licensed practical nurse

registered nurse

site administrator

registered nurse manager

site coordinator

Quality Correctional Healthcare

My typical day at work is anything but typical.  For those who have never worked in corrections, it is very much like an ER in that you never know what your day will be and you will never have the same day twice.  I am the administrator at my jail so my day begins with checking in with the medical staff at each site and assess what they might need that day.  Then, I check my email and then depending on the day order supplies, prepare for the doctor, prepare for the dentist, oversee the medical staff to make sure both medical units are running smoothly.  Although a lot of my job is management and paperwork, I also see inmates for various medical needs, wound care, detox monitoring, and on occasion pull meds and do a med pass when needed.  It would be hard to pinpoint the most enjoyable aspect of my job.  I love my job and the company that I work for.  QCHC is an amazing company to work for in every respect.  They are so supportive of their staff and have created an amazing work environment for their employees.  The doctors are always available and management is on call 24/7 (and yes they always answer their phones and call back within an hour).  They also encourage education for their staff, which says a lot about the character of the company.  It is refreshing to work for a company that really believes in education for their staff members.   They also genuinely care about their employees.  When I had an issue arise with my family, I not only got a call from my CNO but also from the doctor who founded the company expressing their concern and asking how I was and if they could do anything.  Just knowing that I have that kind of support from my employer is a huge help.  I know that no job is 100% perfect but I can say that this is the best company that I have every worked for and I would highly recommend it to anyone who wants to work in corrections.

Starting with this company I was optimistic and hopeful. However, with orientation and training I began to see issues. As far as training, there was no organization and the individual "training" me lacked any appropriate credentialing or trading experience leaving much of the job to be figured out on my own. Over time it became more than obvious that the corporate office could care less about the employees, as there was literally zero communication or oversight. It wasn't until the risk of losing the contract for the facility that the company decided to make an appearance to "paint over dirt", you could say. 
The work environment is extremely hazardous due to staffing being at an absolute minimum,  most often 2-to-3 medical personnel to respond to anywhere between 1,000-1,200 individuals including Correctional staff, inmates and civilian staff.  Lack of appropriate equipment is a major concern as you are provided essentially band-aids and gauze to respond to at times major trauma, stab wounds, etc. The actual floor staff, for the most part, are good. However there have been occasions when poorly prepared/ trained staff have ran out on situations or just not responded. On-site management seems to share the same disconnect as the corporate office and are seldom, if ever, seen. 
The pay is OK, but the expectations for the level of pay is ridiculous. Especially given how grossly understaffed and poorly equipped you are. It doesn't help that corporate decided to cut staff even further, providing them no notice in doing so. Poor ethics, too say the least. 

QCHC Need to make some big adjustments. Management is absolutely ridiculous. You can never find your nursing staff when they’re needed. I have witnessed them be called to call 4 times before any showed up. 
 Your base in a jail setting and it’s usually the officers or the Jail employees that you work with that are the good ones. Management can’t give you full job descriptions they don’t know how to do most of the jobs. People coming from corporate and their disrespectful nine times out of 10. You’ll never better yourself. They treat you like horribly like you are nothing. And if you’re not an LPN or an RN you’re literally scum to them. Most of their staff has always felt they are better than everybody that includes the officers that includes the jail staff they just think they’re higher up than any of them. There’s so much drama and so much talking bad about everybody you work with including from management it’s horrible you feel like you’re in a middle school or high school cafeteria. Management will literally talk to you about other employees. The Doctor that owns the company is ridiculous to work for. Be Cautious when considering working for this company. Not every employee is a bad employee. The nurse practitioners are pretty amazing. I honestly do not know how they got the contract that they did let alone how they keep it. 

Administration does not care about their employees, you are just another warm body to take a position.  You are 1 nurse to anything from 150-800 inmates.   It’s ridiculous.  Some jails are safer than others, but at any given time anything can happen that puts you at risk.  Administration is so disconnected from their employees, the training you receive is insufficient, or your trained by the ones that hasn’t been properly trained themselves to do the job, most you have to figure out for yourself as you go, because most cases no one knows the real answer.  Every jail is set up differently, their schedules and how they do things, but administration thinks every jail is the same and runs the same when they’re not.  Some jails could care less if your the nurse and want to micromanage medical putting your license and inmates health on the line.  If you go to manage about issues you are having at the jail, then instead of working the problem out and having the back of their nurses, they move you to another jail and hire a replacement.  They do not care about their employees, nor do they care about your license.  You just another nurse to them. 

