|
Policy Number |
Policy Name |
Review Date |
Revised Date |
|
AD - Administrative |
|
I. Organization
|
| AD I-1 |
Health Services Mission, Vision, Goals and Objective |
2-2012 |
2-2012 |
| AD I-2 |
Health Care Treatment Philosophy |
2-2012 |
2-2012 |
| AD I-3 |
Overall Responsibilities |
7-2010 |
10-2008 |
| AD I-4 |
Facility Procedures |
8-2010 |
8-2010 |
| AD I-5 |
Definitions of Medical Mission |
1-2012 |
4-2008 |
| AD I-6 |
Nursing Procedure Manual |
1-2012 |
6-2007 |
| II.
Performance Improvement and Risk Management |
| AD II-1 |
Performance Improvement Plan |
4-2010 |
7-2007 |
| AD II-2 |
Health Services Peer Review |
4-2010 |
9-2008 |
| AD II-3 |
Medical Statistics and Reports |
4-2010 |
10-2007 |
| AD II-4 |
Inmate Injuries (workman's comp) |
4-2010 |
5-2002 |
| AD II-5 |
Medication Variances and Incidents Reports |
4-2010 |
4-2009 |
| AD II-6 |
Medical Incidents & Adverse Events |
5-2010 |
5-2010 |
| AD II-7 |
Internal Medical Review |
4-2010 |
4-2009 |
| AD II-8 |
Forensic Investigation |
4-2010 |
4-2009 |
| AD II-9 |
Nursing Quality Control Monitoring |
1-2012 |
4-2011 |
| AD II-10 |
Health Services Comprehensive Audits |
4-2010 |
10-2007 |
| AD II-11 |
Instruments, Sharps, Key Control |
4-2010 |
3-2009 |
|
III. Managed Care |
| AD III-1 |
Inmate Co-Pay
|
5-2011 |
5-2011 |
| AD III-2 |
Processing Disability Claims |
5-2010 |
5-2002 |
| AD III-3 |
Utilization Review Plan |
6-2011 |
6-2011 |
| AD III-4 |
Cosmetic Surgery |
11-2010 |
5-2002 |
| AD III-5 |
Medical Claims Receipt |
1-2012 |
10-2007 |
| AD III-6 |
Pended UR Requests |
1-2012 |
6-2006 |
| AD III-7 |
Utilization Review Policies |
4-2010 |
12-2010 |
| IV. Patient's
Rights |
| AD IV-1 |
Informed Consent |
2-2010 |
2-2008 |
| AD IV-2 |
Involuntary Commitment |
4-2010 |
9-2007 |
| AD IV-3 |
Confidentiality |
4-2010 |
4-2010 |
| AD IV-4 |
Medical Research |
4-2010 |
5-2002 |
| AD IV-5 |
Inmate Right to Refuse Medical Treatment |
5-2010 |
5-2010 |
| AD IV-6 |
Access to Foreign Language Translation |
1-2012 |
1-2012 |
|
V. Death and Dying
|
| AD V-1 |
Rights to a Natural Death |
1-2012 |
2-2002 |
| AD V-2 |
Procedures in Case of Death of an Inmate |
6-2012 |
6-2012 |
| AD V-3 |
Organ Donations |
1-2010 |
1-2009 |
| AD V-4 |
Transporting Bodies |
5-2010 |
5-2010 |
| AD V-5 |
Revocation of DNR Orders |
4-2010 |
4-2009 |
| AD V-6 |
Right to Healthcare Decisions |
5-2011 |
5-2011 |
| AD V-7 |
Recognition of DNR Status |
N/A |
1-2012 |
| VI. Medical
Records |
| AD VI-1 |
Purpose and Composition of Medical Record |
5-2010 |
5-2008 |
| AD VI-2 |
Medical Record Committee |
6-2010 |
4-2000 |
| AD VI-3 |
Release of Confidential Information |
5-2010 |
5-2009 |
| AD VI-4 |
Combining Records & Creating Additional Volumes |
8-2010 |
8-2009 |
| AD VI-5 |
Mental Health Records/Tracking System |
6-2010 |
1-2006 |
| AD VI-6 |
Photographs and Videotapes |
5-2010 |
5-2008 |
| AD VI-7 |
Transfer of Medical Records |
5-2010 |
5-2010 |
| AD VI-8 |
Record Retention |
8-2010 |
8-2010 |
| AD VI-9 |
Retrieval of Parole/Release Records |
4-2011 |
4-2011 |
| AD VI-10 |
Coding and Indexing |
8-2010 |
8-2009 |
| AD VI-11 |
Medical Alert Labels |
4-2010 |
4-2000 |
| AD VI-12 |
Basic Medical Record Documentation |
4-2011 |
4-2011 |
| AD VI-13 |
Forms Management |
5-2010 |
5-2008 |
| AD VI-14 |
Problem List |
1-2012 |
9-2007 |
| AD VI-15 |
Dialysis Records |
5-2010 |
5-2008 |
| AD VI-16 |
Recording Data in OPUS |
3-2011 |
3-2011 |
| VII.
