Learning Focus: Recognizing reproductive health emergencies and escalating timely care for suspected ectopic pregnancy in the correctional environment. Patient Presentation A 27-year-old incarcerated female presents to Nursing Sick Call with complaints of worsening abdominal pain and a missed period. History of Present Illness Review of Systems Focused Assessment Prompt:Which findings are abnormal and require immediate provider notification?How do the patient’s…
Read More
Mr. Howard: Foot Pain
Today scheduled on your Nursing Sick Call list is a 23 year old patient who submitted a slip last night for right foot pain. On the slip, he stated that he noticed his foot hurting that day and doesn’t know why it is hurting. Your review of his health record in preparation for the Nursing Sick Call indicates that he…
Read More
Mr. Villegos: Abdominal Pain
Mr. Villegos is a 46 year old man with no medical history except alcoholism for the past 20+ years. When asked last week during his Receiving Screening by medical staff, he stated that he has been sober for the past two years prior to incarceration, although he did disclose at that time that he drank pretty steadily for about a…
Read More
Ms. Jonas: Blood in Stool
Ms. Jonas is a 50-year-old woman who was recently arrested by the Federal Marshalls and is housed at your facility. She initiated a Sick Call Request yesterday complaining of rectal bleeding. Today you are the nurse triaging sick call slips, and you see Ms. Jonas in a face-to-face encounter. You learn that she has a history of hypothyroidism and is obese, despite…
Read More
Ms. Bradley: Lightheadedness
An officer calls down to the medical office stating that Ms. Bradley, a 62-year-old woman, is complaining of feeling lightheaded, tired and weak. You respond to the unit and find Ms. Bradley sitting in a wheelchair with a cup of water in her hand, given to her by the officer. Ms. Bradley states that she has been feeling this way for the…
Read More