This post is in response to a request by a nurse manager whose staff had recently dealt with a successful suicide onsite. She asked if I could suggest strategies she could share with her staff, who were very much affected by what happened. In correctional healthcare, we work with individuals who often carry heavy burdens—mental illness, trauma, substance use disorder,…
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Correctional Nurse Clinical Update: Understanding the Compliance Trap in Correctional Medicine Administration
A 63-year-old man is screened during booking. The intake nurse notes a blood pressure of 180/98. The man reports he is prescribed Lisinopril 40mg daily, though he hasn’t taken it that day. After verifying the prescription with his community pharmacy, the nurse obtains a continuation order and administers a dose from stock. He begins daily administration during pill line. Several…
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Correctional Nurse Clinical Update: The First 24 Hours: Nursing Priorities for New Intakes in Correctional Settings
If you have heard me present, you know that I believe Intake Screening is one of the most important nursing interventions we do as Correctional Nurses. Few clinical encounters are as high-risk, or as important, as the initial intake assessment (“Receiving Screening”). The first 24 hours of incarceration is a critical window where medical, psychiatric, and substance-related crises often emerge. As correctional…
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