I work in a county jail setting and they have recently started giving methadone to inmates that are incarcerated. Has anyone else had to deal with this situation in a correctional setting, and if so,...
Crawsu replied to stephied's topic in Correctional
Medical is never involved in body cavity searches. We will draw blood with the patients permission for court ordered blood draws, but only with patient's
I honestly don't think anyone should attempt corrections without at least a year of hospital nursing under your belt. Inmates are master manipulators, as are many patients in the hospital, but you...
Crawsu replied to TexasNurseEducator's topic in General Nursing
I used to work 10 hour shifts and loved it. Get that extra day off a week, but not so tired you can't get much done. I find that my first day off after 3 12's is pretty much a throw away day as I'm so...
It is sooo not realistic. The first season wasn't bad, but it has gotten sillier every year. I mean, really, if there are inmates who have been involved n fights etc, they would never be housed in the...
Crawsu replied to NurseNikki5's topic in Correctional
I don't know how long you've been in corrections, but I'm going on 10 years and I have been spat on once, by a psych patient. I was assaulted more than once in hospital nursing and feel much safer...
Oh yes, the "smelling salts" work every time. You have to hold it there long enough though. The really saavy fakers know to hold their breath and breathe through the mouth. I had one, "seizure" who...
Crawsu replied to dazzle256's topic in Correctional
We have 3 night nurses for about 2000 inmates. We prepour meds for lock down units, but every inmate must show his/her picture ID with name for meds. You have to be careful and check ID"S. Many will...
I agree... In corrections you need to be able to think on your feet and react wisely to situations that may arise. In most settings there will be protocols or standing orders that allow more...
Crawsu replied to suecnm2b's topic in Correctional
Well, for starters, I would make sure all officers are educated as far as infectious diseases go. The most recent info on Hepatitis A B C and the risks and so forth, also diabetic education for...
Crawsu replied to nursebaby22's topic in Correctional
Well, I work in corrections at the jail and the parameters are very clear. No relationships with inmates whatsoever. You have a choice between your job and pursuing a relationship with the inmate. You...
Crawsu replied to stevierae's topic in Correctional
He probably had court ordered meds as a part of the parole agreement. Otherwise, inmates have the same rights as anyone else, and probably more so because of the threat of litigation. Anyone can...
Crawsu replied to stevierae's topic in Correctional
He probably had court ordered meds as a part of the parole agreement. Otherwise, inmates have the same rights as anyone else, and probably more so because of the threat of litigation. Anyone can...
We only dispense methadone to pts that are current in their program on the outside. Currently we have only 14 people on it. The clinic brings out the doses and the Dr.'s orders with it. It has to be...
I've been in corrections since 1996. Went to the interview solely out of curiosity. They gave me a ton of backround check stuff to fill out, then said, "If you want the job, fill this out and send it...
In the case I read about, the patient had swallowed the methadone, then regurgitated it for another inmate to take. I just feel that the methadone clinic is getting the gov't money to distribute this...
Jails are for short term violators. Jails rarely have prisoners sentenced to long terms. Most in my facility are there for a few days, months, or years, then leave for a few days months or years and...
Yes, the local clinic brings the supply. It is brought out in a locked box and we have the key in our safe. It all has to be cosigned by 2 nurses, then the orders have to be taken off, and med sheets...
Crawsu replied to fiestynurse's topic in Correctional
We usually begin our clinic sick call @ about 0730 and it runs until about 0945 or so. Usually have 90 - 100 names on the list, but subtract about 30 for the diabetic care which is usually started...
Crawsu replied to fiestynurse's topic in Correctional
Addendum: No workmans comp from pushing carts, they are reasonably light weight and easy to move. Mostly made or some sort of plastic with easy rolling wheels. There are even carts on the market with...
Crawsu replied to fiestynurse's topic in Correctional
Med errors have probably gone down as the carts are stocked identically. We are a County facility, so having packs for each individual is not as feasible as in a prison setting, too many coming and...
Crawsu replied to fiestynurse's topic in Correctional
Just reread your post and realized that I didn't completely address your query. We have med carts that we take out into the jail, at least one officer is standing by as meds are passed. Generally we...
Crawsu replied to fiestynurse's topic in Correctional
We do 14 plus med passes per day in our facility. Recently changed from bulk to blister packs. Each med cart is stocked alphabetically by generic name. We now have a full time pharmacist and assistant...