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Correctional Nursing, Geriatrics
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crjnursewarrior specializes in Correctional Nursing, Geriatrics.


crjnursewarrior's Latest Activity

  1. crjnursewarrior

    Describe your dream LTC

    65 residents...65 nurses...65 CNAs...enough said!!
  2. crjnursewarrior

    Nurses Misbehaving While Caring For Inmates

    I agree with Orca...appropriate professional boundaries and distance are important for the correctional nurse. I, too, have seen many instances of nurses and officers crossing the line. A correctional nurse has to be "firm, fair, and consistent" at all times. Inmates can be manipulative, as we know, and don' do for one inmate anything you don't want to do for the entire inmate population. These are basic credos for the correctional nurse to live by...but I ask you how a nurse becomes involved with an inmate?? I, too, feel like some of these things are soo unbelieveable. We had a nurse that got fired for being involved with an inmate serving life sentence for murder...hello???? Hard to comprehend...they're crafty, I'll say that much for them. Also, like Orca, I have seen officers caught up in these messes, some I would NEVER have imagined and had the utmost respect for before the situation occurred. Correctional nurses and officers need to remember it is a CRIME (in most states a felony) to have sexual relations with a person in custody. That person does not have the legal ability to consent to a sexual relationship while in custody. These nurses and officers are taught this during training and yet it still happens. CRAZY!
  3. crjnursewarrior

    Study Question

    Annie, Hey, I don't know if you are still having problems, since your original post was a month ago, but I just came across it. I was thinking of an idea for you that has really helped me some. I know that I myself try to cram way too much info into my notes and then I try to memorize it all and I think that the other poster who said to look at the bigger picture is definitely on the right track. You are already an LPN/LVN, right? SO alot of this stuff is stuff you know if you really stop to think about it. A lot of it is common sense. Remembering the BIG picture...how systems (like the resp.) work will make it easier for you to make sense of what goes wrong when they don't work. Think about learning the whole disease process and UNDERSTANDING how it effects a patient and then the treatment rationale should be pretty much common sense that you can figure out on the test instead of trying to memorize a bunch of nursing interventions. Because really if you stop and think about it a lot of our nursing interventions will be the same for a lot of disorders, especially disorders of the same system, like resp. Really try to learn and understand what you are studying, not just memorize for the test and this should help you, especially if her questions are clinical situations. Did any of this make sense? Hope it helps!
  4. crjnursewarrior

    Diabetics and prison

    At the facility where I worked, all inmates go through medical intake screening where medical history is taken. Medication dosages are verified with a pharmacy or physician's office and the inmate is then ordered meds by our physician. Fingersticks are done as ordered, usually BID at 0600 and 1630. The inmate is brought to medical and the inmate usually sticks their own finger, with the supervision of the nurse and the correctional officer. The insulin is given by the nurse. The inmate is not allowed to give their own injection. They are put on ADA diets but usually end up signing a refusal of treatment form for that. They are not allowed to buy any food items off commissary if they are on an ADA diet, but when they sign the refusal they are then allowed to get the food items. Most of them end up being better controlled there, even with the refusal of the ADA diet and the commissary food, than they were on the streets.
  5. crjnursewarrior

