A patient was brought to the Jackson County Jail for booking. Prior to accepting the patient, Nurse Williams noticed the patient was sweating significantly and appeared nervous. The patient was placed on the body scanner and Nurse Williams took his vital signs. She noticed that his blood pressure was elevated, and he was very tense. The body scanner revealed that there may be a foreign object in the patient's rectum. The patient denied that he had inserted drugs or any other objects into his rectum. Nurse Williams asked the arresting agency to transport the patient to the Emergency Room for medical clearance due to elevated blood pressure, sweating, and possible foreign body in his rectum. The arresting agency initially resisted her request to transport the patient, but she insisted that the patient must be cleared by the hospital physician prior to getting booked into the jail. Once the patient was in the Emergency Room, it was determined that he had a loaded handgun inserted in his rectum. Due to Nurse Williams thorough assessment and persistence, she prevented a catastrophic event from occurring.