Correctional Nurse . Net

Lorry Schoenly, PhD, RN, CCHP

Who am I and What Am I Doing Here?

Some days it is hard to remember why you are a correctional nurse. Can I get an ‘Amen’ from the gallery? Maybe you just got done convincing the laundry that you really DO need sheets in the infirmary this morning. Or, possibly you’ve just been told that the duty officer was pulled to a housing unit for a contraband sweep and there is no one to escort the afternoon med pass. Then again, it could be that an inmate-patient (AGAIN) tried to convince you in sick call that he must have tramadol for his sinus headaches, it is the only thing that works, could he please see the doctor right away.

How do you maintain your raison d’entre (reason for existence) in the midst of the chaotic world that is correctional nursing? I have found it helpful to return to a list of principles found in the ANA Scope and Standard of Correctional Nursing to re-center my practice and remind my frustrated soul what it is all about.

 Principles of Correctional Nursing

  • A registered nurse’s primary duty in the corrections setting is to restore and maintain the health of patients in a spirit of compassion, concern, and professionalism.

  • Each patient, regardless of circumstances, possesses intrinsic value and should be treated with dignity and respect. Each encounter with patients and families should portray professionalism, compassion, and concern. Each patient should receive quality care that is cost effective and consistent with the latest treatment parameters and clinical guidelines.

  • Patient confidentiality and privacy should be preserved. Nurses should collaborate with other health care team members, correctional staff, and community colleagues to meet the holistic needs of patients, which include physical, psychosocial, and spiritual aspects of care.

  • Nurses should encourage each individual through patient and family education to take responsibility for disease prevention and health promotion. Each nurse maintains responsibility for monitoring and evaluating nursing practice necessary for continuous quality improvement.

  • Nursing leadership should promote the highest quality of patient care through application of fair and equitable policies and procedures in collaboration with other health care services team members and corrections staff.

  • Nursing services should be guided by nurse administrators who foster professional and personal development. These responsible leaders are sensitive to employee needs; give support, praise, and recognition; and encourage continuing education, participation in professional organizations, and generation of knowledge through research.

From American Nurses Association, 2007, pp6-7

This list reminds me that the essence of correctional nursing is caring for and respecting the human dignity of the incarcerated.  Somehow that helps me rise above the current fray. Limited resources, challenging patients, competing security priorities, and ongoing concern for personal safety can thwart anyone’s efforts toward principled nursing practice. A frequent return to the core values and goals undergirding correctional nursing practice reminds me of the meaning and importance of our role.

What do you do to regain your ‘mojo’ in your nursing practice? Share your thoughts in the comments section.

Photo Credit: © Scott Hancock – Fotolia.com

August 23, 2011 - Posted by | Nursing Practice | , , , , , , , , , , , , ,

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