    Advice on conducting nursing sick call

    ninjanurse, Basically you are going to conduct your assessment on an inmate in the same manner you would on any pt. You will have a few variations on this theme, however. For example, you will most likely have a correctional officer present at all times. Occasionally, (not usually during nurse sick call) your pt. may be in hand cuffs (hard restraints) or a restraint chair(4-point restraints with soft restraints to ankles/wrists). So, you must always make sure your officer is the same gender as your pt. if you need them to undress for the assessment. You must never take anything the inmate says at face value. Always remember to do a thorough assessment and look for symptoms of a particular complaint. 95% of what these inmates tell you is untrue and as for the 5% that is legitimate--that's your job to weed through the bologna and find the pts. who really are sick. Remember that these people are not there for medical treatment(unless,of course, it is a correctional medical facility). They are there for punishment, therefore, look at the odds. Think about how many people in the outside population get sick with the ailment they are claiming they have (example: c/o CP "I think I'm havin' a heart attack"). Sometimes you get 10 or 15 c/o CP a week...how many actual MIs do you see in an ER in a week? But, as I said, there are sick people there, and it is your job to treat, so you must hone your assessment skills. Don't ASK them about their symptoms...LOOK for them first, then ask questions if you think there might really be something there. Don't give them ideas of what to tell you. They are quite manipulative in this way. You always have an obligation to examine, assess, treat as necessary. You don't want to ever not check something out because that inmate that cries wolf all the time could actually need treatment at some time. Some people feel like correctional nurses are not skilled or they are not challenged in their job. This is not true. Correctional nursing takes excellent assessment skills and knowledge of disease processes. You will see alot of Hepatitis, HIV, drug abuse related symptoms and diseases. Then you get your typical colds,flus, allergies, need to see the dentist...again, alot of it is run-of-the mill. Then you get trauma, responding to emergencies like fights, attempted suicides. It is never dull, never the same thing from one day to the next. Best wishes in your endeavor...if you have any other questions feel free to ask! Hope this helps!:wink2:
  6. crjnursewarrior

    Need Info On Your Job!

    Everything Sashi48 says is pretty much how things work. I work in a regional jail...between 250-300 inmates at any given time. Like she said they are there, most of them, for a short time, although there are some lifers there awaiting a place to open in prison that have been there as long as I have! I have worked in corrections for 5 years. Twice at the jail I am at now and PRN for awhile at a juvenile correctional facility. I don't really care for the juvenile setting...I still have too much heart left, cannot stand to see children in that environment. Like Sashi said, you do become biased, you have to distance yourself from your patients...have to leave the job at the jail or it will eat you alive. Best wishes! :)
  7. crjnursewarrior

    Define: Nurses Eating Their Young

    Thanks for all the advice...as it turns out I did not have to confront my boss...someone else brought some things to her attention, so at the nurse's meeting yesterday she apologized to everyone for her recent unprofessional behavior and said that it would not happen again. The things she was lying about were more of personal nature, not professional, like saying I said something about a coworker that I had not said. I know we all get caught up in that silly he-said she-said stuff sometimes, but I have never had someone just blatantly lie about what I said...so hopefully the issue is all resolved. Time will tell the tale!!
  8. crjnursewarrior

    just a quick intro

    Barefootlady, Thanks so much for the helpful info! I will let my friend know all of this, too, since she is ahead of me and will encounter all of this first! It sounds like you speak from experience. Did you attend the program at MSU? In any event, your advice sounds like good advice for ANY nursing student! Thanks again! :)
  9. crjnursewarrior

    Define: Nurses Eating Their Young

    The bad thing is when the management is right in on the backstabbing...I have recently been finding out some things our boss does...when all the nurses are getting along she will tell one another said something about her...that is a total LIE! :angryfire Why would anyone act like this...especially a boss? It drives me CRAZY? Recently I and another nurse have been victims of her lies. We want to confront her...any suggestions on how to do so without ticking her off?
  10. crjnursewarrior

    just a quick intro

    Steph, No problem to answer your questions...I attend class one night a week, and then when clinicals start they will be one weekend a month. It takes 3 years to complete the program, but you have a BSN when you are done. That is a plus, and if you have to work and have children/family, the one night a week thing is really convenient. So far I am satisfied. The homework is not too bad yet. I do have a friend that is in the fourth semester and she said it gets a lot harder. They say the 2nd and 4th semesters are the hardest, so we'll see what happens. Now, she was kind of upset because she is just starting the clinicals and they had to buy uniforms and it was $140 for one uniform, and it was out-of-pocket and not included in the tuition...and then I guess she has to drive to Beckley for the clinicals and they had told us that we were going to be able to do clinicals in the area where our cohort class is located, now they are telling her she has to go to Beckley. Also they were wanting them to go down the night before and "pre-plan" which is basically collecting info on the patients they were to have the next day. She said isn't that what report is for? Anyway...she is not very happy about that, so we'll see what happens! Feel free to post any more questions...I don't mind at all.
  11. crjnursewarrior

    Show you WV Pride!

