The "Sick Call" model was developed for young healthy military personnel, not for an incarcerated population in which patients seeking help for episodic problems are generally much sicker with more complex needs. At the same time, most correctional institutions only minimally engage nurses in the treatment of chronic care. In this session, the speaker will argue that the current basic structure of medical care delivery in corrections is upside down and will challenge attendees to consider a very different, but more logical, structure for prison and jail ambulatory care.

Educational Objectives

• Verbalize how the current care delivery model in most facilities fails to make optimal use of the clinical strengths of its nurses and practitioners
• Describe the key components of a new practice model that leverages the clinical strengths of nurses and practitioners
• Explore ways to redesign the medical care delivery system in one's own facility

Level Advanced