amesly15

amesly15

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All Content by amesly15

  1. Meds in jail first 30 days

    amesly15 posted a topic in Correctional

    I work as an RN in a county jail. We all know the type...inmate comes in, hasn't been to their mental health clinic appointments in months, quit taking their medication, and started using street drugs...

  2. Drug use and drug testing and Klonopin

    amesly15 posted a topic in Correctional

    I work in a County Correctional Facility. My question is...what do other facilities do with inmates booked in who say they are on Klonopin? We had an inmate who had been taking Klonopin through his...

  3. Bad Boys, Bad Boys... How do you handle them?

    amesly15 replied to valzRN's topic in Correctional

    What is a

  4. Correctional Nursing Supervisor

    amesly15 posted a topic in Correctional

    Hi all. Recently I have applied for a job as Supervisor of nurses at our local correctional facility. I ask what the job description is and they said...this is a new position, you will be writing...

  5. Unbelievable inmate requests

    amesly15 replied to deyo321's topic in Correctional

    "I have a bad case of swamp a**" I didn't even want to

  6. Jail Opiate Withdrawal

    amesly15 posted a topic in Correctional

    Hi all, I am interested to hear from you that work in County Jails...do you have an Opiate Withdrawal Policy and if yes but is it? thank

  7. Jail Opiate Withdrawal

    amesly15 replied to amesly15's topic in Correctional

    Thanks all. I am developing a policy for opiate withdrawal. We send those with ETOH withdrawal out to Detox at the local

  8. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Well, I am about one year in and it has been a good fit for me. I am working at a County Correctional Facility that is small. I have made some positive changes that make things easier for the nurses...

  9. Keep on person medication

    amesly15 posted a topic in Correctional

    I am new to corrections and have read about keep on person medication. This seems like it would be helpful in cutting down on the number of inmates at med call that just come for Ibuprofen or Tylenol....

  10. Alcohol Protocol County Jails

    amesly15 posted a topic in Correctional

    I have been reading protocols from county jails. Some say send to hospital if alcohol level over 0.25. As I am new to the county jail and helping the MD with protocols....I am wondering what other...

  11. Staffing ratio in county jails

    amesly15 posted a topic in Correctional

    What are your staff to inmate ratios in county jails? Is it usual to have one RN for 120-140 inmates? Seems like at least 2 would be needed. My DON is saying she wants 16 hours covered 7am to 11pm 7...

  12. Staffing ratio in county jails

    amesly15 replied to amesly15's topic in Correctional

    Thank you Birdy Oh...I am new to corrections and forget that these inmates are not supposed to be

  13. Mar

    amesly15 posted a topic in Correctional

    For your medication record...do IM's need to sign for meds given and / or refused? Where can I get a MAR with room for several meds on it? I am also looking for a charting system that will work in a...

  14. Mar

    amesly15 replied to amesly15's topic in Correctional

    IM's yes inmates...I think there is a standard that says if inmates refuse treatment they have to fill out a form but that sounds reasonable to document med refused and report if refused 3 times....

  15. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Going to go for it...I got the position. I am looking forward to the challenges.

  16. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Thanks BradyR...tomorrow is my interview. For many reasons ...I do feel this is the job for me. Prior to being a Nursing Supervisor in Homecare I worked in the field for 8 years and was very...

  17. hours

    amesly15 posted a topic in Correctional

    Do any of you work in a County Correctional facility? If yes I am wondering what hours are covered by nurses. At our facility the nurses cover 7am until 7pm then take call from 7pm til 11pm. They are...

  18. Correctional Nursing Supervisor

    amesly15 replied to amesly15's topic in Correctional

    Thank you for the advice. The NCCHC website is a great place for me to start

  19. Be careful where you sit!

    amesly15 replied to Sharlyn's topic in Home Health

    In houses where we are aware of urine in chairs...we wear 2 aprons...one backwards to cover our butt! I learned that from a veteran!

  20. Oasis B 1 2008

    amesly15 posted a topic in Home Health

    Well, we are getting ready for the new Oasis and I read that some agencies are designing grids for the answer to MO826 the therapy threshold question - where we will now estimate the number of...

  21. Oasis B 1 2008

    amesly15 replied to amesly15's topic in Home Health

    Thanks all...looks like we will be having therapy give us the answer to MO826 ASAP. What would homecare be without yet another change? We too are training on MO110. Also focusing on MO230/MO240/ and...

  22. Calling All HH Supervisors and Managers

    amesly15 replied to JennyHHRN's topic in Home Health

    and I thought I was the only one experiencing all this. Add staff calling in and trying to cover their patients for the day, rehab staff's clerical asking numerous questions about coding and oasis,...

  23. Need Help With Care Plans

    amesly15 posted a topic in Home Health

    The agency I am working for is looking at using the 485 as the Care Plan. Does anyone else do that? We are on computer and there is so much documentation that can be used. My concern with working off...

  24. NHC HomeCare

    amesly15 replied to Monica RN,BSN's topic in Home Health

    You could check out their outcomes on HomeHealth

  25. Acute Care Hospitalization

    amesly15 posted a topic in Home Health

    What is your agency doing to decrease acute care hospitalization rate? I am especially interested in rural