Wonder how often this happens

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I have a friend that is a physician at a hospital that is near a maximum security state prison.

She was telling me about the protocol that has to be followed when they bring in inmate in for care....which is always three guards...two in the room and one outside the door, patient has to be handcuffed to the bed at all times, etc.

What she told me next really, really shocked me.

She said that whenever a patient was discharged, even for a serious injury or surgery that may be health and not violence related, when the attending physician feels that a heavier med is needed and gives the guard a prescription, the guards hand it back and always say, "Save your paper, the only thing this guy is getting is Tylenol".

Knowing that medications are under lock and key at a prison and obviously not given to inmates to take back to their cells, my friend has always had concern over the management of pain, knowing that Tylenol isn't a cure-all for everything, especially when they have abdominal or back surgery, have broken bones, etc.

To me, I am very surprised that guards are allowed to make, what boils down to a medical decision regarding the patient.

Specializes in Oncology, Corrections.

In regards to the first question asked in thie thread....I don't think the deputy/officer was trying to make a decision. I think he was trying to tell the MD that that is all the jails will order. And he probably didn't literally mean Tylenol. He was probably using the word Tylenol to mean basic non-narcotic pain meds. Not necessarily true, as I'm seeing that some facilities give Tylenol with Codeine or Darvocet, etc. The only narcotic we give is Tylenol with Codeine. It's fine. I have never had anyone complain that their pain wasn't being covered adequately.

As an ER nurse we know not to send pain medication scripts to any of our inmate patients. Oral antibiotics are all our prison's will accept

Our infirmary patients love to stay with us because the doctor will order practically anything they want. We have a pt. that had a hand fracture that was repaired with K wire 2 weeks ago. Before surgery he was on percocet. Now he gets oxycodone BID with percocet Q6hr. He will wake up exactly at the sixth hour to request his meds. We eill have a heck of a time getting this guy off meds and back to population.

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