Correctional nurses rarely think of themselves as leaders. We don’t have the titles, the corner offices, or the visible authority that people often associate with leadership. But every day behind the wall, correctional nurses lead in ways that profoundly shape patient care, safety, and the culture of the facility. Leadership begins the moment we step onto the unit. We are…
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One of the most common phrases documented in correctional healthcare is also one of the least informative: “Provider notified.” As correctional nurses, we know provider notification is an essential part of patient care. When a patient’s condition changes, assessment findings are abnormal, or nursing interventions are not producing the expected response, the provider must often be contacted for additional direction….
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A newly admitted incarcerated person is being monitored for opioid withdrawal. Over the past two days, the COWS scores have steadily improved. The sweating has decreased. The tremors are less noticeable. Vital signs are stabilizing, and the patient reports feeling “a little better.” Then, during your next assessment, the patient tells you, “My stomach really hurts.” It would be easy…
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