CCHP Exam
CCHP Standards for Health Services in Jails
Exam Study Guide Questions and Answers
Graded A+ 2025
What is deliberate indifference? -Correct Answer ✔Knowingly do not care for a PT: This
is refusing the PT access to care.
Access to care is directly related to -Correct Answer ✔Landmark Case Estelle vs
Gamble 1976.
With this group
You are not allowed to assess the co-pays for medical sick calls. -Correct Answer
✔Juveniles:
Health Staff & Security: Health staff will need to be oriented about the -Correct Answer
✔security regulations - Health staff has to abide by the security regulations.
Company Policies: These cannot go against any -Correct Answer ✔Correctional Facility
policy.
CQI Committee: The person in charge of this is the -Correct Answer ✔Medical Director.
CQI meets at least quarterly.
Yearly Reviews per Process Review & Outcome Studies: Greater than 500 IMs will
need _____ reviews, Less than 500 IMs will need ______ review. -Correct Answer
✔Greater than 500 IMs will need 2 reviews
Less than 500 IMs will need just 1 review.
Privacy with Security CO's and assessments: In Jail COs are allowed to be near health
staff per CO's receive HIPPA training, however when it comes to private exams privacy
is needed as in Breast exam, rectum exams etc. With Juvenile facilities- COs are only
present if -Correct Answer ✔if the juvenile presents as a risk of security.
Records: If records are transferred with the PT, the record needs to be -Correct Answer
✔sealed.
Clinical Morality Review: This is completed by the -Correct Answer ✔medical director.
Log of Deaths: This will include -Correct Answer ✔- Pts name, DOB, ID Number.
- Cause of death.
- Manner of death.
- Age at death.
CCHP Exam
,CCHP Exam
- Date of clinical review.
- Date of Administrative review.
- Date of findings of review shared with staff.
- Date of psychological autopsy if applicable.
Juveniles with emergency notification: If the juvenile has no family / guardian to
complete the forms for consent to treatment, then the probation staff will complete this.
If there are cases of serious illness, injury, or death the -Correct Answer ✔parents,
guardian or juvenile department has to be contacted
Fees: With Juvenile there -Correct Answer ✔are no fees for services
Screenings: With Juveniles the screening takes place_____________ It is required with
Juveniles that they be screened for sexual diseases. With Juveniles the screening
questions will assess hx or recent sexual encounters. -Correct Answer ✔within 4 hours.
Adults (Jail) the screening is completed -Correct Answer ✔soon as possible.
Transfer Screening: Juvenile assessments completed within -Correct Answer ✔7 days
Transfer Screening: Juvenile assessments completed within 7 days - Jail is in -Correct
Answer ✔a timely manner.
Initial Health Assessments: Juvenile assessments completed _______ days. Jail is
_______ days. -Correct Answer ✔Juvenile assessments completed 7 days.
Jail is 14 days.
MH assessment: Juvenile assessments completed ____ days. Jail is __________ -
Correct Answer ✔Juvenile assessments completed 7 days.
Jail is ASAP or no later than 14 days.
Oral Screening occurs: Jail completed __________
Juvenile is ________ .
Prison is _________ -Correct Answer ✔Jail completed ASAP or no later than 14 days.
Juvenile is 7 days.
Prison is 7 days.
Oral Education occurs: This can be completed when the screening process is done.
With Juvenile it is ______ .
Jail is ________ -Correct Answer ✔Juvenile it is 7 days.
Jail is 14 days.
Sick calls: Need to be completed within ________ This is the same for all facilities
Juvenile, Prison and Jail. -Correct Answer ✔24hrs after scheduled.
CCHP Exam
,CCHP Exam
Nursing Protocols: There needs to be evidence of what -Correct Answer ✔that the staff
are trained (Quizzes etc.).
Evidence of annual review and training or retraining of staff.
Pts with chronic diseases and other special needs: The treatment plans are________
and updated when needed. -Correct Answer ✔individualized
What form of housing and care?
: Any PT is in sight or sound of qualified healthcare professionals and staff members. -
Correct Answer ✔Infirmary level of care
TRUE OR FALSE
Pregnant IM: Emergency kits and delivery kits need to be at the facility. -Correct Answer
✔TRUE
Early Release: The physician will perform what action for this -Correct Answer
✔reaches out to the court per an early release due to medical conditions of the PT.
Restraints: Clinical restraints with juveniles are _________
and with Jail it is __________ -Correct Answer ✔are constantly monitoring
15 min checks.
Custody Restraint Time Frame: These checks are ______ vs Clinical Restraints are 15
min checks. -Correct Answer ✔as medically appropriate
TRUE OR FALSE
Custody Restraint: Correctional staff will reach out to health staff to notify them about
the restraint. Health staff will review the Pts chart to assess any medical concerns per
being restrained. -Correct Answer ✔TRUE
Segregated IMs: With Juvenile - They are monitored -Correct Answer ✔daily by health
staff and every 15 min by CO staff.