Facilities |
| AD VII-1 |
Facilities, Equipment, Supplies |
1-2012 |
4-2011 |
| AD VII-2 |
First Aid Kits |
7-2010 |
9-2005 |
| AD VII-3 |
Sterilization and Disinfection |
5-2010 |
5-2002 |
| AD VII-4 |
Sanitation of Medical Areas & Equipment |
11-2010 |
11-2008 |
| AD VII-5 |
Emergency Medical Response |
6-2012 |
6-2012 |
| VIII.
Reporting |
| AD VIII-1 |
Communicable Disease |
1-2012 |
2-2012 |
| AD VIII-2 |
Notification of Serious Illness, Injury or Death of Hospitalized
Patient |
8-2010 |
3-2003 |
| AD VIII-3 |
Duty to Warn |
7-2011 |
7-2011 |
| AD VIII-4 |
Sexual Assaults of Inmates - Policy
Rescinded - Refer to CP 18 |
Deleted |
Deleted |
| AD VIII-5 |
Reporting Positive Drug Finding During Dx. Work-up |
8-2010 |
3-2002 |
| AD VIII-6 |
Medical Notification to Excuse from Work |
1-2012 |
11-2008 |
|
P - Personnel |
| P-1 |
Nursing Staffing Standards |
1-2012 |
1-2012 |
| P-2 |
Professional Licensure and Credentials Verification |
4-2011 |
4-2011 |
| P-3 |
Continuing Education |
5-2010 |
5-2008 |
| P-4 |
Use of Physician Extenders |
8-2010 |
8-2009 |
| P-5 |
Use of Inmates in Delivery of Health Care |
1-2012 |
10-2007 |
| P-6 |
Nursing: Verification of Valid Professional Licenses/Listings |
1-2012 |
4-2011 |
| P-7 |
Medication Technicians |
1-2012 |
5-2010 |
| P-8 |
Nursing Coverage |
1-2012 |
3-2010 |
| P-9 |
Nursing Orientation, Mandatory Training and Competency
Evaluation |
1-2012 |
5-2010 |
| P-10 |
Requesting Flexible Schedule |
1-2012 |
1-2012 |
| P-11 |
Social Work Staffing |
5-2012 |
4-2008 |
| II. Employee
Health |
| P II-1 |
Employee Vaccinations and TB Screening |
4-2011 |
4-2011 |
| P II-2 |
Injuries to Staff |
7-2011 |
7-2011 |
| P II-3 |
Treatment of Injured or Sick Staff |
7-2010 |
6-2007 |
| P II-4 |
Health Care Worker's Infected with HIV and/or HBV |
4-2011 |
10-2007 |
| P II-5 |
BBP Exposure to DOP Employees |
7-2011 |
7-2011 |
| P II-6 |
BBP Exposure to Employees of Other Agencies |
7-2011 |
7-2011 |
|
A - Assessment of Patient |
| A-1 |
Receiving Screening |
1-2010 |
1-2008 |
| A-2 |
Intake Physical Exam and PULHEAT System |
12-2011 |
12-2011 |
| A-3 |
Lab Services |
1-2012 |
5-2002 |
| A-4 |
Radiology Services |
7-2010 |
5-2002 |
| A-5 |
Inmates Housed in Segregation |
4-2012 |
4-2012 |
| A-6 |
Disciplinary Actions for Mental Health Patients |
12-2009 |
12-2008 |
| A-7 |
Court Ordered STD Testing |
1-2012 |
2-2012 |
| A-8 |
Paternity Testing |
8-2010 |
11-2004 |
| A-9 |
Patient Acuity Rating System |
1-2012 |
10-2008 |
| A-10 |
Falls Screening Alert |
4-2010 |
8-2004 |
| A-11 |
Vision Screening |
1-2012 |
6-2007 |
| A-12 |
Intersystem and Intrasystem Mental Health Services Screening,
Appraisal and Evaluation |
4-2012 |
