mikethemurse BSN, RN

Member

All Content by mikethemurse

  1. mikethemurse

    Nursing Behind the Wall

    Most nurses rarely consider corrections as a specialty, if they even realize that jails/prisons employ nurses. Of course, when you think about it, it makes sense right? The inmates can't just call and make an appointment with their PCP, or go to the ...
  2. mikethemurse

    copy-cat" acts of self-harm

    First, Iam sorry you had a tough shift. How long have you been in corrections? The reason I ask is because, maybe this is a regional thing, but that type of thing was pretty much par for the coarse in most of the several county jails I have been in. ...
  3. mikethemurse

    What is your crazy?

    So my father, an nurse for 38+ yrs always says, and I believe it to be true that we in order to be able to do this job have to be just a little neurotic...that being said what are your crazy little things that make you a good nurse? Here are some of ...
  4. Hi all! Haven't posted in a while, but am making a come back. I wanted to do a post that would generate some good moral, as I have noted a lot of slightly on the negative side topics as of late. ( not counting I got a job/ tell me about the job stu...
  5. mikethemurse

    Pursue corrections right out of college or acute care first?

    First of all thank you for your interest in our specialty! Personally because of what Lilred said about the good assessment skills, and also the autonomy, I think that it is a good idea to get some acute care under your belt. In my state, they pay by...
  6. mikethemurse

    Your advice for a new RN Intern

    Ok without knowing the type of internship, some general advise to a newbie...be open to constructive advise of your preceptors, just because someone is telling you that you have done something incorrect doesn't mean they are a bully, or eating young ...
  7. mikethemurse

    How did you decide on your specialty?

    I fell into corrections about 6 yrs ago, never learned a thing about it in school but use everthing and then some in this field...my advise is 1. find a job, 2. as stated above be open sometimes you will love something you never even thought about....
  8. mikethemurse

    Do you carry around your stethoscope?

    WOW! I had to leave a comment on this one. I am a corrections nurse and depend on my assessment skills above everything. There are no mds on site ( i work overnight) and if I don't catch something, then people die. My stethoscope is another appendage...
  9. mikethemurse

    Saving Lives, 1 cup of Gatorade at a Time!

    Again, like in any other situation you have to take the whole patient into account. As a rule I error on the side of caution. With the limited resources most of us have it is easy to mistake PE for MI or Bells for CVA or cellulitis for DVT. Our job i...
  10. mikethemurse

    Saving Lives, 1 cup of Gatorade at a Time!

    rnforlongtime, I didn't think CVA b/c no other symptoms present, and no other risk factors, aside from the decreased control over facial muscles, no droop, no slurred speech, 26 y/o with no hx drug use, vitals stable. I did speek with an MD who inde...
  11. So I just came across this thread, and had to tell this story, by far and above my father's best nursing come back...(I may have mentioned in other threads, my dad also an nurse x 38+ years started out in the Navy, and takes little crap from anyone. ...
  12. mikethemurse

    Nursing Behind the Wall

    Good luck Tommo!
  13. mikethemurse

    Question About Proper Process

    Anytime, and good luck!
  14. mikethemurse

    Question About Proper Process

    hi, wow...that is not how it works! First, I have worked in several facilities during my time in corrections, and what I am used to is having a protocol book with standing orders for nursing sick call, anything above that the md must write. now depen...
  15. mikethemurse

    what age did you decide to become a nurse

    I grew up with nursing, my father has been a bed side RN for 38 years, so I pretty much always wanted to go into the field. I had I guess what you would call a rebellious period right out of highschool and totally went the other way and got a B.A. in...
  16. mikethemurse

    Nursing Behind the Wall

    Good luck CEO! I didn't really have time in an already long article to touch on safety. I am safer than any hospital nurse! In the hospital I have been spit at, yelled at, and even had a little old lady s/p spine sx try to punch me out! In the jail...
  17. mikethemurse

    Sick Call costs

    Sick call: Doctor, Dentist, Nurse, ect... $10.00 OTC meds: $3.00 Rx meds: $5.00 Chronic Care: NC Indigent: get charged and have a negative balance on their account until it is paid. No soups till you pay for medical. The charge is a non issue for me....
  18. mikethemurse

    Miss Manners for Nurses

    Reason # 256 why I love being a corrections nurse...no darn satisfaction score cards! Almost as good as # 26 NO CALL LIGHTS!!!
  19. mikethemurse

    The Paper Trail

    Sounds about right, and you will deal with this time and time again in this specialty. The best advice that I have is just to document, document, document. Also, if the inmate is becoming verbally abusive, where are the COs, and why is he not being ...
  20. As a man who has worked with all women for most of my life...don't crap where you eat. Never any good can come of it. Look anywhere but where you make your money!
  21. mikethemurse

    Mantra?... Whats yours??...

    Don't sweat the small stuff!
  22. mikethemurse

    Nursing Behind the Wall

    Orca, me too!
  23. mikethemurse

    Nursing Behind the Wall

    avahnel, no I didn't delve into the "safety" issue, mostly because it was already a long article, and mentioning everything would take a book! I too feel very safe where I am, and have heard of some nurses, even my own father being attacked by people...
  24. mikethemurse

    The Dark Side of Passion

    I know what your saying, I don't work in the ED, but I do work in a high stress, high responsiblity job, in corrections, and have felt exactly the same way, and have as we say in jail, gotten out of character from time to time. Keep your head up, we ...
  25. mikethemurse

    Nursing Behind the Wall

    Spinmass, glad it helped. Good luck in school!