corrections

Thank you Mikethemurse, RN The way your facility operates sounds like the way things should operate. I am very much considering taking your advice. I am in communications with supervisory staff trying to get changes made and these issues addressed, if they are not corrected soon, I will be taking your advice and looking elsewhere. I think I will stay in corrections nursing if possible, I really do enjoy it after working mainly in hospitals since 2003. It's definitely different but I do enjoy it! Thank you for the reply, I greatly appreciate it!

In the facility that I work in, the corrections nursing staff is a contract staff through a large medical company that services more than one jail. We are actually not employees of the jail. When our inmates need orders for anything other than pain meds or narcotics, we were trained to put an order in for the medication, start the medication and submit a telephone / verbal order form and chart that the we obtained a telephone / verbal order for the med without ever even speaking to the physician and the physician will sign off on the order later from wherever the physician is located. Is this practice legal? Also, as of today, I have saw management or assistant to the Health Service Administrator with the knowledge of the Health Service Administrator hide or possibly even delete things in an inmates chart to make it look better should a chart audit or chart synopsis ever be ordered. Recently I have noticed that tasks or other things I have put in inmates charts have been disappearing from charts, I don't know what to do. I feel that this is wrong and if the Health Service Administrator is aware of this and permitting this, where do I turn? I have been a nurse for 12 years and never seen anything like this. I recently started corrections nursing approximately 3 months ago and this is different than anything I have ever experienced, I like corrections nursing but don't feel comfortable with these practices, can someone please advise?