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psysn

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  1. claudja, I'm so sorry you're having to go through that. We had an inmate with psychogenic seizures as a result of conversion disorder, and it's difficult for even professionals to understand that what is often referred to as "psuedoseizures" in the medical literature does not mean "fake," but actually means "looks like." I hope you are able to find some sort of help for whatever is causing your psychogenic seizures. There is a huge difference between what you are experiencing and what happens when an inmate fakes a seizure event. I hope my comment did not offend you, as it was not my intent to make light of conditions such as yours.
  2. Certification as a CCHP is required before being able to sit for CCHP-RN. http://www.ncchc.org/CCHP-RN Good luck sitting for your FNP!
  3. I used to work there. There is an infirmary, an urgent care, dental, dialysis, optometry on Stateville side. They also have the Northern Reception and Classification center, which has a psych infirmary, urgent care, receiving, and dental. Interesting factoid: Stateville is one of only two prisons in Illinois that has on-site dialysis. Yes, you cross train for all assignment areas. Dialysis is handled by a separate contractor so you aren't trained on that. Orientation is four weeks, unless they changed it. You would orient on all three shifts before going to your final shift. There is a physician. Possibly another part time MD and a PA/NP, depending on if they have those positions filled. Someone takes call after hours for emergencies. Regarding time for med passes, . Depends on who you're working with and which med pass you're assigned to, as well as which shift you're on. I wouldn't describe it as "more than adequate," but it's entirely possible if you do the work and don't waste time. Wear comfy shoes and support socks. Apply, take an interview, and go in and see it for yourself. It's the safest place I've ever worked and one of the most interesting. On a completely unrelated side note, my internet browser's spell-check wants to change "Stateville" to "Evillest"
  4. Multiple choice, I don't remember how many questions, around 100 maybe? Good luck!
  5. I took it, and passed, at the NCCHC conference this past October. It wasn't too bad. I read through all the Prison standards (as my employer is a prison), and skimmed through the juvenile and jail standards. The most helpful and interesting, however, was the bigger book, Correctional Healthcare: Guidelines for Management of an Adequate Delivery System. Although I do have a habit of reading administrative and institutional directives in my downtime, which in my state were heavily inspired by the Standards, so some of the standards were review. Be warned the standards are not very exciting reading, but being more aware of them does make you much more aware of your responsibilities, and I feel a lot more confident at work knowing what the expectations really are.
  6. I have made it through 2/3 of the interview process for a part time position, and have a peer interview scheduled for next week. After speaking with my spouse, we've kind of decided that it would be best to stay with my current employer. I'm not sure what to do from here. Should I call and cancel the peer interview? Go through with it and wait until they extend an offer before declining? Of course I'm not so confident to assume that they will decide I'm the best candidate, but I've never had the luxury of searching for a new job while employed and it's a bit nerve wracking from a professional etiquette standpoint. The new position would be essentially the same pay, but about twice the commute and half the hours. Any advice would be greatly appreciated!
  7. One trick a coworker shared is rubbing a handful of ice on the person's belly. If they're faking they recover instantly, and most of the time they start to "come out of it" when you loudly ask the nearest officer for a handful of ice. I've never actually tried it, but there were no fake seizures on that nurse's shift!
  8. i had a coworker who constantly interrupted while i was giving her report. one time she breezed in at the last minute, plopped down, and i swear the words out of her mouth were "you don't have to give report i already know everything." so i said (to the back of her head) "okay, have a good night. the one in 3 should be back from the er within the hour and 6's picc line flushes beautifully, vanco's in the med cart. see you tomorrow." she turned back around and quit talking right away! other times i just talked over her when she tried to talk about her dog, kids (sorry, it's not that your kids aren't awesome but i get written up for unauthorized overtime), boat, fishing, some random thing she saw on tv. usually she'd get the hint pretty quickly, other times i'd just keep talking over her. going silent just encouraged her to keep talking. i never asked permission to give report, never asked if she wanted it. you're here, clocked in, getting paid, you're taking report now and can socialize during your break.
  9. I took a job 2 1/2 hours from home. Got a cheap apartment midway, went home on my days off. Did that for eight months and now am transferring to a site 30 minutes from home. For me, it was worth it, I was nine months past graduation with no job, digging a hole in my savings to avoid defaulting on student loans. My spouse was super supportive the entire time (even though he only saw me maybe two days a week) and as soon as an opportunity presented closer to home, I jumped on it. What is there to stop you from applying? Remember that even if they offer you a job that doesn't mean you have to accept it. You can keep looking for something closer in the meantime. Have you considered looking at psych units of local hospitals to see if any of them have full time positions available? Good luck!
