049-11 Wyo. Code R. §§ 11-13 - Juvenile Health and Safety (in addition to Chapter 3, Section 13)
(a) Health Care
Services. The JDC shall provide comprehensive health care services by qualified
personnel to protect the health and well being of juveniles. Except for
regulations necessary to ensure the safety and order of the JDC, all matters of
medical, mental health, substance use and dental judgment shall be the sole
province of the responsible clinicians.
(b) Requests for Treatment. Juveniles'
requests for treatment shall be collected daily. Requests for treatment shall
be reviewed by health care professionals or the trained employees to determine
appropriate disposition or referred directly to the JDC physician, physician's
assistant, advanced practitioner of nursing, registered nurse, licensed
practical nurse (LPN), or licensed mental health professional.
(c) Access to Care. The JDC shall develop,
adopt, follow and maintain on file written policies and procedures for
providing access to care and a system for processing complaints regarding
health care, at no cost to the juvenile and/or family. These shall be
communicated orally and in writing to juveniles upon intake.
(d) Administration of Treatment. The JDC
shall develop, adopt, follow and maintain on file written policies and
procedures to ensure the availability of medical treatment space, equipment,
supplies, and materials necessary for those services provided at the
JDC.
(e) Direct and/or Standing
Orders. All treatment provided by medical personnel other than physicians and
dentists shall be performed pursuant to standing or direct orders. Physician's
assistants and nurse practitioners may practice within the limits of state
law.
(f) Emergency Medical
Services. Emergency medical and dental care shall be available at all times at
no cost to the juvenile and/or family. Written plans for emergency services
shall include arrangements for the following:
(i) Emergency evacuation of juveniles from
the JDC;
(ii) Use of an emergency
vehicle;
(iii) Use of one (1) or
more hospital emergency rooms or other appropriate health care
facility;
(iv) Emergency on-call
physician and dental services when the emergency health care facility is not
located nearby; and
(v) The
caseworker staff and other personnel are trained to respond to health-related
situations within a four (4) minute response time.
(g) Informed Consent. All examinations,
treatments, and procedures affected by informed consent requirements shall be
observed for juveniles' care.
(h)
Serious illness, injury or death.
(i) The JDC shall have a procedure for the
notification of those individuals so designated by the juvenile in the case of
serious illness, injury, or death.
(i) In the
event of a juvenile's death, the coroner, prosecuting attorney, and appropriate
law enforcement agency shall be notified immediately.
(ii) The JDC medical personnel shall have
access to information in the juvenile's confinement records, when needed and
follow any requirements regarding confidentiality of juvenile
records.
(iii) JDC employees shall
be apprised of the juvenile's medical conditions when they have a need to know
to ensure the safety and well being of the juvenile or others.
(j) Dental Services. Reasonable
dental care shall be available and provided to juveniles when the health of the
juvenile during the confinement would otherwise be adversely
affected.
(k) Detoxification.
Arrangements shall be made for providing detoxification programs under medical
supervision that are certified by the Substance Abuse Division of the Wyoming
Department of Health of alcohol and drug-dependent juveniles with the JDC or
through transfer to other facilities.
(l) Suicide Prevention and Intervention. The
suicide prevention and intervention policy must include specific procedures for
intake/admission screening, identification, and intensive supervision of
suicide-prone juveniles.
Notes
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No prior version found.