Working for this company there wasn't really just an typical day at work. In corrections you never know what each day holds. It is rewarding and exciting. This job taught me self discipline because on site I normally was the only medical person on site for the entire facility and I learned how to work at a steady effective pace, Also this job showed me that if you talk with people in a respectful tone and manner you will be very good at what you do and people will want you to work for them. The management was the only downfall. I didn't meet anyone from management until I had made a mistake simply due to lack of communication and misunderstanding and then 2 managers showed up. The culture was the best part. You had one on one time with people to actually care for them in a way that made them not feel like just another body. The hardest part of this job was being on call since I lived-in a rural area with no cell service and really couldn't afford the high priced landline service since only one provider serviced my area it was outrageous. The most enjoyable part of this job was actually working for a company that actually cared about their clients and patients.

Don't agree to travel. Company does not reimburse for some long commutes. Nurse is expected to be on call (without pay) and may have to return to site, yet still expected to be present for regular 12-hour shift even if she is up all night travelling back and forth. Management is chaotic with constant change of personnel. No support given if needed. Required to work under unsafe conditions under some circumstances. When I had co-workers they were terrific. But the company itself was less than helpful or supportive. The company also had accounting difficulties where they claimed employees had been given too much vacation time and suddenly were in the negative by a lot of hours. I had a trip paid for that I could not take because the company said I owed them hours of vacation time and I lost money on it, even though I had only taken a couple of days vacation in the past year. This happened to several people. Also they revamped sick call and vacation accrual and rollover drastically. Now one gets no more than 5 days of sick leave annually.

QCHC is a contract company that works inside of a jail. They provide medical care to inmates. 
The work schedule is 3 twelve-hour days a week, a total of 36 hours.  They will try to lowball you on pay, so ask for more if you apply. They will hire anyone with a license and a pulse. There is no PRN Rate. They only provide a $1 in shift differential to the night shift. QCHC observes 5 holidays if you work on that holiday you will get 8 hours of pay, if you do not work the holiday you don't get any holiday pay.
The Corporate office is located in Birmingham. No one answers the phone, It always goes to voice mail. I do not believe anyone at corporate has a degree. It's like an episode of dumb and dumber.
The company does not support the staff. They do not have good benefits. Family insurance is over $900.00 a month with a $3000 deductible per person. 
The turnaround rate is very high. QCHC is currently short 4 LPNS, 1HSA, and a new regional started last week. 
Check your check stub. Your taxes could be wrong, you may not get paid for all time worked. 
QCHC is not a good company, I hope they do not renew their contract.

A typical day at work consists of more than I have the space to type here. The contract at my current location does not permit enough staff to adequately care for the daily census and you are constantly pulled in 10 different directions while trying to complete your minimum daily tasks. We are constantly out of compliance with minimum state standards because of this but requests to upper management for ANY type of support goes either unanswered or you are told you're not managing your time well. New employees have no training from management and there is no extra staff to help train them either. They shadow whomever is on shift and you hope you have time to slow down and explain things because either way they'll be working independently soon due to the high turnover rate. There is rarely help from the HSA because they got the same training and doesn't stay long either.

My daily duties vary greatly as I am the only nurse at my site. I am in a very small detention facility, but I prefer to work alone. My Regional Manager is an amazing leader and is always supportive and available for any concerns or issues I may have. I have never had to go "over her head" for any reason. On the very off- chance that I need to contact corporate, I feel upper management is also very helpful and supportive no matter my need. Our on-call physicians are always responsive, patient and kind. I feel that I have learned a lot since joining this team. My regional manager has become a good friend and advisor and I am very grateful to be a part of this team and highly recommend this company for your journey in to corrections. I have been a nurse for 21 years and have truly never felt more valued or supported by any other company and I feel that is a great component to my overall satisfaction with my career. 

Typical work day includes clocking in (if you can because the company is constantly changing the clock in procedure and programs). It is very important to check your tasks for the day and triage them, but even then you will still be doing the work of two (sometimes three) nurses. Don't bother asking the HSA for help, he/she is already up to their neck in uneccessary paperwork as well. A daily tasks list consist of over 200 people to be seen. This does not include the many codes, walk in, or chest pains that you will have to stop everything that you're doing to take care of before moving forward. However, you are still EXPECTED to finish all your work before the shift is over and NOT to accumulate ANY overtime in the process. The nurse turnover rate is absolutely outrageous. PTO time is not located on check stubs or anywhere to be viewed. Don't call HR because they won't help. Always check your pay stub! You may not be getting all your money.

Top Job Titles	Average Salary
Licensed practical nurse 266 salaries reported	$28.54 per hour
Registered nurse 37 salaries reported	$41.81 per hour
Site administrator 7 salaries reported	$39.86 per hour
Registered nurse manager 9 salaries reported	$37.33 per hour
Site coordinator 1 salary reported	$26.50 per hour

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