  10. Any advice on transferring from a women's medium security prison to a men's maximum security? I put in for a transfer for a number of reasons. Any advice on making the transition? Or how long it takes to get notification that the request has been received? I will call Monday if I don't hear back from them this week. My main concern is the lack of training; I have been working for seven months and have had absolutely none of the mandatory training, so I'm concerned my request will be denied because of this. Everyone is encouraging me to make this transition. The nurses and security staff all know I have a 3 hour commute right now, and the men's prison is only about 45 minutes from my house. Between the commute of doom and the inability to get the training I'm required to have, I'm just about done and would have quit a week ago if I didn't need to work. As much as I do like my job, I'm so frustrated right now. Any advice on this would be greatly appreciated, even if it's just telling me to put on my big girl pants and get over it
  11. next time watch the machine for a few minutes. this video might help you understand: http://www.wonderhowto.com/how-to-use-sentinel-enteral-medical-feeding-pump-381991/ pay close attention at time markers 4:00, 7:45, and 10:00
  12. We have issues at the prison I work at with professional boundaries. Most of the nurses invite the inmates to call them by their first name. At first I went with it. After some issues arose with another nurse being way too friendly and sharing personal information with the inmates, I stopped letting them call me by my first name. Most of the inmates were perfectly fine with it and picked up on it on their own very quickly. But we have one who pitched a fit when I told her she needed to adress me as Nurse Lastname and demanded to know why. I never address any inmate by their first name unless they are unresponsive. Some of the nurses have a problem with me not wanting to be called by my first name. Just because they've been working there for 10 years doesn't mean I'm going to go against administrative directives and compromise myself because they tell me it's okay. I've gotten a lot more respect from the inmates since insisting on last name only, and more respect from the correctional officers as well. featherbean, you don't have to be large or loud or mean or tough. Just be firm, fair, and consistent. Know your boundaries and stick to them. I'm also a small framed female that smiles a lot, and the inmates know they won't get anything by me. You can make it work. Another good thing to remember is "That is a personal question and I will not answer it."
  13. Someone got really snippy with me the other day. She said "A spider bit me," so I asked the very reasonable question of whether she saw the spider that bit her (yes I am fully aware that they call boils "spider bites" but she said one bit her so I was hopeful that some creepy crawly had actually bitten someone this time around). Another screaming across the compound that she can't breathe. Pretty good volume for not breathing! (O2 sat 99% on room air... we think she's going to make it) I flat out told the doctor I would refuse to carry out an order to trim someone's short'n'curlies for them. He didn't write it, but she keeps asking about it at med line.
  14. I work at a medium security prison, and the diabetes line runs about as you said. Sometime between 4 and 5am they call the line to come to healthcare, and again around 5pm. Those who need more frequent checks get passes to come over. They do their own check, most of them give themselves their own insulin (we draw it up and make sure the needles go in the sharps box, every needle is accounted for). No computerized charting, so everything is hand written, often in more than one place. We have a physician there four days a week and he's always on call. We also have a nurse practitioner and dentist there four days a week. There is a provider on site every weekday except major holidays. This is my first job as a nurse, and except for the commute, I absolutely love it. There are frustrating moments but you'll get those anywhere. You might try checking with the American Correctional Association to see if they have guidelines; we use a lot of state directives that might not be available online but your state department of corrections might have something you can reference.
  15. psysn replied to psysn's topic in Correctional
    Thanks for replies. I've been there about two weeks and have gotten lots of one-on-one time with the other RNs and the LPNs, so they didn't just toss me in like I was afraid of. I spent a full week on first shift before going on second (my shift), and I requested to work a third shift with the night nurses. I've been doing sick call and taking the infirmary, but I haven't done medline or seg sick call yet. It's very different, and I've only had two inmates try to argue with me. One crazy day that started with a code at shift change and just went downhill from there. Sometime in the next month or so there is a one week department of corrections training. The only thing I'm having any issues with is getting the inmates to call me Ms Lastname, because all the other nurses let them use their first names, even though it's kind of against protocol. So far they've been respectful, and only once did a CO have to intervene when an inmate started getting riled up because I wouldn't give her any more meds for her cold. It's a lot of relying on nursing judgement and realizing that I'm the rapid response and code team. I did almost snap at the doctor for not taking something seriously when I called him about what I believed to be medically urgent. But that's probably something that could happen anywhere, and I will see that inmate tonight at treatment line so I can follow her and make sure she's not going to keel over.

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