You are the Intake/Booking nurse when Mr. Ramus is arrested and brought to the county jail on Friday evening. He is 28 years old, denies any medical or mental health history, but does admit to using alcohol and methamphetamines “recreationally” for “a while”. When asked to define “recreationally,” he states, “you know, a little every day …. for fun. I am definitely…
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Ms. Russell: Muscle and Joint Pain
You are working in a prison in New England. It is August. subjective Ms. Russell is a 38-year-old woman who presents to the clinic after dropping a Health Service Request for muscle and joint pain that began a few days ago. She is on the outside work detail at the local national park, and works in the forest Monday through Friday….
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Correctional Nurse Scope of Practice Scenario Two
To assist nurses, employers and patients, the National Council of State Boards of Nursing (NCSBN) has developed a Scope of Practice Decision-Making Framework to be used when determining whether a particular nursing activity is within the nurse’s scope of practice. It is very straightforward. Most states have implemented/recommended this decision-making algorithm, and I encourage all nurses to use it in…
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Correctional Nurse Scope of Practice Scenario One
To assist nurses, employers and patients, the National Council of State Boards of Nursing (NCSBN) has developed a Scope of Practice Decision-Making Framework to be used when determining whether a particular nursing activity is within the nurse’s scope of practice. It is very straightforward. Most states have implemented/recommended this decision-making algorithm, and I encourage all nurses to use it in…
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Mr. Stone: Heat-Related Illness
Mr. Stone is a 32 year old male who arrived at the prison about 3 months ago from the county jail, where he had been incarcerated for the past 18 months. There, he was diagnosed with hypertension and anxiety, and has been adherent to his medication regimen of amlodipine and fluoxetine. He was enrolled in the facility chronic disease clinic…
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