Jail: Solitary Confinement (ISO CELL): Assessed _______
Limited Confinement is ______ -Correct Answer ✔daily by medical and 1x week by
mental health.
3xs per week.
Means Ordering medications. -Correct Answer ✔Procuring:
: Placing the medications into a container that is correctly labeled. -Correct Answer
✔Dispensing
System of delivering, storing, or accounting medications. -Correct Answer ✔Distribution:
CCHP Exam
, CCHP Exam
Reordering, summarizing, analyzing, reporting, or verifying medications. -Correct
Answer ✔Accounting:
Clinical Performance Reviews: These are annually for all qualified health staff.
The RHA will complete individual reviews When? -Correct Answer ✔as needed or when
competence is questioned.
IM WORKERS: With Juvenile's they are not allowed to work with -Correct Answer
✔biohazardous materials and waste, not allowed to clean the clinical work areas.
Correctional staff: Trained every 2 years.
Jail & Prison _________ required.
Juvenile _________ required. -Correct Answer ✔Jail & Prison 75 required. Juvenile
85% required
Environmental Inspection of equipment: This is -Correct Answer ✔monthly.
The exposure plan: This is reviewed, updated as needed and signed_______ -Correct
Answer ✔annually.
Suicide prevention program: All facilities have to have a prevention program. Acutely
suicidal is 1 on 1.
Acutely suicidal is ________ and Non acutely is monitored every ____________. -
Correct Answer ✔constant observation - 1 on 1
15 mins with unpredictable intervals
Patient Safety Systems: Is to prevent -Correct Answer ✔adverse and near miss clinical
events.
Exercise or Rec time: 1 hr. per day - 7 days a week. The only Pts that do not get
exercise are those -Correct Answer ✔who are being transported.
The__________ eliminates any unreasonable barriers to IMs receiving care.
___________ : ensures that all healthcare policies and procedures are documented and
easily accessible/available to all staff.
Examples of unreasonable barriers:
- Punishing IMs per seeking help.
- Excessive fees.
- Holding sick calls until 2am or at odd times on purpose.
- Being understaffed or underfunded.
- Having review processes that delay sick calls.
- It is required to have a responsible physician (MD OR DO), a NP cannot replace or
substitute as the responsible physician. -Correct Answer ✔RHA
CCHP Exam
CCHP Standards for Health Services in Jails
Exam Study Guide Questions and Answers
Graded A+ 2025
What is deliberate indifference? -Correct Answer ✔Knowingly do not care for a PT: This
is refusing the PT access to care.
Access to care is directly related to -Correct Answer ✔Landmark Case Estelle vs
Gamble 1976.
With this group
You are not allowed to assess the co-pays for medical sick calls. -Correct Answer
✔Juveniles:
Health Staff & Security: Health staff will need to be oriented about the -Correct Answer
✔security regulations - Health staff has to abide by the security regulations.
Company Policies: These cannot go against any -Correct Answer ✔Correctional Facility
policy.
CQI Committee: The person in charge of this is the -Correct Answer ✔Medical Director.
CQI meets at least quarterly.
Yearly Reviews per Process Review & Outcome Studies: Greater than 500 IMs will
need _____ reviews, Less than 500 IMs will need ______ review. -Correct Answer
✔Greater than 500 IMs will need 2 reviews
Less than 500 IMs will need just 1 review.
Privacy with Security CO's and assessments: In Jail COs are allowed to be near health
staff per CO's receive HIPPA training, however when it comes to private exams privacy
is needed as in Breast exam, rectum exams etc. With Juvenile facilities- COs are only
present if -Correct Answer ✔if the juvenile presents as a risk of security.
Records: If records are transferred with the PT, the record needs to be -Correct Answer
✔sealed.
Clinical Morality Review: This is completed by the -Correct Answer ✔medical director.
Log of Deaths: This will include -Correct Answer ✔- Pts name, DOB, ID Number.
- Cause of death.
- Manner of death.
- Age at death.
CCHP Exam
,CCHP Exam
- Date of clinical review.
- Date of Administrative review.
- Date of findings of review shared with staff.
- Date of psychological autopsy if applicable.
Juveniles with emergency notification: If the juvenile has no family / guardian to
complete the forms for consent to treatment, then the probation staff will complete this.
If there are cases of serious illness, injury, or death the -Correct Answer ✔parents,
guardian or juvenile department has to be contacted
Fees: With Juvenile there -Correct Answer ✔are no fees for services
Screenings: With Juveniles the screening takes place_____________ It is required with
Juveniles that they be screened for sexual diseases. With Juveniles the screening
questions will assess hx or recent sexual encounters. -Correct Answer ✔within 4 hours.