    I am currently an LPN, for the past 5 1/2 years. I graduated from Fred W. Eberle School of Practical Nursing in Buckhannon, WV. I am currrently in an LPN to BSN program at Mountain State University in Beckley, WV. It is a 3 year program. I am getting ready to finish my second semester. Praying I make it the rest of the way!!
  12. crjnursewarrior

    pbs asylums

    I work in a regional jail and we frequently get inmates in who belong in mental health facilities. The law does not serve to protect these people. There are no places for them. Our state hospital will not hold them if they are not a danger to themselves or others, and if they are that will only get them a 60 day evaluation. They end up in jail on some ridiculous charge like harassing phone calls or false report of an emergency because they call 911 for something they perceive as a reality. Or indecent exposure--we have one guy who comes in for this frequently and he honestly does not know any better. He is pitiful. And the police in the area he is from will incite him to fight them and then they charge him for resisting or battery on p.o. Now anyone who has read my posts knows I am an advocate of criminals doing the time for their crimes, but these people are NOT criminals. They are innocent victims of a system that fails to protect them. The criminals are the officials/politicians who do not set up programs to provide for the safety of these victims.
  13. crjnursewarrior

    you might be from ohio if:

    Stella, That is funny! I am a Buckeye...transplanted in WV...of course, I still say "excuse me" when I belch...I wondered why people down here never do and they look at me like I am WEIRD when I do! I guess it's an OHIO thing...they wouldn't understand!!! :rotfl:
  14. crjnursewarrior

    anyone from the lorain ohio area

    MLM...hey! Best wishes on your clinicals. I am from Lorain County originally. I live in WV now, for the past 10 years, but was born in Oberlin, OH, lived in Elyria all my life...until age 23 when I moved down here with my now EX-husband! Sometimes don't know why I stay down here! I like the area though, small town...sometimes a good thing, sometimes a bad thing! Also I am currently enrolled in an LPN to BSN program...graduate in 2007. What's the pay scale there for LPNs? Anyway...good to hear from a fellow Lorain Countian!!! :)
  15. crjnursewarrior

    just a quick intro

    I went to Fred W. Eberle School of Practical Nursing in Buckhannon, WV. I have been an LPN for 5 1/2 years. I am going to MSU LPN to BSN program. I don't think there is any requirement of years as an LPN to get into the program, as there are several people in my class that recently graduated from LPN school, so I think you just probably have to have the LPN degree. Best wishes! :)
  16. crjnursewarrior

    One Slick Dude!

    That's so funny! Yeah, we had a weekender (sentenced to serve only weekends), he was a known drug seeker at all the local ERs, so he decided he was going to have "seizures" every weekend...gave him the sternal rub, he just laid there through it...really a GOOD actor!! Anyway, the Sgt. finally told him not to come back the next weekend if he did not go to his family doc and get on some kind of med. He reports the next weekend, I ask him if he's been to the doctor. He said he had and that they told him there was no medication for the kind of seizures he had. I asked him what kind they were. With all seriousness he says "They told me they were pseudo-seizures." I nearly burst out laughing in his face. I informed him that pseudo meant FAKE!! I said so you really are NOT having seizures. And amazingly enough he had NO seizure activity that weekend!!! Or my other favorite is when the tower officer calls medical and says Inmate So and So says he's having a seizure! I have said SO MANY times if Inmate SO and So SAYS he is having a seizure he is not HAVING a siezure!!!

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