37 Tex. Admin. Code § 273.2 - Health Services Plan
Each facility shall have and implement a written plan, approved by the Commission, for inmate medical, mental, and dental services. The plan shall:
(1) provide procedures
for regularly scheduled sick calls;
(2) provide procedures for referral for
medical, mental, and dental services;
(3) provide procedures for efficient and
prompt care for acute and emergency situations;
(4) provide procedures for long-term,
convalescent, and care necessary for disabled inmates;
(5) provide procedures for medical, to
include obstetrical and gynecological care, mental, nutritional requirements,
special housing and appropriate work assignments and the documented use of
restraints during labor, delivery and recovery for known pregnant inmates. A
sheriff/operator shall notify the commission of any changes in policies and
procedures in the provision of health care to pregnant prisoners. A
sheriff/operator shall notify the commission of any changes in policies and
procedures in the placement of a pregnant prisoner in administrative
separation. As soon as practicable after receiving a report of a miscarriage or
physical or sexual assault of a pregnant inmate while in the custody of a
county jail, the sheriff shall ensure that an obstetrician or gynecologist and
a mental health professional promptly:
(A)
review the health care services provided to the prisoner; and
(B) order additional health care services,
including obstetrical and gynecological services and mental health services, as
appropriate.
(6) provide
procedures for the control, distribution, secured storage, inventory, and
disposal of prescriptions, syringes, needles, and hazardous waste
containers;
(7) provide procedures
for the distribution of prescriptions in accordance with written instructions
from a physician by an appropriate person designated by the
sheriff/operator;
(8) provide
procedures for the control, distribution, and secured storage of
over-the-counter medications;
(9)
provide procedures for the rights of inmates to refuse health care in
accordance with informed consent standards for certain treatments and
procedures (in the case of minors, the informed consent of a parent, guardian,
or legal custodian, when required, shall be sufficient);
(10) provide procedures for all examinations,
treatments, and other procedures to be performed in a reasonable and dignified
manner and place;
(11) provide that
adequate first aid equipment and patient evacuation equipment be on hand at all
times;
(12) provide procedures that
shall require that a qualified medical professional shall review as soon as
possible any prescription medication an inmate is taking when the inmate is
taken into custody. These procedures shall include providing each prescription
medication that a qualified medical professional or mental health professional
determines is necessary for the care, treatment, or stabilization of an inmate
with mental illness;
(13) provide
procedures that shall give inmates the ability to access a mental health
professional at the jail or through a telemental health service 24 hours a day
and approved by the Commission by August 31, 2020. If a mental health
professional is not present at the county jail at the time or available by
telemental health services, then require the jail to provide the inmate access
to, at a minimum, a qualified mental health professional (as defined by 25 TAC,
§412.303(48)) within a reasonable time;
(14) provide procedures that shall give
prisoners the ability to access a health professional at the jail or through a
telehealth service 24 hours a day or, if a health professional is unavailable
at the jail or through a telehealth service, provide for a prisoner to be
transported to access a health professional and approved by the Commission by
August 31, 2020; and
(15) provide
procedures to train staff to identify when a pregnant inmate is in labor and
provide access to appropriate care. Inmates shall be promptly transported to a
local hospital when they state that they are in labor or are determined by a
person at the level of emergency medical technician or above to be in
labor.
Notes
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