tazpint

I worked at MECC in Pacific. I agree with the medication reductions you are attempting. I just hated to destroy all those meds that no one took but were contaminated after being in the IM cells. What a waste.

I worked for CMS in Missouri for 4 years,and we had a great staff and team. The administrator had hired too many RNs just before an audit so we could be compliant. After the audit they had to offer them another position somewhere else or lay them off and hire the needed LPNs. In my experience CMS would rather have LPNs so they save on salary. I liked my job there,but I did not agree with their way of running things.They did anything to save money.They would deny procedures and more expensive medications to save money.They pushed their doctors to see more inmates in a shorter time.I would not work for them again.

:roll I HEARD THAT.

Hi blackcat,the reason the loving and kind nurses have trouble are they have not earned the respect of the inmates.You have to be fair,firm, and consistant with them and then the staff and the inmates will respect you. I have more problems with the officers atempting to play doctor and try to diagnosis inmates and then send them down to me. I had one inmate who came down at 1am with a headache and when I explained to him this was not a medical emergency and he should put in a medical request slip for otc apap he said," ..but the officer said I might have an anuerysm." Of course I called that officer and explained,I really doubted he had a medical degree and even if he did he wasn't hired to practice medicine here. I was sooo mad!

I have worked in a minimum secruity prison in Missouri. They are not too bad. I think in their max prisons is even better,but you work for a contracted company called CMS.Thier pay scale is low and no retirement. I worked the 3rd shift and did not put up with any bogus emergencies. I evaluated them,documented what my assessmnet was and if it was bogus,sent them back to their cells with a medical services request slip which they are required to fill out and go through that process if it is not a real emergency.This was the safest environment I have ever worked in. I enjoyed the experience.