4-2012 |
|
PL - Planning Patient Care |
| PL-1 |
Procedures for Chronic Disease |
11-2010 |
10-2007 |
| PL-2 |
Initial Nursing Care Plan for Mental Health |
11-2010 |
3-2002 |
|
PE - Patient Education |
| PE-1 |
Health Orientation |
1-2012 |
1-2012 |
| PE-2 |
Inmate Health Education/Health Promotion |
1-2012 |
10-2007 |
| PE-3 |
Orientation to Therapeutic Diets |
1-2012 |
10-2007 |
| PE-4 |
Medication Education and Counseling |
4-2012 |
4-2012 |
|
TX - Care and Treatment of
Patient |
| I. Access to
Services |
| TX I-1 |
Sick Call |
7-2012 |
7-2012 |
| TX I-2 |
Specialty Medical Clinics |
1-2012 |
5-2002 |
| TX I-3 |
Mental Health Clinics |
6-2011 |
6-2011 |
| TX I-4 |
Medical Treatment Services Outside DOP |
7-2012 |
7-2012 |
| TX I-5 |
Mental Health Services Outside DOP |
Policy Deleted |
Policy Deleted |
| TX I-6 |
Mental Health Day Treatment |
11-2010 |
12-2008 |
| TX I-7 |
CPR |
5-2010 |
5-2010 |
| TX I-8 |
Telephone Triage |
1-2012 |
9-2007 |
| TX I-9 |
Detoxification and Drug Withdrawal |
1-2012 |
1-2012 |
| TX I-10 |
Oxygen |
1-2012 |
6-2004 |
| TX I-11 |
Mass Casualties |
1-2012 |
7-2007 |
| TX I-12 |
Mental Health Outpatient Services - Telepsychiatry Clinics |
|
4-2012 |
| II.
Medication Administration |
| TX II-1 |
Drug Formulary |
4-2012 |
4-2012 |
| TX II-2 |
Inmate Initially Received into the System with Medication |
1-2012 |
1-2012 |
| TX II-3 |
Valid Orders and Treatment Protocols |
1-2012 |
1-2012 |
| TX II-4 |
Medication Procurement |
4-2012 |
4-2012 |
| TX II-5 |
Starter Dose Kit |
4-2012 |
4-2012 |
| TX II-6 |
Inmate Transferred on Medication |
1-2012 |
2-2012 |
| TX II-7 |
Methods of Medication Administration |
1-2012 |
2-2012 |
| TX II-8 |
Involuntary Administration of Psychotropic Medication |
6-2012 |
6-2012 |
| TX II-9 |
Medication Duration for Outpatient Services |
5-2011 |
5-2011 |
| TX II-10 |
Documentation of Medication Administration |
2-2012 |
2-2012 |
| TX II-11 |
Psychotropic Medication Review |
4-2012 |
4-2012 |
| TX II-12 |
Controlled Substances |
4-2012 |
4-2012 |
| TX II-13 |
Non-Prescription Medication in Canteen |
10-2010 |
6-2004 |
| TX II-14 |
Drug Storage |
6-2011 |
6-2011 |
| TX II-15 |
Drug Recall |
3-2010 |
3-2010 |
| TX II-16 |
Inmate Release with Medications |
4-2011 |
4-2011 |
| TX II-17 |
Pharmacy and Therapeutics Committee |
1-2012 |
1-2012 |
| TX II-18 |
Inmate Medication Refill Request System |
4-2012 |
4-2012 |
| TX II-19 |
PRN (as needed) Medication, administration of |
4-2010 |
6-2007 |
| TX II-20 |
Transcription of Orders |
1-2012 |
6-2011 |
| TX II-21 |
Procuring Medications for Inmate Workman's Comp Cases |
1-2012 |
10-2007 |
| TX II-22 |
Mental Health Preferred Drug List |
N/A |
11-2010 |
| III.
