Introduction

The journey of a nurse or certified nursing assistant (CNA) in correctional settings can be a unique blend of challenges and rewarding experiences. With over 25 years of experience in jails and prisons, I have seen firsthand the complexities and the human aspects of this niche field. This article explores the life of a nurse in correctional settings, focusing on the role, daily responsibilities, and the impact on both healthcare providers and the incarcerated individuals.

Challenges and Responsibilities

Working as a correctional nurse or CNA is inherently challenging due to the high-security nature of the setting. Safety is prioritized above all else. For instance, entering a dorm or room requires security clearance to ensure the environment is safe. Despite the challenges, many find the role fulfilling, as the work goes beyond the clinical setting, offering emotional support and a sense of community.

The job involves a wide range of responsibilities, including:

Regular health checks and changes of briefs every 2 hours Lifting and handling equipment with precision to avoid injury Assisting with personal hygiene and feeding patients Administering medication and performing vital checks Handling under-staffing during peak times Supporting the emotional and mental health of incarcerated individuals

The role requires a unique set of skills, such as adaptability, empathy, and resilience. Despite the demanding nature of the job, the sense of accomplishment and the strong bonds formed with the incarcerated individuals make the work valuable and worthwhile.

A Personal Journey

My journey as a correctional nurse began unexpectedly when I was hired at a new state prison. After working in a pediatric clinic for 11 years, the environment and job responsibilities were drastically different. The transition was not smooth, and the realization that I might be in life-threatening situations at any moment was a significant change. However, after a year of acclimatization, I found the role deeply rewarding.

The work culture in correctional facilities varies significantly. In one facility, I found that offenders could be respectful and cooperative, while in another, the atmosphere was more confrontational and challenging. Despite these differences, the core mission remains the same: providing quality healthcare and creating positive influences in the lives of incarcerated individuals.

The Role of a Nurse in Correctional Settings

The primary focus in correctional settings is on both security and medical care, although medical emergencies still require collaboration with security. The phrase “Do no harm but take no shit” embodies the ethos of a correctional nursing environment. This mantra reflects the need to maintain personal safety while upholding professional standards and the commitment to providing compassionate care.

The environment in correctional facilities is often understaffed, with nurses and CNAs working extended hours. Despite this, the job offers unique opportunities to support and care for individuals who might not otherwise receive adequate healthcare. The camaraderie among colleagues and the recognition of the critical role they play in the facility make the work fulfilling.

Personal Testimonies

From my experience, I have witnessed the positive impact of correctional nurses and CNAs on the lives of incarcerated individuals. For example, simply offering a smile or listening to someone’s story can make a profound difference. Many patients become like family, and the professional bonds formed are often lasting.