Wound Care for the Correctional Nurse

Wound Care for the Correctional Nurse In the correctional environment, depending upon the population and the type of facility (jail or prison), the wounds typically seen could be acute or chronic, but all require nursing assessment, treatment and monitoring.  In this class, both acute and chronic wounds will be discussed. Obtaining the wound history, conducting a…

Inmate Manipulation in Corrections Update MDOC 2021

Inmate Manipulation in Corrections Every day, inmates spend their time watching and waiting. They watch with deep interest all that occurs in the facility, waiting until they identify just the right person to target in their manipulation game. Often, inmates direct their attention to the healthcare staff, as healthcare staff are stereotypically sympathetic and wanting…

Chronic Care Patient Education: Hypertension in Corrections

Chronic Care Patient Education: Hypertension in Corrections As healthcare professionals, we are constantly providing patient education as we go about our assessments and treatments.  In corrections, our practice is an extension of Community Health. We assess and treat many of the same illnesses that are prevalent in our community; often, however, their prevalence is higher…

Excited Delirium in Corrections

Excited Delirium It is 5:00 pm on a Saturday night, and Mr. Joel arrives at Booking in the County Jail in the custody of four Deputies. The Deputies tell you that he was picked up at the train station because he was “acting crazy”, pulling his clothes off and screaming that he “did not want…

Heart Failure for the Correctional Nurse

Heart Failure for the Correctional Nurse According to the American Heart Association, almost 5.7 million Americans of all ages are affected by heart failure. Overall, it is responsible for more hospitalizations than all forms of cancer combined, and for medicare patients, heart failure is the number one cause of hospitalization. Due to the improved survival…

Clinical Judgment for the Correctional Nurse

Clinical Judgment for the Correctional Nurse In corrections, nurses are usually the first health care professional to assess a health concern or complaint. Patients present with virtually every type of health problem, and many have co-occurring conditions that can complicate the diagnosis and plan of care. Therefore, correctional nursing practice requires knowledge and experience with…

Common Mental Health Disorders for the Correctional Nurse

Common Mental Health Disorders for the Correctional Nurse Estimates are that nearly 67% of inmates have a serious mental illness, while over half report at least one mental condition (Bureau of Justice, 2021). Even if you are providing nursing care for a medical condition, a co-occurring mental health condition can affect the nurse-patient relationship. Mental…

Medication Administration for the Correctional Nurse

Medication Administration for the Correctional Nurse Traditional medication administration processes require alteration when applied in the correctional setting to accommodate the needs of security and the dispersed nature of health care delivery. Correctional nurses must accommodate security requirements while maintaining all standard administration principles. This class describes the various ways medications may be administered in a…

Rhabdomyolysis for the Correctional Nurse

Rhabdomyolysis for the Correctional Nurse Rhabdomyolysis means the “dissolution of skeletal muscle”.  It is a syndrome caused by direct muscle injury, or a mismatch between energy production and energy consumption that results in a breakdown of muscle cells.  This breakdown results in the leakage of potentially toxic intracellular contents into the systemic circulation.  While there…

Self-Care for the Correctional Nurse

Correctional Nurse Self-Care All nursing is stressful and correctional nursing is no exception. Delivering patient care in a secure environment to a challenging patient population can be draining. Many nurses are other-centered and focus on the needs of others to the detriment of their own health. Besides work stress and burn out, correctional nurses are…