Restrictive Procedures |
| TX III-1 |
Therapeutic Seclusion |
4-2009 |
9-2007 |
| TX III-2 |
Therapeutic Restraint |
10-2009 |
10-2008 |
| TX III-3 |
Use of Restraints for Medical Purposes |
10-2010 |
10-2007 |
| TX III-4 |
Use of Administrative Segregation for Behavioral Observation |
10-2009 |
10-2008 |
| TX III-5 |
Assessment and Care of Patient on Special Management Meals |
10-2010 |
10-2008 |
| TX III-6 |
Assessment and Care for Patient on Finger Food Diet |
10-2010 |
10-2008 |
| TX III-7 |
Self Injurious Behavior |
4-2012 |
6-2012 |
| TX III-8 |
Medical Care After Use of Force and/or Incidents Involving
Trauma to an Inmate |
10-2012 |
10-2012 |
| IV. Infection
Control |
| TX IV-1 |
Standard Precautions |
1-2012 |
10-2008 |
| TX IV-2 |
Immunizations |
5-2011 |
5-2011 |
| TX IV-3 |
Inmate Exposure to BBP |
1-2012 |
9-2010 |
| TX IV-4 |
Tuberculosis Control Plan |
3-2011 |
3-2011 |
| TX IV-5 |
Management of HIV Infection/AIDS |
1-2012 |
9-2010 |
| V. Dental
Services |
| TX V-1 |
Dental Responsibilities |
2-2012 |
3-2012 |
| TX V-2 |
Asepsis Dental Procedures |
2-2012 |
3-2012 |
| TX V-3 |
Dental Exams and Assessment |
2-2012 |
3-2012 |
| TX V-4 |
Access to Dental Care and Dental Priorities |
2-2012 |
3-2012 |
| TX V-5 |
Preventive Dentistry |
2-2012 |
3-2012 |
| TX V-6 |
Types of Dental Treatments Provided |
2-2012 |
3-2012 |
| TX V-7 |
Periodontal Treatment |
2-2012 |
3-2012 |
| TX V-8 |
Orthodontics |
6-2012 |
6-2012 |
| TX V-9 |
Dental Records and Reports |
2-2012 |
3-2012 |
| TX V-10 |
Dental Hygiene Under Direction |
2-2012 |
3-2012 |
| TX V-11 |
Dental Holds |
2-2012 |
3-2012 |
|
VI. Activities of Daily Living |
| TX VI-1 |
Inmate Personal Hygiene |
1-2012 |
2-2002 |
| TX VI-2 |
Therapeutic Diets & Supplemental Nourishment |
8-2009 |
8-2009 |
| TX VI-3 |
Management of Inmates Refusing to Eat |
10-2012 |
10-2012 |
| TX VI-4 |
Grinding of Toe Nails & Calluses |
11-2010 |
2-2002 |
| VII.
