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gooodnitenurse

gooodnitenurse

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  1. gooodnitenurse

    Need advice!

    get out now before you become stereotyped to LTC. long term care is just a nice term for nursing home only patients are sicker and need more attention. the enviornment you are in is there to stay and only get worse. i am an LVN with 26 years of LTC/SNF and trying to get another job out of this area is nearly impossible because most employers think "nursing home" and think you dont know anything. i dont know where you live but a brand new grad should be able to get a good job anywhere. it may pay less but a lighter load may be worth it. there is a hospital in the city where i live is offering a $15000.00 sign on bonuse for RNs.
  2. i have been working in a max security prison for almost a year now, having spent 26 years in long term care before accepting this position i am amazed by a practice in this environment that is common and accepted. when a medication is discontinued or and offender moves to another facility, their meds do not go with them but are hoarded by the nursing staff to use for transient offenders. i am so disturbed by this practice and have discussed it many times with the charge nurse and the adon superviser and they both support the practice and i have been told to "leave it alone" and " you are the only nurse that has a problem with this." I believe that just because everyone is doing it doesnt make it right or legal. at the very least this is insurance abuse. can any one tell me that this practice is legal in the correctional environment, then maybe i can let it go. this practice has given rise to other issues of medication shortages but i cannot discuss this with anyone at the workplace because i am seen as a troublemaker. i look forward to any feed back that any one can offer on this subject.
  3. gooodnitenurse

    Help my first job feels like a nightmares

    sorry I assumed you were an LVN/LPN. if you are a registered nurse you have many job opportunities and can choose where you want to work. think about why you became a nurse and what you really want to do than apply for it. once again good luck, I envy your degree
  4. gooodnitenurse

    Help my first job feels like a nightmares

    welcome to long term care. there may be more organized and up to date places to work but ltc is basically the same where ever you go. if you do decide to find another job try rehabs or long term acute care or even a drs clinic. these are about the only jobs available for LPNs/LVNs I have worked ltc for 26 years of my 30 years as a nurse. you will eventually learn to organize and prioritize your work the longer you do it. 26 patients is a rather light load compared to a lot of places. it seems I never could get off the med cart and unfortunately it is not the only duty you are responsible for plus It was virtually impossible to find and 8 hour shift in this field. good luck to you
  5. gooodnitenurse

    When male prisoners intentionally expose themselves to females

    this is not a mental illness issue, these individuals are sexual predators/offenders who have been discharged from PAMIO programs because they are narcissistic and anti social, they are no longer in the program so they do not care. the max security where I work the security does nothing to curb this behavior, the offenders are sly and clever enough to position themselves where you can see them but the officer cannot and therefore does not write them up for it . it is also the common attitude form security and even nursing staff that "boys will be boys".
  6. thank you for responding to my post. this is very interesting because I so believe it is wrong. I received no training or orientation to this situation until I was actually in the situation. this is not the best time to learn how to properly apply a gas mask. I am also required to intervene and try to persuade the offender to comply with orders from security officers. the policy states nurses should be called to intervene before the decision is made to use chemical force for compliance but this is not what is being done. the UOF  is often in progress when called to the pod. I was exposed to mk9 without protection and had to leave the area and now I am being written up for not wearing proper protection. and let me ask you another question : shouldn't there be MSDS sheets available to nursing staff regarding these chemicals used. my charge nurse said because "its a security thing " not a nursing thing" uggggggggggghhhhhh!

    1. Orca

      Orca, ASN, RN

      You are quite welcome. I agree with you that it is wrong - and potentially dangerous. Nurses are not trained in handling use of force situations, but custody staff are.

      I don't understand them sending you into an area where chemical irritants were being used without informing you what you were walking into or what protective equipment that you might need. For the employer to then take corrective action against you seems unjustified. Your facility likely has MSDS on the chemicals that were used, and you have every right to view them, especially if you are being sent in where they are being used.

      The only similar situation that I was in was on our administrative segregation unit. They had a collection of inmates who decided to get stupid and refuse to cuff up. Custody had to perform several cell extractions, which meant that they were using tear gas. I was standing by just in case anyone needed medical assessment.

  7. i have been working in a maximum security PAMIO unit for about 5 months now and totally confused about the nurses role in "use of force" situations. I do not understand why the psych nurse (LVN} has to be involved in a security issue while it is in progress. I fully understand why after an offender has been exposed to mk9 or whatever should be seen by triage or medical but why in during progress. I would like very much to hear some feedback from nurses who are involved in UOF in the prisons where they work.
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