Adults (Jail) the screening is completed -Correct Answer ✔soon as possible.
Transfer Screening: Juvenile assessments completed within -Correct Answer ✔7 days
Transfer Screening: Juvenile assessments completed within 7 days - Jail is in -Correct
Answer ✔a timely manner.
Initial Health Assessments: Juvenile assessments completed _______ days. Jail is
_______ days. -Correct Answer ✔Juvenile assessments completed 7 days.
Jail is 14 days.
MH assessment: Juvenile assessments completed ____ days. Jail is __________ -
Correct Answer ✔Juvenile assessments completed 7 days.
Jail is ASAP or no later than 14 days.
Oral Screening occurs: Jail completed __________
Juvenile is ________ .
Prison is _________ -Correct Answer ✔Jail completed ASAP or no later than 14 days.
Juvenile is 7 days.
Prison is 7 days.
Oral Education occurs: This can be completed when the screening process is done.
With Juvenile it is ______ .
Jail is ________ -Correct Answer ✔Juvenile it is 7 days.
Jail is 14 days.
Sick calls: Need to be completed within ________ This is the same for all facilities
Juvenile, Prison and Jail. -Correct Answer ✔24hrs after scheduled.
CCHP Exam
,CCHP Exam
Nursing Protocols: There needs to be evidence of what -Correct Answer ✔that the staff
are trained (Quizzes etc.).
Evidence of annual review and training or retraining of staff.
Pts with chronic diseases and other special needs: The treatment plans are________
and updated when needed. -Correct Answer ✔individualized
What form of housing and care?
: Any PT is in sight or sound of qualified healthcare professionals and staff members. -
Correct Answer ✔Infirmary level of care
TRUE OR FALSE
Pregnant IM: Emergency kits and delivery kits need to be at the facility. -Correct Answer
✔TRUE
Early Release: The physician will perform what action for this -Correct Answer
✔reaches out to the court per an early release due to medical conditions of the PT.
Restraints: Clinical restraints with juveniles are _________
and with Jail it is __________ -Correct Answer ✔are constantly monitoring
15 min checks.
Custody Restraint Time Frame: These checks are ______ vs Clinical Restraints are 15
min checks. -Correct Answer ✔as medically appropriate
TRUE OR FALSE
Custody Restraint: Correctional staff will reach out to health staff to notify them about
the restraint. Health staff will review the Pts chart to assess any medical concerns per
being restrained. -Correct Answer ✔TRUE
Segregated IMs: With Juvenile - They are monitored -Correct Answer ✔daily by health
staff and every 15 min by CO staff.
Jail: Solitary Confinement (ISO CELL): Assessed _______
Limited Confinement is ______ -Correct Answer ✔daily by medical and 1x week by
mental health.
3xs per week.
Means Ordering medications. -Correct Answer ✔Procuring:
: Placing the medications into a container that is correctly labeled. -Correct Answer
✔Dispensing
System of delivering, storing, or accounting medications. -Correct Answer ✔Distribution:
CCHP Exam
, CCHP Exam
Reordering, summarizing, analyzing, reporting, or verifying medications. -Correct
Answer ✔Accounting:
Clinical Performance Reviews: These are annually for all qualified health staff.
The RHA will complete individual reviews When? -Correct Answer ✔as needed or when
competence is questioned.
IM WORKERS: With Juvenile's they are not allowed to work with -Correct Answer
✔biohazardous materials and waste, not allowed to clean the clinical work areas.
Correctional staff: Trained every 2 years.
Jail & Prison _________ required.
Juvenile _________ required. -Correct Answer ✔Jail & Prison 75 required. Juvenile
85% required
Environmental Inspection of equipment: This is -Correct Answer ✔monthly.
The exposure plan: This is reviewed, updated as needed and signed_______ -Correct
Answer ✔annually.
Suicide prevention program: All facilities have to have a prevention program. Acutely
suicidal is 1 on 1.
Acutely suicidal is ________ and Non acutely is monitored every ____________. -
Correct Answer ✔constant observation - 1 on 1
15 mins with unpredictable intervals
Patient Safety Systems: Is to prevent -Correct Answer ✔adverse and near miss clinical
events.
Exercise or Rec time: 1 hr. per day - 7 days a week. The only Pts that do not get
exercise are those -Correct Answer ✔who are being transported.
The__________ eliminates any unreasonable barriers to IMs receiving care.
___________ : ensures that all healthcare policies and procedures are documented and
easily accessible/available to all staff.
Examples of unreasonable barriers:
- Punishing IMs per seeking help.
- Excessive fees.
- Holding sick calls until 2am or at odd times on purpose.
- Being understaffed or underfunded.
- Having review processes that delay sick calls.
- It is required to have a responsible physician (MD OR DO), a NP cannot replace or
substitute as the responsible physician. -Correct Answer ✔RHA
CCHP Exam
