undefinedundefined :rotfl: we get this guy in to the county lock up. he's only doing 29 days. he has brought the meds he takes, 16 in all. rangeing from ms contin to muscle relaxers to antiseizure to emu cream and emu patches, his laxatives which include suppositories. he looks 70 but is only 49. he has had a failed nissan fundoplication which led to esophageal hernia which needed repair, a failed lumbar fusion which led to chronic pain also the graft site failed too. all according to him. ever since he was booked in he has faked constipation, insanity, delerium, ive fallen and i can't get up, a heart attack, a stroke, he has 2 days left and today he pooped on the floor in his cell, said it was an accident. each time he pulled one of these stunts, he had all the officers completely freaking. i would not allow the officers to help him. i walked over to his cell during the "ive fallen scam" and gave him a lecture through the hatch door. he gives it up, gets up and goes back to his bunk to ponder his next scam. i cannot wait till this guy is gone, he has been one nightmare after another. he was possibly the first one to make me madder than a hornet and be completely entertained at the same time :rotfl:
They can be the biggest whiners, criers, fakers and MANIPULATORS of anyone I've ever seen.
In our facility, they go to school Monday thru Friday, 12 months out of a year. We have 4 med passes: Breakfast, lunch, dinner and bedtime. They have opportunity to talk to a nurse during these times.
It never fails: It might be 1 p.m., when they have all gone back to classes that I'll get a call from one of the teachers that so-n-so has had a headache *all day*.
OK... why didn't they talk to me at noon? I'll tell you why. Because they can. They get attention from the teacher and from the nurses.
Usually happens at after med pass over our two way radios:
Staff: Clinic--I have thirds to come see you.
Clinic: Are you near a landline? (What are they coming for?)
Staff: Negative. What's your location.
Clinic: In the clinic. Go ahead and send them... Security, do you copy?
Security: Copy. I'll follow em over.
Once those kids make it to the clinic, it's usually for a hangnail or some other insignificant little injury that they've had for days and can always wait for the next med pass. Sometimes, they've told one nurse already at the previous med pass, but are hoping to talk to a different nurse because they might get a different answer. Why do they do this? Because they can.
Specializes in Psych, Correctional, LTC and Rehab.
They are a dime a dozen at our place :)))
That is part of Correctional nursing...makes the job interesting, tho. ...lots of stories...some of them funny...some not...(ej. our 10D Protective Custody Inmates)...
Geez, I'm thinking I'd really like to work in corrections!
I worked PRN for 6 months at our hospital's psych unit - it was very seldom that they had anyone who was TRULY psychotic, tho. It was mostly drug and alcohol de-tox, suicidal ideations - I LOVED that diagnosis, when they'd come into the ER as state "I'm having suicidal ideations." You knew they'd been in the system a few times.:wink2:
What I didn't like about the place was the fact that some of these people were in ALL the time - and they just let them keep coming, treated them like royalty. None of the repeaters had insurance, so the hospital ate the cost.
I feel like some accountability needed to be put into place.
Specializes in psych, corrections, ICU, ER, Neurology.
One would think that as sick as these idiots act that they would be too ill to commit the crimes that they have.
Maybe you should have left him in the cell that he defecated in until he cleaned it himself.
Inmates with axis II problems like his are my biggest headaches. Imagine what it must be like to live with this fool.
I had an inmate who kept pulling the fake seizure syndrome on me. After about the 5th one, I struck back.
When I was called to his cell I looked at him and then loudly asked the officer his name. After the officer told me I said, " Oh, this is the guy who just made bail. Hey buddy, if you want to get out of here quick you need to get yourself into my wheelchair."
He immediately got up and sat in the chair. I wheeled him into medical and locked him into an observation cell. As I turned to leave he yelled out that he had made bail and he wanted out.
I asked him, " What's your name again?" After he told me I told him that he was the wrong person. I had gotten the names mixed up. He was mad but he stopped with the fake seizures.
My favorite tx for bowel incontinence is clear liquids for 24-48 hours. Obviously, if your stomach is THAT upset, it needs a rest. I don't think I've ever had a repeat performance with this tx protocol.
My favorite tx for bowel incontinence is clear liquids for 24-48 hours. Obviously, if your stomach is THAT upset, it needs a rest. I don't think I've ever had a repeat performance with this tx protocol.
Specializes in LTC,Hospice/palliative care,acute care.
Whiner,criers and fakers-I thought you were talking about your co-workers... It sounds like many of mine! You know the ones I'm talking about-the nurse that starts checking her temp q 15 mins at 7:15 am (because she does not like her assignment or does not want to be pulled) Or the nurse that starts complaining of N,V and D on Thursday prior to her assigned weekend on...Or the one that pretends to slip and fall on a holiday so she can go home.......
Specializes in ER, PACU, CORRECTIONAL HEALTH, FLIGHT.
yep...it's amazing how an order for "clear liquids" will put a stop to malingering sick calls ha ha....i think i have learned all the tricks in the book to deal with malingering inmates...i need to write a book
My favorite tx for bowel incontinence is clear liquids for 24-48 hours. Obviously, if your stomach is THAT upset, it needs a rest. I don't think I've ever had a repeat performance with this tx protocol.
Obviously, faking is a huge problem. But, in California, there's been a lot of scandals involving inmates who actually died because nurses, doctors, etc. thought they were faking and didn't treat them.
So how do you tell the real medical cases from the fakers? How do you avoid mistakes?
Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.
So how do you tell the real medical cases from the fakers? How do you avoid mistakes?
:typing
A very good assessment and at times, very thorough check of medical records. When I worked in corrections and in the ED, these were paramount. I can't tell you how many people came in to the ED wanting narcs, saying they missed their appointment in our pain management clinic. Most were never patients there, or had no-narc contracts with the clinic.
A very good assessment and at times, very thorough check of medical records. When I worked in corrections and in the ED, these were paramount. I can't tell you how many people came in to the ED wanting narcs, saying they missed their appointment in our pain management clinic. Most were never patients there, or had no-narc contracts with the clinic.
Yeah ... the problem though is that they haven't been keeping records in some of these facilities. Yikes.
You know the ones I'm talking about-the nurse that starts checking her temp q 15 mins at 7:15 am (because she does not like her assignment or does not want to be pulled) Or the nurse that starts complaining of N,V and D on Thursday prior to her assigned weekend on...Or the one that pretends to slip and fall on a holiday so she can go home.......
juvynurse
34 Posts
They can be the biggest whiners, criers, fakers and MANIPULATORS of anyone I've ever seen.
In our facility, they go to school Monday thru Friday, 12 months out of a year. We have 4 med passes: Breakfast, lunch, dinner and bedtime. They have opportunity to talk to a nurse during these times.
It never fails: It might be 1 p.m., when they have all gone back to classes that I'll get a call from one of the teachers that so-n-so has had a headache *all day*.
OK... why didn't they talk to me at noon? I'll tell you why. Because they can. They get attention from the teacher and from the nurses.
Usually happens at after med pass over our two way radios:
Staff: Clinic--I have thirds to come see you.
Clinic: Are you near a landline? (What are they coming for?)
Staff: Negative. What's your location.
Clinic: In the clinic. Go ahead and send them... Security, do you copy?
Security: Copy. I'll follow em over.
Once those kids make it to the clinic, it's usually for a hangnail or some other insignificant little injury that they've had for days and can always wait for the next med pass. Sometimes, they've told one nurse already at the previous med pass, but are hoping to talk to a different nurse because they might get a different answer. Why do they do this? Because they can.
Do I call them on their manipulation? You bet.