Current through Reg. 50, No. 187; September 24, 2024
(1) Sick Call shall be conducted only by a
licensed nurse or higher licensure level.
(2) Sick Call shall be regularly scheduled in
each facility.
(3) All youth with a
complaint, illness, or injury shall have the opportunity to access care through
the Sick Call process.
(4) Review
and triage of Sick Call requests shall be conducted as follows:
(a) A licensed nurse, or higher licensure
level, shall review, triage promptly, and screen for urgency all Sick Call
requests such that emergency conditions are not delayed for the next regularly
scheduled sick call session.
(b)
When a licensed health care professional is not on site, the shift supervisor
shall review all sick call requests as soon as possible, within four (4) hours
after the request is submitted. Issues requiring attention prior to the next
scheduled Sick Call shall be addressed as per Rule 63M-2.009, F.A.C.
1. A Registered Nurse, or higher licensure
level health care staff, after review of the Sick Call requests, shall make an
assessment while conducting Sick Call, and determine whether a nursing or
medical intervention is appropriate.
2. If a facility utilizes a Licensed
Practical Nurse (LPN) without the presence of a Registered Nurse, the LPN shall
conduct the Sick Call. The LPN shall review all sick call requests daily
(either telephonically or in person) with someone at the level of a Registered
Nurse or a higher licensure level.
(5) After appropriate evaluation of the Sick
Call requests has been completed:
(a) For
residential commitment programs, a list of youth who have requested to be seen
at the next Sick Call shall be generated and provided to the nurse.
(b) For detention facilities, the staff shall
utilize JJIS and FMS to enter the Sick Call requests generated by the youth.
This entry must then generate a notice to the nurse for his/her timely review.
Every facility shall have a backup method for notification to the nurse in
situations where the computerized system is unavailable.
(6) Youth identified as having the same
complaint and seen by the nurse three times within a two-week period shall be
referred to the Physician, ARNP or PA.
(7) A youth who has received medical
evaluation and treatment by the ARNP or P.A. more than once for the same
complaint that has demonstrated no improvement after two medical evaluations
shall be referred immediately to a physician (onsite, off-site or Emergency
Room).
(8) The RN, ARNP or P.A.
shall immediately notify the DHA (physician) when he or she cannot determine
the nature and/or severity of a youth's medical or clinical condition. The
Designated Health Authority has the final authority for determining the next
medical course of action.
(9) When
a non-licensed staff person has a concern regarding a youth's need to be seen
as early as possible in Sick Call, whether or not the youth has made a Sick
Call Request, the staff shall notify the nurse as soon as possible.
(10) The Sick Call documentation shall be as
follows:
(a) Youth in Residential Commitment
Programs shall complete the Sick Call Request Form (HS 032). The Sick Call
Request Form (HS 032, February 2010) is incorporated into this rule and is
available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03811,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399.
(b) For youth who need assistance completing
the form, a staff person shall be available. The staff person must communicate
to the youth that this then gives them access to the youth's personal
information. The staff person shall maintain the youth's
confidentiality.
(c) The completed
Sick Call Request forms shall be placed in a secure location inaccessible to
youth to be provided to the nurse.
(d) The completed Sick Call Request form is
to be filed with the progress notes in the Individual Health Care Record in
reverse chronological order.
(e)
Detention facilities shall utilize the established Facility Management System
(FMS) and the Juvenile Justice Information System (JJIS) to coordinate and
document Sick Call. A copy of the completed electronic Sick Call Request form
shall be placed in the youth's Individual Health Care Record.
(f) When the youth is evaluated and treated
by the facility's Physician, PA or ARNP, the Chronological Progress note
section shall be utilized to provide documentation for the Individual Health
Care Record. The documentation shall include subjective findings, objective
findings, the medical assessment of the youth, and the plan of care for
treatment of the youth.
(g) Sick
Call complaints shall be listed on The Sick Call Index form (HS 030), and filed
in the section reserved for the Core Health Profile in the Individual Health
Care Record. The Sick Call Index (HS 030, October 2006) is incorporated into
this rule and is available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03812,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399.
(11) An aggregate Sick Call/Referral Log (HS
031) must be utilized at each residential program. The Sick Call/Referral Log
(HS 031, October 2006) is incorporated into this rule and is available
electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03813,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399. The facility may utilize a form of
their choice as long as the form includes all information required on the Sick
Call/Referral Log.
(12) Detention
facilities shall utilize the sick call log generated by the JJIS
system.
Rulemaking Authority 985.64(2) FS. Law Implemented
985.64(2), 985.145, 985.18 FS.
New 6-20-14.
