Correctional_Nursingby_Lee

Correctional_Nursingby_Lee - Correctional Nursing Chia-Chen...

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Correctional Nursing Chia-Chen Lee, MSN, RN, FNP Nurse Manager Santa Clara County Custody Health Services
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Historical Overview American Nurses Association recognized correctional nursing as a specialty profession in 1975 ANA published “Scope of Nursing Practice in correctional Facilities in 1985 ANA states that nurses practicing in correctional facilities have a minimum of BS degree
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Correctional Medicine Moving from Isolation toward professional identity (1975-2005) Pioneering survey of medical care in U.S. jails published by American Medical Association 1972 National Commission on Correctional Health Care (NCCHC) 1981 Society of Correctional Physicians (SCP) founded 1993
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Constitutional Rights of Inmates Federal courts to improve conditions: A) Lack of inmate access to medical services B) Poor follow-up care of recognized health needs C) Insufficient staff and funding to provide adequate care D) Preventable negative outcomes of care, including death or permanent injury
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Correctional School of Nursing Idaho nine-weeks correctional nursing certificate program Understanding inmate behavior Managing narcotics Self-defense Responding to riot/hostage situations Conducting sick call
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Correctional School of Nursing Medication administration Emergency response Infirmary care Differences in nursing approach to men and women
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Correctional School of Nursing Vanderbilt University School of Nursing partnered with Federal Bureau of Prisons (BOP)- graduate course for nurse practitioners in correctional health care
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Correctional Staff and Health Care Collaboration between health care and security staff Balancing institutional movement rules and inmate access to services Working with security to send inmate/patient off-site Inmate turnover and the episodic approach to health services
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The Problem Estimated 283,800 mentally ill inmates is US (Sniffen, 1999) 547,800 mentally ill offenders on probation every year (Sniffen, 1999) Non compliance with psychiatric medications most significant predictor of arrest (McFarland, 1989) 1/3 discharged from psychiatric hospitals lose contact with services within a year (Barr, 2000) Costs California, $40,000,000 annually (MIOCRG, 2002)
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Santa Clara County
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Solutions Increasing compliance with psychotropic medications Improving compliance h relapse, h hospital readmission and h criminal transgression (Dubyna & Quinn,1996)
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The Role of Nurses Health screening and physical examinations
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This note was uploaded on 09/08/2010 for the course NURS 127A at San Jose State University .

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Correctional_Nursingby_Lee - Correctional Nursing Chia-Chen...

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