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kimned88

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  1. I very much hope it works for you. Maybe your jail is set up differently, but in my jail the nurses have way too much autonomy. I know I personally could not have handled running a code by myself for a young person that was lifeless from hanging or any other numbers of ways of dying after 6 months of nursing. In some situations, that would be called for in my jail.
  2. Will an inmate come to my home?....only if you ask REALLY nicely!:chuckle
  3. I tried to hire a 6 mo nurse...will NEVER do it again...3 years minimum unless ER, then MAYBE 2 years!
  4. ER without a doubt. As a DON at a 2700 bed jail, I won't touch a nurse without at least 3 years...unless they have 2 in ER, then I will consider.
  5. NEVER! Not for searches, not for extractions...just the aftermath!
  6. I belong to both ACA and NCCHC. I have to say that as far as bang for the buck goes, I am much happier with NCCHC. I explain it like this. Both NCCHC and ACA are like JHACO for jails. However, NCCHC inspects medical and includes the jail. ACA inspects jails and includes medical. Just my humble opinion! I worry much more about my NCCHC inspections than I do ACA.
  7. I am a DON at a county jail, the same as the poster above me, I assume! I can tell you that in the 4 years that I have worked there, there has been only one nurse injured by an inmate. He had just had a seizure and wanted nothing more than to sleep. This was a pattern for him. The RN decided that she HAD to get his BP. The third time she pulled him from under the blanket to wrap the cuff around his arm, he caught her on the cheekbone. She had a nice shiner for a week or so. No permenant damage. My comment to her was, "He was moving, therefore he had a blood pressure, what the hell were you thinking? Just chart non-cooperative and life goes on." Apparently she agreed. That was 2 years ago, no charges were ever filed, and she still works for me! P.S. He felt AWFUL when he was told what he did. I also had urine thrown on one of my nurses 1 1/2 years ago. Lower body only. In 4 years, I would like to see an ER meet those numbers. I don't think they could. So the answer is, it depends on your jail, the tolerence level and, I believe, the security level. Most county jail inmates are out in less than 2 years, they care about extra charges, Max security seldon care about an extra charge of assult.

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