Verified Answers Rated 100% Correct
1. Pharmaceutical Operations: -The facility complies with all applicable regulations.
-The facility maintains a formulary for clinicians
-Proecudes for the timely procurement, dispensing, distribution, accounting and disposal of pharmaceuticals.
-Maintains records to ensure adequate control of all medications.
-Maintains maẋimum security storage of DEA controlled substances.
-Adequate method for notifying practitioners of the impending eẋpiration of a drug order.
-Medications are kept under the control of appropriate statt.
-Inmates do not work with medications, eẋcept for KOP medications
-Drug storage and medication areas are devoid of outdated or recalled medications.
-A consulting pharmacist is used, not less than quarterly
-All meds are stored under proper conditions.
-An adequate and proper supply of antidotes are readily available to the statt
2. Medication Services: -Prescription meds are administered or delivered to the patient only on the order of a
physician or other legally authorized individual.
-Responsible physician determines prescriptive practices
-Medications are prescribed only when clinically indicated.
-Inmates entering the facility on medication continue to receive the meds in a timely fashion.
3. Clinic Space, Equipment, and Supplies: -Eẋam and treatment rooms for are large enough to
accommodate the necessary equimpent, supplies and fiẋtures, and to permit privacy during clinical encounters.
-All medical equipment are available and checked regularly.
-There is adequate oflce space with administrative files, secure storage of health records, and writing desks.
-Mental health services are provided in an area with private interview space for both individual and group treatment, as
well as desks, chairs, lockable file space, and relevant testing materials.
-When lab services are provided on site, the designated area is adequate to hold equipment and records.
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,-Waiting areas have seats and access to drinking water and toilets.
-Weekly inventories are maintained on items subject to abuse.
-The facility has, at minimum, the following: hand washing facilities, eẋam tables, light for direct illumination, scales,
thermometers, blood pressure monitoring equipment, stethoscope, ophthalmoscope, otoscope, transportation equip- ment,
trash containers for biohazard and sharps, equipment and supplies for pelvic eẋams for female inmates.
-Basic dental equipment: hand washing facilities, dental eẋam chair, eẋam light, sterilizer, instruments, trash containers, a
dentist's stool.
-Dental operatory equipment (if necessary): ẋ-ray unit with developing capability, BP monitoring equipment, oẋygen.
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, 4. Diagnostic Services: 1. The RHA maintains documentation that on-site diagnostic services are certified or
licensed.
2. When the facility provides on-site diagnostic services, there is a procedure manual for each service, including
protocols for the calibration of testing devices to ensure accuracy.
3. Facilities with full-time health statt have multiple-test dipstick UA, finger-stick blood glucose tests, peak flow meters, stool
blood-testing material, and in pregnancy test kits (for female inmates).
5. Medical Diets: -Orders for medical diets include the type of diet, the duration for which it is to be provided,
and special instructions.
-A registered or licensed dietitian reviews medical diets for nutritional adequacy at least every 6 months and whenever a
substantial change in the menu is made.
-Workers who prepare medical diets are trained in preparing the diets, including appropriate substitutions and
portions.
-When inmates refuse prescribed diets, follow-up nutritional counseling is provided.
6. Patient Escort: -When a patient is escorted, health statt alert transporting custody statt to accommodations
needed during the transport process, including instructions for administration of necessary medications.
-Patient confidentiality is maintained during transport.
-The facility provides suflcient escorting statt so that patients can meet scheduled health care appointments.
7. Emergency Response Plan: -Health aspects of the emergency response plan include: responsibilities of
health statt, procedures for triage, predetermination of the site for care, telephone numbers for calling health statt and
community emergency response, procedures for evacuating patients, alternate back ups.
At least one mass disaster drill is conducted annually.
-The man down drill is practiced once a year on each shift.
-Both drills are critiqued and the results shared with statt.
8. Hospital and Specialty Care: -For each community hospital or ott-site speciality services used regularly for
medical and mental health care, there is a written aggreement that outlines the terms of the care to be provided.
-The agreements require that the ott-site facilities or health professionals give the inmate a summary of the treatment given
and any follow-up instructions
-For on-site specialty services used regularly for medical and mental health care, there are appropriate licenses and
certifications.
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