When prescribing, you should be mindful of things such as, but not limited to, medication adverse reactions, medication interactions, substance abuse issues, mental health disorders, comorbidities, allergies, pain level, vital signs, contraindications, drug monitoring, etc. in the context of the individual patient. If a determination is made that off-site care would be more appropriate for the patient, work with medical staff to send the patient off site or make appointments with the understanding that this can be overruled by the Sheriff/Jailer.