Interview with Nurse Manager

How is the plan of care determined?

Mostly the Dr. But the nurses can be asked

End of life policy?

There is no current policy. Tammy wants it because their needs are different.
There is also no long term care policy

Long term patients are assessed by the nurse once a week (head to toe, VS)

Long term is assessed by Dr. Q 30 days

Hospice patients are assessed by RN Q shift

Hospice is assessed by Dr. Q day unless they determine that they need less visits
(closer to death=more frequent visits)

RN and LPN staff- 1st shift 9, 2nd shift- 9, 3rd shift- 5-7

What are some challenges with this population

No advance technology

Must make due with what there is

Colegent review at central office can override any of the recommendations

the doctor makes

Family does not care about the hospice patients so they die alone

Tammy stopped looking at the crimes that the patients committed

She does not share anything about her life outside of work

What is the culture of healthcare here

In my experience here at FMC the culture of healthcare here focuses on

"pointing fingers" or blaming others often resulting in corrective action. I would like
to create a culture that takes ownership of wrong doing instead of concealing and/or
reporting the problem. By doing so this creates opportunity where the issues to the
problems can be fixed or corrected. This could be in the form of education to
correct deficient areas

Describe the morale of the unit

Overall I believe the morale of the unit is low. The facility as a whole has
experienced a lot of changes that many staff members are not happy with.
Guidelines are often put in place and often not followed thru with. Many changes
are made without the input of the staff and causes frustration.
How would you describe the nursing care here? Is it compassionate and thorough?
Different than in a non-prison setting? Does the staff have time to address all health
needs on the unit?

Ideally I would like to think that ll nursing care is the same across the board. I
do not believe that all nursing care that is provided is compassionate and/ or
thorough. I say that only due to the lack of training I believe is not received prior to
our nurses coming to the floor. Correctional nursing is very different then the
community nursing. First and foremost I believe that you have the be security
minded when dealing with your patients. You can't engage in simple things like
conversation about your kids to lighten the encounter like you could in a hospital. I
also believe that in correctional nursing you lack the up to date resources like a
pixies for medication. I Would have to say it is a 50/50 chance that al health needs
are being addressed. With the shortage of staff you are forced to prioritize your
patients.

Who defines what is reasonable care?

Delivery of healthcare is dictated and outlined to staff in policies and

protocols. All staff is required to go to training at the date of hire to learn these
policies and protocols. Skills are outlined in Lippincott which are tested annually. A
quality assurance nurse will ensure that all nursing staff are passing such skills.

Is there a system of checks and balances for staff?

I am not aware of any sure steps that have been implemented to ensure
unbiased care.

Odunola Gbenro-Ajibad: marysville womens prison nurse.

What made you want to work with this population or what motivates you?
Riverside manager conflict
09 came to Cap
Needed change
Benefits are great, found she loves it
Biggest challenges you have faced personally?
Staying/being with the incarcerated for the 1st time
2 weeks training not to close, safety, fear of acting up, riot
Self-defense how to diffuse the situation
Emotional connections, have to have a good relationship with fellow co-workers.
What strengths have you found that you possess since beginning this work?
 Believe in self
General knowledge of medicine
Practicing all fields of nursing
Do your best
What are the womans strengths/weaknesses that you have been able to identify?
They find strength in the volunteers
Religion
Will do anything for drugs, no boundaries
Hold on to why they were on the out in the 1st place
Revolving door for some
Dont care just want payback
Where did I go wrong?
What can I do better?
Abuse use it as an excuse to blame
We often discuss in group the internal struggle faced with working with this population
wanting to provide holistic care for a population who has done potentially very immoral acts.
How do you personally deal with this struggle?
Continual struggle
Fact that you dont want to be there
We take our freedom for granted. Freedom is golden.
Put it behind you you know you are safe

Volunteer Survey Monkey

Synthesis of Survey Responses
1) What motivated you to volunteer with the incarcerated population? and what keeps you
coming back?
-First Question
* Sharing of skill or talent (music)
* Concern for the population
* Ministry
-Second Question
* Affirmation and praise from inmates
* Challenge and learning experience of the community
* A desire for them to return to normalcy
2) How often do you volunteer in corrections and rehabilitation facilities?
* 1x week most common
* 1x month
* 4x month
3) Has this been a rewarding experience for you personally? If so, briefly explain.
* Yes: due to positive response and appreciation of the inmates (thanks, tears)
* Yes: understanding that it impacts them (humanity)
4) Briefly describe your thoughts on the treatment & care the prisoners receive on a daily basis.
* Limited insight due to status as volunteer
* Treated with respect, compassion
* Limited care, poor sanitation, lack of social opportunities
* No programs to foster passion or growth
5) What do you see as strengths of the incarcerated population?
* Calm demeanor
* Sympathetic
* Desire for improvement
* Willingness to help others
* Street-smart
* Self-relient
6) What do you see as weaknesses of the incarcerated population?
* Horribly bored
* Reason for incarceration
* Disease and illness
* Susceptibility for depression, hopelessness, low self-esteem
* None
7) What has been a challenge in interacting with the men and women who are incarcerated?
* None
* Acknowledgement of own personal wealth, strengths, situation
* Accommodating/working with the correction & rehab system when volunteering

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