Kaylee Hathhorn

• Direct care.

Assess the patient's physical, mental, and emotional condition during sick calls, clinics, and infirmary rounds by observing symptoms, appearance, and trends in vital signs.

Initiate appropriate interventions according to health care policies and procedures, as well as nursing protocols.

Review treatment plans, laboratory data, and medication/treatment records.

Develop nursing diagnoses and a treatment plan.

Administer medications and treatments as prescribed by the overseeing physicians.

Check for medication allergies, dosages, side effects, and drug interactions.

Collect samples (i.e., blood, urine) for laboratory analysis.

Monitor for changes in condition for acute, chronic, and convalescent care patients.

• Care Plan.

Develop a care plan with other members of the interdisciplinary team for continuity of care.

Coordinate the patient's health care by scheduling services for on-site and community-based services.

Communicate pertinent information to health care providers to ensure that necessary health care is maintained at all times (for community-based services or when a patient is to be transported to another institution or released from ODOC custody).

• Emergency Responses.

Assess the patient's health status in emergencies involving injury or illness, and provide appropriate nursing and therapeutic intervention.

Decide when a physician's assistance is required.

Authorize patient transfer to the infirmary or to an outside hospital emergency room.

• Charting/Documentation.

Maintain accurate, legible, and complete records of patient care.

Document all requests for medical attention, including objective data collected during patient assessment, treatment provided, evaluation of the treatment effectiveness, and patient education that was provided.

• Educational Services.

Explain basic disease prevention concepts and promote mental and physical health to patients.

• Administrative.

Coordinate nursing care activities with other on-site services.

Evaluate and monitor medical supplies to ensure appropriate supplies are available in sufficient quantities.

Ensure accurate accounting and secure storage of supplies, including narcotics, needles, and syringe counts, is maintained.

• Providing direct medical care to adults in custody (AIC).
• Organizing external referrals and outpatient follow-up.
• Communication with other members of the interdisciplinary healthcare team for continuity of care during their incarceration.
• Working closely with security staff to maintain safe environments.
• Screening, treatment, and follow-up for communicable diseases.
• Triage and emergency responses within the correctional facility.
• Maintaining accurate records of AIC's medical care.
• Patient education on acute and chronic disease processes.