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HIPAA and Correctional Officers
Mouth checks are safety and securities concern. The LT should post at med pass and check each inmate. If I have an at risk inmate refusing their anti-pyschotic meds I will give the pod Officer a heads up. In segregation med refusals are logged in the pods briefing.
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C-diff Protocols?
Nothing to add (except now I am thinking about writing a c-diff protocol) but Wooh your quote made me laugh out loud this morning...thanks!
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Thinking of going to corrections
I am very lucky where I work: I had an officer tell me yesterday that when he was training a new officer he told them the nurses have it "dicked" here. I said what? He said "you all walk into work and have like 57 secret service agents ready to jump in front of you" Isn't that the best? I also think that if a nurse ever got hurt on their watch they wouldn't want to live that down. Also we have candy and motrin so...
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First Death Threat
Why did other nurses give it if facility policy is no sleepers? Just sayin... I had one inmate yell "It's your job to give me what I want" which struck me as so funny that a laugh escaped before I could put on my game face (thinking hooker) to which he yelled " I want that ***** fired!" Oh well...and he works at our local brew pub restaurant.
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New nurse still on orientation and first med error?
I would have gotten the order. You had to call the MD any to report error right?
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Silly random nursing thoughts, one sentence, NO JUDGMENTAL FOLKS ALLOWED
"Bet you won't run from a police dog again."
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Orders for Offsite Procedure Prep
I call my provider and get the order from them. All orders come from inside.
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Real vs fake chest pain
This is always difficult in Corrections the old MI vs anxiety. UUGGHH one of the worse. Are you staffed with more experienced nurses? Follow the protocol. If you can, get help. Observe what more experienced nurses are assessing. I can tell you that you develop a kind of gut intuition in nursing. You want to assess accurately, but...when in doubt ship 'em out.
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What 2 do if u r called to a man down?
I believe the above post is the answer they were looking for.
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Department of Corrections Nurse
Just so this is clear; I am not a first responder, corrections is. I am on the scene only after a successful lockdown and security ok. Many of our Officers are EMT's, ex-, or current military and firefighters. They are extremely well trained and in emergencies I have no problem being part of a team and appreciate what they bring to the table. Some have more emergency background than I and I am always glad when they are with me at codes. I am lucky where I work. Check out the facility because just from reading here you iwll see that there are vast differences.
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Officer Appreciation Day?
Sounds like your getting leg pulled...but what do I know. One nurse puts on an appreciation day for how many officers?
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Increase abuse of Bath Salts
I am in a jail and all weekend its been bath salts. Does anyone have a detox protocal for this? Is one necessary? I think I am just going with medical confinement x 48 hours secondary to paranoia/increased SI. Keep em on a close watch. Anybody doing anything different? This last one said the federal government is pulling it in 12 days. Course maybe he is just paranoid but generally druggies know more about their drugs than professionals. I hope so it is sad.
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I/M cheeking and snorting meds
Wellbutrin is known as poor mans cocaine. We have vveerry few XR/SR, it is not on our formulary secondary to cost.
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What to do after being fired.
Getting fired is devastating. However I'd venture that it is pretty common in nursing. Part of the shark tank mentality that we allow to prevail. I bet a show of hands would turn up greater than 50%. Some take it as a badge of honor, because what it generally means is you stood up for something or someone and management didn't like it. That being said I understand there are some heinous nurses that shouldn't be allowed to care for plants, much less people. But I'd venture that a large precentage of nurse firings are personality related. Me? I'd have two hands up. Interestingly enough (and maybe to inspire hope) I was fired from the county nursing home because I "wasn't a good fit" when a new DON came on board. Yes I was under 6 months employed. I now work at the county correctional facilty and have for years. So it was a blessing in disguise because I love what I do. Good luck. Focus on the positive.
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Scrubs for Prison
I just avoid orange...lol