angelj

scrubs can be any color, the OFFICIAL CDC rules state no blue DENIM. crocs are not advisable, you need a good pair of tennis shoes as you do alot of running and need to prevent your elf from injury, protect your feet well. I always wore bright colored scrubs in prisons. you are more easily identifiable as a non-inmate by the guntower officers with the shot guns.

you get ranked, then you have to take the state exam, then you get interviewed. go to ca.gov, state personnel board and they list when the exams are being givenand the positions opens, the job descriptions and the "hot jobs" it's a long procedural process. there is a hiring freeze on now at least until the end of June, the end of the budget year. you can also contact the federal receiver's office or look on their website as they help with information and streamlining the hiring process. there is alot of information for youon the website cprinc.org (it's under ca.gov california prison health serices

there is a hiring freeze until the end of the budget year (end of June).

custody secures the scene FIRST. an injured nurse cannot help. be ready to help as soon as the environment is secured, this ensures everyone's safety. then do an assessment, there are many resources to learn a 30-60 second patient survey to determine the problem in emergencies. unconscious? first, assess their pupils with a penlight flashlight. equal and responsive or no? the eyes are the window to the brain and no one can fake pupillary response, but check the record if they have had a know altered pupil from a prior injury, it it very helpful. if unconscious, proceed with nursing emergency protocols until the actual condition is know, i.e. a medical diagnosis. a good, thorough, accurate nursing assessment, documented, is the best thing to do and direct to higher level of care. if it is ouside of your nursing scope, the patient needs a higher level of care. be objective and non-judgmental. The biggest mistake is assumptions, even if you know the patient well. do an objective assessment each time, the outcome will be much better all the way around.

Hi, maybe a conceptual framework will help. You are a nurse delivering care wihtin a security environment. always address priosners as you would address any patient under your care---with dignity and respect. Adrress them formally as Mr. or Ms, but don't be afraid to just ask them by what name they wish to be called as your patient. For every patient listen to what their complaint or needs carefully. listening skills are the most powerful as you don't waste time with a power struggle and it helps you start your assessment. A good nursing assessment, documented usually will identify the appropriate problem and intervention. Use the nursing process to assess every request and validate first what the need is and identify what teaching needs to be done. The facility health policies define what you can provide or not provide. "manipulations" are unmet needs, focusing on assessment, problem-solving and interventions that help solve the problem usually work well. stay within the boundaries of a therapeutic nursing relationship. prisoners are patients first and if you treat them with respect and provide care that is effective you will gain respect quickly. keep your interactions about them, not you. do not talk about yourself or your colleagues and follow the institution security rules. give them the care you were licensed and educated to give, that is what counts the most. just be a nurse and be professional at all times, be yourself as a nurse. good nursing care is what they need the most and they also need education. do what your license requires you to do. you can ask them anything within the boudaries of your license. you don't have to talk to them in prison lingo; avoid it, it breaks down the boundaries. just address their health care needs to the best of your ability and stay within medical and nursing policy of the facility. This makes it alot easier and you will be fair and consistent and not have to worry so much about power struggles and manipulations. prisoners really just need nurses to be good nurses, they have no choice about who provides their health care. They test for what they can obtain. If it is within the health care polcies to provide them with something then make sure it gets done, simply tell them if their request is outside of policy. You never have to say you care, they ALWAYS know this by your professionalism and the way you treat them. Do not violate their trust or rights under HIPPA, privacy, medical and nursing standards,etc. Do not promise what cannot be provided, do not withhold what they are entitled to, avoid judgment and remember that establishing a therapeutic relationship is at the core of every interaction. you follow security but do not become security. adopt nursing attitudes, not security attitudes. it's not your job. security and nursing are separate functions and both need to be done well.

An RN can prescribe medications under standardized procedures defined by the Board of Nursing in the State of California if the SP's are according to the Board's requirements. In any other state, check with your State Board of Nursing as to your scope of practice as an RN and check if your board allows RN's to prescribe medications based on "protocols". Be very careful as many correctional facilities who use "protocols", signed off by physcians who have no legal authority whatsoever to do this under state licensing requirements. RN's are legally and ethically bound to follow their authorized scope of practice under their state license. Practicing ourside your scope of practice of your license means that you can be held accountable by your licensing board and in civil litigation. A physician's license never covers an RN license in any state, legally. Each license is governing by your state licensing board.