CCHP-CP case studies
CCHP-CP · Put your knowledge to work in context.
The Certified Correctional Health Professional – Clinical Provider (CCHP-CP) is a specialty credential offered within the NCCHC's Certified Correctional Health Professional program. According to NCCHC, the CCHP program "recognizes health care professionals from a variety of disciplines and settings," and the CCHP-CP is the specialty track for clinical providers - specifically physicians, nurse practitioners, and physician assistants, as distinguished from the nurse track (CCHP-N), the mental health track (CCHP-MH), and the advanced credential (CCHP-A). The CCHP-CP case studies are 5 cases and about 3,248 words.
1Overnight Booking With Diabetes and Chest Pressure
At 23:10 on a Thursday, a 58-year-old man is booked into a 600-bed county jail. He reports insulin-dependent diabetes since 1998 and currently takes metformin 1,000 mg twice daily and insulin glargine 30 units at bedtime.
681 words, about 3 min2Opioid Withdrawal in Disciplinary Segregation
A 34-year-old woman was booked 12 hours ago on a parole violation and placed in disciplinary segregation after a fight with another detainee. She reports daily intravenous heroin use for 6 years and last used about 14 hours before booking.
675 words, about 3 min3HIV Confidentiality and an Unanswered Dental Grievance
A 41-year-old man incarcerated in a state prison has well-controlled HIV (CD4 620, viral load undetectable) and takes bictegravir/emtricitabine/tenofovir alafenamide daily. At sick call he asks the nurse that his HIV status not be shared with his housing officer, who has demanded a 'medical list' to decide cell assignments.
636 words, about 3 min4Suspected Buprenorphine Diversion at Pill Line
A 29-year-old man is prescribed buprenorphine/naloxone 8/2 mg twice daily for opioid use disorder. During the 07:00 pill line, the nurse observes him cup his hand and later sees a small orange fragment on the floor near his shoe.
616 words, about 3 min5Chest Pain During Count in a Single-Nurse Prison
At 22:10 during count in a 180-bed prison, a 52-year-old man with hypertension and a prior myocardial infarction at age 48 reports crushing substernal chest pain that began 25 minutes ago while lying on his bunk. He is diaphoretic and nauseated.
640 words, about 3 min