  17. Medium vs. Maxiumum security?

    RN.38SPCL replied to Foxy78's topic in Correctional

    Good for you, I wish I had been able to do

  18. Things you'd LOVE to be able to tell patients, and get away with it.

    RN.38SPCL replied to AngelfireRN's topic in Patient, Colleague Relations

    funny, I had a 62 yr old male hospice pt once who was blind ( shadows only), needed a walker, had oxygen and terminal lung cancer. It was his birthday and he wanted to see if he could get his driver's...

  19. Things you'd LOVE to be able to tell patients, and get away with it.

    RN.38SPCL replied to AngelfireRN's topic in Patient, Colleague Relations

    From adult family member running to the nurses station, "Mommy said the aids hurt her this morning when they made her get in her chair, we want you to get an x-ray". wish i could say " Hello.......

  20. Medium vs. Maxiumum security?

    RN.38SPCL replied to Foxy78's topic in Correctional

    I work in a Maximum security jail. I have visited a few minimum where the nurse does medpass alone. No way. that is plain stupid. I prefer Max. I have a mixture of severs. some serving 3 days, some...

  21. Female Inmates?

    RN.38SPCL replied to PMFB-RN's topic in Correctional

    Exactly. If you have a request from a female and think you'll need to assess in person, go to the floor officer and tell him or her that you need to see "soandso" as soon as the officer has time. If...

  22. Is teaching signs and symptoms a good idea?

    RN.38SPCL posted a topic in Correctional

    I have 2 inmates right now that want print outs of side effects for their meds as well as signs and symptoms. Sounds like a legit question from anyone else. I know if I educate them they'll suddenly...

  23. Changing specialties to corrections

    RN.38SPCL replied to hotob's topic in Correctional

    you'll do fine. dress business casual as you would for any professional interview. no one has to teach you how to be a nurse. you got that down. the prison/jail is what you'll be learning. i read a...

  24. Changing specialties to corrections

    RN.38SPCL replied to hotob's topic in Correctional

    I'm kidding. You'll see what I mean after awhile. Men are the biggest babies. You'll like it, it's not a hard

  25. Changing specialties to corrections

    RN.38SPCL replied to hotob's topic in Correctional

    :yeah:Nothing will change, you'll still be delivering