Disabilities |
| TX VII-1 |
Development Disabilities |
8-2009 |
8-2007 |
| TX VII-2 |
Physical, Mental, or Cognitive Disabilities |
8-2009 |
8-2009 |
| TX VII-3 |
Medical Prosthesis and Appliances Including Footwear |
10-2012 |
10-2012 |
|
CC - Continuity Patient Care |
| CC-1 |
Continuity of Care |
4-2012 |
4-2012 |
| CC-2 |
Hospitalization & In-Patient Medical Services |
4-2011 |
4-2011 |
| CC-3 |
Transfers, Appropriate Medical Placements & Medical Holds |
5-2011 |
5-2011 |
| CC-4 |
Pregnant Inmates |
4-2010 |
3-2002 |
| CC-5 |
Aged and Infirmed Inmate |
7-2010 |
5-2002 |
| CC-6 |
Mental Health Services - Case Finding and Patient Flow |
10-2009 |
10-2008 |
| CC-7 |
Transfer Procedures for Referral to Mental Health |
10-2009 |
10-2008 |
| CC-8 |
Aftercare Planning for Inmate Health Services |
1-2012 |
11-2007 |
| CC-9 |
Social History |
5-2010 |
5-2003 |
| CC-11 |
Extending the Limits of Confinement |
4-2010 |
9-2007 |
| CC-12 |
Medical Release |
7-2010 |
12-2008 |
| CC-13 |
Inmate and Family Correspondence and Calls |
N/A |
1-2010 |
| CC-14 |
Medicaid Application Process |
|
12-2012 |
|
CP - Clinical Practice
Guidelines |
| CP-1 |
Osteoarthritis, Lower extremity |
1-2012 |
1-2012 |
| CP-2 |
Hepatitis |
1-2012 |
10-2007 |
| CP-3 |
Sexually Transmitted Diseases |
1-2012 |
10-2007 |
| CP-4 |
TB Infection/TB Disease |
4-2011 |
4-2011 |
| CP-5 |
Transplants |
1-2012 |
6-2004 |
| CP-6 |
Skin Lesions |
1-2012 |
6-2007 |
| CP-7 |
Hepatitis C
|
1-2012 |
9-2009 |
| CP-8 |
Palliative Care
|
1-2012 |
9-2009 |
| CP-9 |
Coronary Artery Disease |
N/A |
4-2011 |
| CP-10 |
Seizures/Epilepsy |
N/A |
1-2010 |
| CP-11 |
Chronic Pain |
N/A |
9-2010 |
| CP-12 |
Methadone Administration |
N/A |
9-2010 |
| CP-13 |
Back Pain |
N/A |
8-2010 |
| CP-14 |
Oral Anticoagulation |
1-2012 |
1-2012 |
| CP-15 |
Headaches |
8-2010 |
8-2010 |
| CP-16 |
Dyspepsia |
1-2012 |
7-2006 |
| CP-18 |
Sexual Assault |
2-2012 |
2-2012 |
| CP-19 |
Ganglion Cysts |
1-2012 |
7-2006 |
| CP-20 |
Soft Tissue Infection |
1-2012 |
6-2006 |
| CP-21 |
Carpal Tunnel Syndrome |
1-2012 |
7-2006 |
| CP-22 |
Onychomycoses |
1-2012 |
4-2007 |
| CP-23 |
Plantar Fasciitis |
1-2012 |
4-2007 |
| CP-24 |
Dental Care and Patients on Bisphosphonate |
2-2012 |
9-2008 |
| CP-25 |
Dental Care and Patients Receiving Head and Neck Cancer
Treatment |
2-2012 |
9-2008 |
| CP-26 |
Dental Care and HIV/AIDS Patients |
2-2012 |
9-2008 |
| CP-27 |
Dental Care and Patients with Advanced Liver Disease (ALD) |
2-2012 |
9-2008 |
| CP-28 |
Dental Care and Patients on Oral Anticoagulants |
2-2012 |
9-2008 |
| CP-29 |
Maxillo Facial Trauma |
2-2012 |
2-2012 |
| CP-30 |
Thyroid Disease |
N/A |
6-2011 |
| CP-31 |
Hypertension |
N/A |
4-2011 |
| CP-32 |
Management of Acute Dental Pain |
N/A |
7-2011 |
| CP-33 |
Management of Dental Hypersensitivity |
N/A |
8-2011 |
| CP-34 |
Insulin Therapy in Type II DM |
N/A |
5-2012 |
| CP-35 |
Diabetes |
N/A |
5-2012 |
| CP-36 |
Preventive Care |
N/A |
9-2012 |
| CP-37 |
Recommended Antibiotics for Dental Infections |
N/A |
9-2012 |
| CP-38 |
Antibiotic Prophylaxis for Invasive Dental Procedures |
N/A |
9-2012 |
|
CD - Chronic Disease Guidelines |
| CD-1 |
Chronic Disease Guidelines - Management of HIV |
9-2010 |
9-2010 |
| CD-3 |
Diabetes |
1-2012 |
6-2007 |
| CD-5 |
Pulmonary Disease |
1-2012 |
10-2007 |
| CD-6 |
Seizures |
1-2010 |
1-2009 |
| CD-7 |
Chronic Disease |
1-2012 |
6-2004 |
| CD-8 |
Cardiovascular |
N/A |
4-2011 |
