Correctional nursing is the delivery of evidence-based nursing to protect, promote, and optimize health and abilities; prevent illness and injury; facilitate healing; alleviate suffering through the diagnosis and treatment of human response with care and respect; and advocate for individuals, families, groups, communities, and populations under the jurisdiction of the justice system (American Nurses Association, 2021). The American Nurses…
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Correctional Nurse Professional Practice Update: The Sharp End and Blunt End of Clinical Error
A 33 year old male patient from a maximum security state prison was admitted to a community hospital with flank pain and hematuria. His INR was discovered to be 8.2 (therapeutic range 2-3). His medical history included deep vein thrombus resulting from Protein S deficiency. A medication error investigation revealed that the patient had been receiving three times the amount…
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THREE CLINICAL JUDGMENT ERRORS TO AVOID
Over time, as experience develops, clinical reasoning themes emerge that speed our decision-making for commonly reoccurring scenarios. We begin, for example, to develop rules of thumb and analogies resulting in common pattern recognition that originate from past successes. The formal term for this is heuristics. In fact, clinicians rarely use formal computations to make patient care decisions in day-to-day practice….
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