amesly15

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 to self medicate. Is there anyone out there who u...

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 MD. We varified that was the medication. We have sta...

What is a gunner?

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 policies and procedures, overseeing day to day operati...

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

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 you

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

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 ...I hope. I am learning as I go along but definate...

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. The MD is in favor of using KOP meds. But when I ...

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 jails do? I have seen protocols that say monitor into...

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 days a week. Currently nurses have been working 12 ...

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

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 county jail.

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. thanks

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

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 autnomous. Since writing my first thread I have learned mor...

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 posting a position for a Supervisor of the nurses ...

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

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! Patti

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 PT/OT/SP visits that will be made. There is a list of the...

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 the new MO426! Makes my head spin

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, other supervisor calling me to ask questions, social...

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 the 485 is the teaching documentation would be los...

You could check out their outcomes on HomeHealth Compare.

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