Thank you for the quick response. After I asked the question, I also emailed the nurse who inspects the medical departments in jails from our state (New York) and she just flat out said that they are not used. Our jail is not currently accredited, but is working toward that, thus the policies. This is all new to me, have spent last 40 years in hospital and then nursing home and through unusual circumstances, find myself in a jail setting and actually the "head nurse" after being there about 4 months working part time. On a good day, I like it, but not all are good days, mostly because I am alone, and no one to ask questions of so appreciate the willingness of others to share. Thanks again for responding!