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, do the methadone clinics handle it, or is your sta...
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 consent.
Crawsu replied to heartlover07's topic in Correctional
Don't neglect to check out city and county jails. Ours pay higher than state jobs and have better benefits. It all depends on where you are. Good luck!
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 need to have some experience. I really hated hospit...
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 tired I don't get much done. Loved 10 hours, but ...
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 same pod. Surgery in the facility? I don't think ...
National Commission of Correctional Health Care. The accreditation of corredtional health care facilities. They offer accreditation for practitioners in correctional settings, also have conferences throughout the year that offer relevant seminars to ...
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 working in correctional nursing. For the most part, t...
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 actually knocked the ammonia ampule out of my hand....
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 take meds if offered even if not prescribed. Who k...
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 independent practice. If you present yourself as inquisiti...
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 officers, also the latest info on TB and not to freak ou...
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 choose either. I don't know how this would apply ...
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 refuse meds or treatment, and if you force it on them i...
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 refuse meds or treatment, and if you force it on them i...
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 locked in a safe, seperate from everything else. Th...
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 to the Sheifff's dept," Been at it ever since, ...
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 stuff, so they should take care of dispensing it a...
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 come back again. Jails are also where people come f...
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 made for each individual. The methadone clinic ver...
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 about 0545-0630. So...scheduled interactions account ...
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 motors. We do have one person on light duty, post ...
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 going. We take more time with this system, but it is...
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 pass at the doorway to each unit. Lockdown units mu...