SinMiedo

SinMiedo

Corrections, Psych

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All Content by SinMiedo

  1. I have recently learned the hard way to make sure scheduling policies are absolutely crystal clear before hiring on. My current job was described as "3 8 hour evenings and 2 8 hour nights a week", which sounded great, although a bit vague. Turns out,...
  2. Nurse's Week Gifts from Employers

    I work in prison, so we're a bit limited in what's allowed to come inside, but we got a couple days of lunches and a t-shirt. Also, one of the inmates made a really awesome Happy Nurses Week card that we hung up in the clinic. It was a really nice ge...
  3. Scrubs for the slim

    I find that I have to let the hems out of most "Tall" scrub pants, but the Smitten ones I mentioned upthread are the perfect length. (35" inseam here as well. :))
  4. Scrubs for the slim

    Those are my exact measurements, and I now have a new way to describe myself, lol! As far as scrubs go, I have had good luck with NRG by Barco in either XST or ST. The XSs are a little snug around the booty, so I have lately been buying smalls and al...
  5. CRAZY / GROSS / NASTY

    Just thought of another one! I work in a large-ish city jail that, while better than some, is not the most sanitary place to practice. One night the officers brought a gentleman to medical with a complaint of ear pain. He stated that he had been sl...
  6. CRAZY / GROSS / NASTY

    Oooh, we had one of these too! Gentleman comes into jail intake for a medical screening, and the nurse on duty notices a "crinkling" sound. She gets to the STI portion of the questions, and gentleman announces that he has a "little drip". He then pro...
  7. Inmate/Staff Relationships

    My dad-- a recently retired DOC Lt-- told me when I started working corrections, "If an inmate has something coming to him, give it. Otherwise be polite, be alert, and stay in your lane." I feel like it was a pretty comprehensive guide to working in ...
  8. Hilarious Conversation with a Patient

    20-something opioid detox patient to me (after I had loaded her up with all the PRNs in an effort to make her slightly more comfortable) during a follow up check: Her: "Nurse...?" Me: "Yes ma'am, whatcha need?" Her: "Nurse. I just really like your gu...
  9. Infirmary 23 hour observation

    We do V/S q shift automatically any time someone is in TCU. In an admission, the provider will sometimes specify that he/she wants them done q 6/8 or at intervals after giving meds. Our admission sheet has areas for all sorts of superfluous orders (e...
  10. Infirmary 23 hour observation

    Basically, our 23 hour obs is nurse-initiated rather than requiring an MD order. The paperwork is different, but equally as voluminous (as is the paperwork for everything we do :/). That's really the only difference.
  11. Advice on creepy doctors?

    I second all the PPs in saying that you are most NOT over-reacting. In fact, I'll see the "tell HR" responses and raise you a "File a police report!" The grabbing your hips thing.... Ugh. That's (as someone has previously said) sexual assault, which...
  12. Heavy-handed management at CDCR

    I could have sworn you worked with me until you got to the part about having a union steward. My facility is nearly identical to your situation, and I'm at my wits end as well. If you'd like, PM me which company your facility is affiliated with; I'm ...
  13. No provider for orders

    I apologize if I'm wrong, but I don't believe I ever recommended stepping outside my scope of practice. I merely said that if the situation warranted, I would do what I had to to ensure a good outcome, e.g. send the pt to the ER. That's basically the...
  14. No provider for orders

    Ditto!!! My motto is "Better to be in trouble for doing too much than for not doing enough." I feel like a genuine, good faith correct intervention through potentially unorthodox channels that results in a positive outcome is preferable to a "by the...
  15. No provider for orders

    Personally? I'd send their happy butts out. (But I'm rather salty like that.) Generally I call the on-call MD several times, then the non-OC MD. If I get no response, I'm sending the pt. to the ER. If it's a legitimate urgent/emergent issue and ther...
  16. Best Sick Call slips

    In a previous facility where the majority of our population spoke Spanish, many inmates would pool their collective English vocabulary words in order to submit a SC slip. One of the best I got was: " Miss Nurse.... I need to see you because I have ...
  17. Has anyone ever escaped?

    As a fellow bedside refugee, can I suggest looking into corrections nursing? While it can get fast paced at times, I find that I have plenty of time to be deliberate with my care. As someone who is also on the spectrum, the focus on objectivity and v...
  18. why do nurses hate medics?

    Personally, I love medics! I helped an old boyfriend study during his medic school, and was amazed at just how much they had to know. We're still friends, and I frequently text him asking about some ECG rhythm or weirdo cardiac med; he does the same ...
  19. Is it legal to have RN's use full name on badge?

    Not super relevant, but I felt the need to clarify re. police: My S.O. is a police officer, and his badge has Ofc. First Initial Lastname. His full name is obviously known if he has to go to court, but his badge, signature on tickets, etc all read th...
  20. So, what do you do?

    Dang. That's kind of a tough one. Most likely I would write an informative and discuss it with my DON/Administrator before taking it to custody, but that's because the medical/custody relationship here is rather dysfunctional. At my previous facility...
  21. What can you tolerate the least?

    This is so ridiculously poignant that I had to screengrab it to show my co-workers. I love it!!! My personal bugaboos are exposed bone, eyes, and nasty phlegm: I haven't gotten up close and personal with too many compound fx, but ortho pins freak me ...
  22. Best lotion for dry hands?

    Bag Balm forever!! It's the only thing that helps my hands in the winter time. Before I started using it, my hands were so red and irritated that patients and co-workers constantly asked what was wrong with them, so it definitely makes a huge differe...
  23. I never would have thought of that...

    This is my kinda thread! One of the reasons I love corrections nursing is that it affords the endless opportunity to "invent" new ways of getting a $2 dollar job done on a 10 cent budget. My favorite is the jail icepack for assorted facial injuries/...
  24. Nursing Behind the Wall

    Great article!! My Dad just retired from corrections after 20-someodd years, but I never considered corrections as a specialty until I took a travel contract to a BoP contracted prison. My 13 weeks assignment became 18-ish months because I was hooked...
  25. floating medications in water to administer

    Wow, that seems a bit overboard. I've worked in facilities where C&F was ordered on psych/controlled meds if the inmate is suspected or confirmed to be hoarding or diverting their meds, but it seems rather unnecessary to require it for everyone. ...