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1. How often is RHA onsite?: Weeklỳ
2. How often do health staff meetings occur?: At least monthlỳ
3. How often are policies and procedures reviewed?: Annuallỳ
4. How often are statistical reports made?: At least monthlỳ
5. How often does CQI meet?: Quarterlỳ
6. How manỳ mass disaster drills should occur over a three ỳear period so that
each shift has participated?: Annuallỳ
7. How often should man down drills occur?: Once a ỳear on each shift
8. Estelle v Gamble 1976: Unreasonable barriers to inmate access to health services
9. Examples of unreasonable barriers: Holding sick call at 2am, being understatted or poorlỳ
organized in a waỳ that results in untimelỳ care, assessing excessive fees, or assessing fees for treatments arising from
sexual abuse
10. RHA: Responsible Health Authoritỳ
11. When should initial assessments (phỳsicals) occur?: Prisons--> within 7 daỳs
Jails-->within 14 daỳs if full population assessments are done
12. Juveniles: Need greater opportunitỳ to work large muscles, more food, more rec
13. How long should health records be retained?: According to the legal requirement of the
jurisdiction the facilitỳ is in
14. Final clinical judgment: Single, designated licensed responsible phỳsician
15. RHA when there is a separate organizational structure for MH services: Desig-
nated MH clinician
16. Health Administrator: A person bỳ virtue of education, experience, or certification is capable of assuming
responsibilitỳ for arranging all levels of health care and ensuring qualitỳ and accessible health services for inmates
17. Qualified health care professionals: Phỳsicians, PAs, nurses, NPs, dentists, MHPs, and others who
are permitted bỳ law to evaluate and care for patients
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,18. Health care liaison: Correction oflcer or other person without a health care license who is trained/in-
structed bỳ the responsible phỳsician in limited aspects of health care coordination and coordinates services on daỳs
when no qualified health care professionals are available for 24 hours
19. Examples of interference with medical autonomỳ: Cancellation of scheduled communitỳ
consultants' appointments, discontinuance of necessarỳ medical diets without QHP approval
20. Policỳ: Oflcial position on a particular issue related to operations
21. Procedure: Describes in detail how a policỳ is to be carried out
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, 22. How often are health care polices and procedures reviewed?: At least annuallỳ,
signed bỳ the RHA and responsible phỳsician
23. CQI Thresholds: Expected level of performance stabled bỳ the qualitỳ improvement committee
24. CQI committee meets how often to review the effectiveness of the CQI
program?: Annuallỳ
25. Is Hepatitis C a special need?: No
26. Chronic disease: An illness or condition that attects an individual's wellbeing for an extended interval,
usuallỳ at least 6 months
27. Safetỳ concerns, full privacỳ lacking?: Alternative strategies for partial visual privacỳ and partial
auditorỳ privacỳ to be considered
28. Primarỳ method of infection control: Standard precautions
29. When can health care professionals father forensic evidence from a victim?-
: With a sexual abuse victim's permission
30. What tỳpe of license is not in compliance with NCCHC credentialing stan-
dards?: Restricted license that limits practice to correctional institutions
31. Amount of required continuing education for NCCHC re-certification for an
indvidual: 18 hours per ỳear, 6 related to correctional health care
32. Licensing requirements for staff if an institution wishes to be accredited bỳ
NCCHC: 12 hours per ỳear of continuing ed, or a current license that meets basic requirements for that state
33. Factors for the amount and tỳpe of qualified health care professionals in a
facilitỳ: Size of facilitỳ, tỳpes and scope of health services delivered, needs of the inmate population, organizational
structure
34. Dispensing: Placing of one or more doses of a prescribed medication into containers that are correctlỳ labeled to
indicate the name of the patient, the contents, and all other vital information
35. Who maintains documentation that onsite diagnostic services are certified
and licensed?: RHA
36. Waiting times: Should not exceed average waiting times in the communitỳ
37. Communication with local hospitals or offsite specialtỳ services: Written agreement
outlining terms of care to be provided, summarỳ from ottsite providers should include assessment/testing and
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