deyo321

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.

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!

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...

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.

I would have gotten the order. You had to call the MD any to report error right?

"Bet you won't run from a police dog again."

I call my provider and get the order from them. All orders come from inside.

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.

I believe the above post is the answer they were looking for.

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.

Sounds like your getting leg pulled...but what do I know. One nurse puts on an appreciation day for how many officers?

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.

Wellbutrin is known as poor mans cocaine. We have vveerry few XR/SR, it is not on our formulary secondary to cost.

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.

I just avoid orange...lol

Our bag has individual bags (like shaving kits) velcroed in so you can rip out what you need. Like one is diabetic emergency, IV start, etc. We have all the regular stuff, but I made myself a "lac" bag out of one. I seemed to be responding to cutters frequently, so I made myself a bag with exactly what I need on the scene for lacerations. I mean you dont need O2 for superficials lacs. So everything is in one place the way I like it.

Yea thats one I like... if your yelling at me I am pretty sure you are breathing!

OP is from a female.... This one threw me for a minute: "I have Fishers" say it... I had to; lol I was trying to think of some obscure disease!

I think leslie that I disagree. Never thought that would happen. My rationale is because we are pretty much compelled to offer help. You can't just walk away from a bleeding person because they are combative, or tell that little old Grandma to take a hike when she scratches you, you still need to provide care. That in my mind raises the level of a medical professional to someone who should be better protected by the law. I don't even like saying that because I also like to believe that everyone is equal. Ahhh the dichotomies of me. That being said it wont prevent it from happening, but maybe it would make more people aware of the issue.

Another reason I love my job. An inmate tries to take a swing at me he will be kissing linoleum. And he will definately be picking up charges. I am so much safer here than even in the nursing home where over the years I have been scratched, pinched, spit at, and slapped.

I just got this has an inmate request to see the PA: " The breakthrough pain is becoming worse and causeing diminished dexterity and constant mental distraction" (yeast infection) I kid you not it reads just like that. Can't make this up. Diminished dexterity from a yeast infection...hate it when that happpens.

Think about corrections. Emergencies AND no Press-Gayneys. No families to have to cater to. Always interesting.

It will depend on how the facility uses them. You will have med passes, treatments, assist with MD and PA call, intakes, emergencies, detox, and documentation. It is much like a blend of long term care, clinic, pysch ward and ER. Good luck. It is the best kept secret in nursing.

It could also denote UA dips that are grossly positive for blood, Leuks or bilirubin. That was what came to my mind first.

First don't beat yourself up. Med errors suck, but they happen. Myself I probably wouldn't have circled another nurses initials. Though your investigation probably turned up the correct information you should have (as you now realize) passed the info on. This happens in jail where the inmate will come to med pass and say they didn't get their morning meds, I can't administer them if they are signed off. ( not that I would anyway) Maybe the nurse ran out of time to go back and circle them but I usually will not call for a one time time change order. In working with INH and B6 I probably would have called the doc and told them what I believed and then let them give me the order to give a second (presumably first) dose. This would have covered you in the event that she claimed she did give it, which she had to claim because it was signed out and you would have rested easier beliving the therapy was followed correctly. What always chaps my hide is the inmate who takes the med looks in the cup takes the med and then says "I don't think that was mine, what was that?" Are you ******* kidding me? Too late now. The inmate who took the meds could accurately describe 4 pills that he took? Do they even look like naproxen? Which I am assuming is one pill? Geez take some responsibilty for your own health. Sorry my own rant... good luck let us know how it goes.