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At our county jail we used to do a sick call where inmates just told the CO they needed to see the doctor and came twice a week. Sometimes we would get 12 inmates and on weekends 50 or more. In the past two years the nurses have taken over the medical evaluation by collecting requests from inmates that are locked in metal boxes which the nurse has the key for privacy (HIPPA). The nurse decides if the inmate needs to see the medical doctor or not based on the information given in the request. The doctor call is always on a weekday and weekend (usually Saturday)...
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Have you heard that Critical Incident Stress Debriefing may be causing more harm than good to our staff? There are studies that state that the Critical Incident Stress Debriefing approach, labeled as the Mitchell Model, is not helping our staff after a critical incident, and that it is even harming their recovery! I rejected this notion at first because I was trained in the Mitchell Model in 1995 by my agency. I went through this training because a few years earlier I was involved in a critical incident and was a recipient of this intervention...
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