a)
Medical and Health Services
All facilities shall employ a competent medical doctor,
physician assistant, nurse practitioner, or registered nurse to ensure that the
following are available:
1) Protocol
for youth to report illnesses and injuries.
2) Treatment of ailments.
3) Prescription and administration of
medications and special diets.
4)
Arrangements for hospitalization.
5) Liaison with community medical facilities
and resources, including providers for emergency medical care.
6) Environmental health inspections and
procedures.
7) Supervision of
special treatment programs, as for drug addicts, alcoholics, etc.
8) Maintenance of accurate medical records
for each youth.
9) Maintenance of
detailed records log of medical supplies, particularly of narcotics,
barbiturates, amphetamines, and other dangerous drugs.
10) Vaccinations.
b) Physician and Dental Services
A medical doctor shall be available to attend the medical needs
of youth. Arrangements shall be made for a dentist to provide emergency dental
care.
1) General medical physician
services shall be provided in accordance with one or more of the following
procedures:
A) On salary, in accordance with
locally established personnel pay plan;
B) A contract with a local physician or
clinic for full-time coverage at specific hours and for emergencies;
C) A contract with a local physician to
conduct sick call, to be on call for emergencies and to examine newly admitted
youth;
D) Arrangements with a
nearby hospital to provide all needed medical services; and
E) Services rendered, without cost, by
another agency or department or with costs prorated.
2) Access to psychiatric and/or psychological
services shall be provided in individual cases as needed.
c) Medical Examination Room
A medical examining room shall be located close to or be part
of the admissions area.
d)
Medical Examination
All youth admitted to detention shall undergo a physical
examination as prescribed in Section
2602.50(h).
1) Newly admitted youth suspected of having
any type of communicable disease shall be isolated and an immediate referral
shall be made to the facility physician for possible transfer to a medical
facility, unless the admitting facility can safely and effectively segregate
and maintain a medically prescribed course of treatment.
2) All youth confined for more than seven
days shall be given a medical screening by a medical doctor, registered nurse
or physician assistant.
e) Sick Call
A schedule and procedure shall be established for daily sick
call.
1) The names of youth reporting
to sick call shall be recorded in the medical log.
2) Youth with emergency complaints shall
receive attention as quickly as possible, regardless of the sick call
schedule.
3) Nonmedical detention
staff may issue any form of over-the-counter medication, providing the facility
physician gives prior written approval to the facility for the issue.
f) Record or Log
A record shall be maintained as part of the youth's personal
file of all treatment (including special diet) and medication prescribed,
including the date and hour the treatment and medication is administered. A
record shall be maintained of over-the-counter medication (i.e., aspirin, cough
medicine, etc.) issued by detention staff. A youth's treatment and medication
program shall be a part of the summary to the probation officer.
g) Medical Security
Security of supplies must be maintained at all times.
1) When a physician or other medical
personnel attends patients at the facility, a staff member shall be present to
assure an orderly process.
2)
Drugs, including over-the-counter medication and other abusable medical
supplies, shall be secured and accessible only to designated staff.
3) Youth shall receive one dose of medication
at a time and shall be required to ingest medication in the presence of a
medical staff member or detention staff member.
h) First Aid Training
One person on duty, per shift, shall have basic first aid and
cardiopulmonary resuscitation (CPR) training.
i) First Aid Supplies
Those facilities not having a dispensary shall maintain a stock
of first aid supplies for the treatment of cuts, bruises, sprains and other
minor injuries. First aid supplies must be secured and not accessible to
youth.
j) Parental
Notification
Recommendations of the facility physician shall be reported to
parents or guardians, in writing, through the probation officer. Parents or
guardians, the probation officer, and the court shall be immediately notified
of a youth's serious illness or accident.
k) Recommendations
1) Medication to be ingested should, whenever
possible, be in liquid form.
2)
Conditions requiring immediate attention by a physician include, but are not
limited to: head injuries, coma, broken bones, open wounds, history of
diabetes, epilepsy, tuberculosis, venereal disease, fever or
bleeding.
3) The Department of
Public Health may be requested to assist detention facilities by:
A) Providing immunizations;
B) Investigating epidemics, contagious
diseases, food poisoning and providing environmental inspections; and
C) Providing health education literature,
lectures and staff in-service training consultation.
4) The Department of Human Services may be
requested to assist detention facilities. Since youth may be emotionally
disturbed, pre-psychotic, or psychotic but in a temporary state of remission,
the Department of Human Services may provide:
A) Mental health staff members for detention
facilities;
B) Hospitalization of
psychotic youth;
C) In-patient and
out-patient treatment of discharged youth;
D) Mental health education; and
E) Diagnostic examinations for reports and
commitments.
5) Existing
facilities should provide a private area for a medical examining
room.
6) Detention personnel should
receive instruction for emergency care of epileptics during seizures.
Specialized care for epileptics will be determined by the detention
physician.
7) Diabetics and
epileptics should be closely supervised as they may fail to follow their diet,
react to an overdose of medication or, conversely, ignore necessary medication.
Diabetics and epileptics should be regularly seen by the facility
physician.