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Mr. Self Destruct

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  1. As far as I can tell, the inmate using tobacco in the facility is much more of a security issue than a medical issue. If I were you, I would inform one of the officers. As far as HIPAA goes, I feel like it is a bit of a reach to call a patient smoking protected health information, especially considering that it breaches security. If I am wrong though, you could always just inform security that the patient implied that s/he had contraband, not specifically tobacco. That way you take the medical aspect out of it entirely.
  2. In my jail their starting pay is $24/hr. I'm not sure about PRN though.
  3. I received 2 days of power point style orientation and 2 weeks of shadowing another nurse. I'm not sure if this is common in Florida. There is apparently a Certified Correctional Health Professional course you can take that my company will pay for, but I haven't heard anything about it since my initial interview.
  4. Armor pays LPNs at my jail $18, $20 if you work night shift. I'm not sure about PRN. Our working conditions aren't bad, but we have a major problem with running out of supplies. We typically work no more than 3 days weekly, but we also have a problem with people quitting so there are plenty of extra shifts to pick up for overtime.
  5. I have been working in a county jail for a few months now. I work the night shift in the infirmary and it is usually my responsibility to draw any labs the doctor orders. Since I started working here, I don't think I have once been able to successfully draw blood from an IV drug user. We use butterfly needles, and occasionally I'll get a flash, but the blood comes out like it's molasses and I can never get more than a few ccs. At night it's just me and one other nurse, and I need a doctors order to try their foot. Whenever I ask them what vein works best, I'll usually get a chuckle followed by "none of them anymore" or "in the hospital they have to use my neck." Any tips here? I feel like there has to be a secret to this.

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