jailDON replied to PsychRN-Kris's topic in Psychiatric
I have a lot of experience with borderlines. In order to deal with their need to consume of lot of your attention and time as a floor nurse with 8 patients this works: First accept that the borderline will get your attention one way or another. Th...
jailDON replied to Thunderwolf's topic in Psychiatric
I am moderate on three of the things. The bad thing is that as a psych nurse, I knew what was the "right" answer and what was the "wrong" answer so I had to really try and be honest with myself.
jailDON replied to Junebuglady's topic in Correctional
Same here in Texas.........the 8 hour shifts mentioned above. We also have 16 hour shifts on the weekends for nurses who only want to work weekends. The company would like us to phase them out though. Also I agree with the others. Get a year or s...
jailDON replied to prozac1853's topic in Correctional
I have seen HIV patients with active Tuberculosis not react at all. The reaction is dependant upon the body's immune system to be in working order. Once an employee came to me distressed because the evening RN read her TB test as a positive. She ha...
LOL, a pimple! You never know what you are going to see. That's why I tell my nurses to never triage over the phone. Maybe after everyone gets used to you and learns you are smart and know what you are doing, they will show more respect. Are you o...
LOL, a pimple! You never know what you are going to see. That's why I tell my nurses to never triage over the phone. Maybe after everyone gets used to you and learns you are smart and know what you are doing, they will show more respect. Are you o...
jailDON replied to stevierae's topic in Correctional
Brickman, I think you are right. Many times medications or certain treatments are part of a parole or probation agreement. My experience is that inmates do have the right to refuse. If they are incompetent to make their own medical decisions, we ge...
jailDON replied to stevierae's topic in Correctional
Brickman, I think you are right. Many times medications or certain treatments are part of a parole or probation agreement. My experience is that inmates do have the right to refuse. If they are incompetent to make their own medical decisions, we ge...
jailDON replied to prozac1853's topic in Correctional
Use of UAPs to medicate is dangerous. Med nurses (LVNs at my facility) do visual assessments as they pass meds, make referrals to the clinic on people who would not ask for help otherwise, and have saved lives. We use UAPs for planting and reading ...
Wow, I probably have many conversations with my supervisor that I should not have behind those walls. We don't really say anything wrong but we talk a lot about the relationship between security and medical.
Sounds like he jealous maybe and doesn't understand that there is a lot of responsibility that goes along with your profession. Great move to network with other nurses in your area.
In west Texas the pay is $16-$19/hour. The key is in negotiation IF your area is short nurses. Try this....Don't ask what the pay is but TELL them what pay you require.
jailDON replied to CHER-LYNN's topic in Correctional
Sicker and sicker inmates are the trend. Long past are the days when the typical inmate is young and healthy. The average age is getting older and older. The rising costs are a sign that your community is not dealing well in the areas of the menta...
Dixiedi - all true. You didn't comment on the bugging issue. Did they record phone calls in the institution you worked in? NurseT - on the labor laws....The only thing I can find out is that salaried people in my state are expected to work 40 hours...
"I'm beginning to wonder if they've got me bugged." It's very possible. At my jail, every call that lasts over 3 minutes is recorded. Listening to the recordings is done randomly and only a small percentage is monitored UNLESS they suspect somethin...
Great job....you have some good people behind you. Keep the medical director involved. He can sign your job description. :) I've learned that respect starts at the top and trickles down. Officers that are disrespectful to nurses are allowed to be...
The jail I mentioned in which I had 3 employees, there were 120 inmates. You need more help really with 200 inmates. It's acceptable for "health-trained officers" to perform some duties such as Intake screenings and give meds if they have appropria...
jailDON replied to SKSpitz's topic in Correctional
I work in a Texas jail. RN pay $22.50 to $24.00 ($5.00 less than hospital pay) LVN pay $15.00 to $19.50 (comparable to hospital pay) Measly shift differentials $1.00 for evening and $1.50 for nights. No weekend differential No sign-on bonuses. Hospi...
Ok, I'm getting a clearer picture. You are in a very SMALL jail.......how many inmates are you responsible for? You are medicating and doing everything. How do your inmates get their HS meds? Who medicates on the weekends? I'm suspecting it is tr...