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CCHP-RN study plan

CCHP-RN · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Correctional Health Care Environment and Standards

  • Map each of the seven exam domains to its approximate item weight and rank your personal confidence 1-5 on each

  • Outline the structure of correctional health accreditation standards (governance, safety, personnel, care delivery, health records) and state one compliance example per category

  • Differentiate RN, LPN/LVN, and unlicensed assistive scope of practice inside a custody setting, including what must be escalated to a provider

  • Sequence the intake health screening process from receiving screening through comprehensive health assessment and identify the timeframes that drive each step

  • Contrast the security mission with the clinical mission and describe three situations where the nurse must negotiate both simultaneously

Your checkpoint

A one-page domain-weight and confidence grid plus a hand-drawn intake screening flowchart with timeframes annotated

Week 2

Correctional Health Care Environment and Standards & Patient Care and Clinical Nursing Practice in Custody

  • Build a sick-call triage decision tree that separates urgent, emergent, and routine complaints

  • Identify the equipment, standing orders, and first-response sequence for a medical emergency occurring in a housing unit, yard, or during transport

  • Describe how to conduct a focused nursing assessment when the environment limits privacy, lighting, and available supplies

  • Explain the nurse's role in chronic care clinics, specialty referrals, and coordination with community providers on release

Your checkpoint

Completed triage decision tree plus a written walkthrough of the emergency response sequence in three different facility locations

Week 3

Patient Care and Clinical Nursing Practice in Custody & Health Record Management and Documentation

  • Document a full SOAP-style nursing note for a sick-call encounter that would withstand legal and accreditation review

  • Apply the rules governing confidentiality, protected health information, and permitted disclosures to custody staff versus outside parties

  • Classify documentation errors as late entries, addenda, or corrections, and record each correctly

  • Practice objective, non-pejorative charting that avoids security-driven language and stays clinically focused

Your checkpoint

Three practice nursing notes (sick call, chronic visit, emergency) scored against a self-built documentation checklist and revised until all checklist items are met

Week 4

Health Record Management and Documentation & Medication Management and Pharmacy Services

  • Trace the medication use process from prescribing through administration, reconciliation, and discontinuation inside a correctional pharmacy system

  • Differentiate directly observed therapy, keep-on-person status, and pill-line administration, including criteria for each and documentation required

  • Draft a diversion-prevention workflow covering counting, witnessed ingestion, mouth checks, and reporting of discrepancies

  • Explain handling of psychotropic medication, controlled substances, refusal of medication, and emergency involuntary medication considerations

  • Calculate dosages and identify high-alert medications most often implicated in correctional medication errors

Your checkpoint

Closed-book 50-question mixed quiz over Domains 1-4 with a score of 70% or better and a written list of every missed concept

Week 5

Medication Management and Pharmacy Services & Infectious Disease, Chronic Disease, and Public Health

  • Describe screening, isolation, and treatment monitoring for tuberculosis in a congregate setting, including the role of the nurse in contact investigation

  • Compare transmission-based precautions for influenza, scabies, MRSA, and other outbreak-prone conditions found in jails and prisons

  • Outline HIV and hepatitis B/C and STI testing, counseling, and linkage-to-care pathways within custody

  • Build a chronic disease monitoring plan for diabetes, hypertension, asthma, and anticoagulation that fits a nurse-run clinic schedule

  • Explain public health reporting duties and coordination with local health departments

Your checkpoint

A single reference sheet covering screening criteria, precautions, and follow-up intervals for TB, HIV, hepatitis, and two chronic diseases, self-quizzed to 90% recall

Week 6

Infectious Disease, Chronic Disease, and Public Health & Mental Health and Special Populations

  • Rank suicide-risk screening tools and warning signs and specify the observation-level escalation each finding triggers

  • Describe monitoring and advocacy duties for patients in segregation, including the documented daily review you would expect

  • Adapt assessment and care planning for pregnant, adolescent, elderly, and seriously mentally ill patients in custody

  • Outline medication and monitoring considerations for patients on antipsychotics, including metabolic side effects and adherence barriers

  • Identify the nurse's reporting chain for mental health deterioration, self-harm, and hunger strikes

Your checkpoint

A suicide-risk escalation ladder (finding to observation level to notification) plus a written scenario response for one special-population patient

Week 7

Mental Health and Special Populations & Professionalism, Ethics, and Legal Considerations

  • Apply informed consent, confidentiality, and reporting duty rules to cases involving minors, emergency treatment, and public safety risk

  • Distinguish the nurse's obligations during use-of-force incidents, restraint application, and post-incident medical evaluation

  • Define professional boundaries, dual loyalty conflicts, and the correct response to an inappropriate security directive

  • Explain documentation and reporting requirements for abuse, neglect, injuries, and deaths in custody

  • Describe grievance processes and the nurse's responsibility when a patient disputes care

Your checkpoint

Written analysis of four short ethics/legal scenarios, each citing the governing principle and the required nursing action, reviewed against a self-scored rubric

Week 8

Correctional Health Care Environment and Standards & Patient Care and Clinical Nursing Practice in Custody & Health Record Management and Documentation & Medication Management and Pharmacy Services & Infectious Disease, Chronic Disease, and Public Health & Mental Health and Special Populations & Professionalism, Ethics, and Legal Considerations

  • Re-rank all seven domains by confidence and rebuild study notes only for the two lowest-scoring areas

  • Complete two full-length timed practice exams under test-day conditions

  • Categorize every missed item by domain and by cause (knowledge gap, misread, distractor trap) and re-teach each gap aloud

  • Rehearse exam-day logistics: pacing per item, flagging strategy, and rest breaks

Your checkpoint

Two completed full-length practice exams with a domain-by-domain error log and a final one-page 'last 48 hours' review sheet

Milestones

Week 2: Can explain the intake screening sequence, sick-call triage logic, and emergency response steps without notes, in under 10 minutes

Week 4: Score of 70% or higher on the 50-question Domains 1-4 quiz, with all missed concepts rewritten in your own words

Week 6: Score of 75% or higher on a 60-question Domains 4-6 quiz and a completed suicide-risk escalation ladder that matches facility policy

Week 8: Two full-length practice exams completed at 75% or higher overall, with no single domain below 70%