Current through Register Vol. 48, No. 38, September 20, 2024
a)
Introduction
Health services should reflect the desire of the community to
provide health care equivalent to that accorded its citizens. The facility
should ensure that a comprehensive program of medical and health care
appropriate for children is planned and implemented.
b) Minimum Standards
1) Medical and Health Services
All facilities shall provide a competent medical authority to
ensure the following medical services are available:
A) Diagnosis of complaints.
B) Treatment of ailments.
C) Prescription of medications and special
diets.
D) Arrangements for
hospitalization.
E) Liaison with
community medical facilities and resources.
F) Environmental health inspections and
procedures.
G) Supervision of
special treatment programs, as for alcohol and other drug dependent
children.
H) Administration of
medications.
I) Maintenance of
accurate medical records.
J)
Maintenance of detailed records of medical supplies, particularly of narcotics,
barbiturates, amphetamines, and other dangerous drugs.
2) Physician and Dental Services
A medical doctor shall be available to attend the medical needs
of the children. Arrangements shall be made for a dentist to provide dental
care.
A) General medical physician
services shall be provided by one or more of the following procedures:
i) On salary, in accordance with locally
established personnel pay plan.
ii)
A contract with a local private physician, clinic, county physician or county
health department for full time coverage at specific hours and for
emergencies.
iii) A contract with a
local physician to conduct sick call, be on call for emergencies, and to
examine newly admitted youth.
iv)
Arrangements with a nearby hospital to provide all needed medical
services.
B) Access to
psychiatric and/or psychological services must be provided in individual cases
as needed.
3) Medical
Examination Room
A room shall be provided for medical examinations and shall be
located close to the area used for processing new admissions.
4) Medical Examination
All children admitted to shelter care shall undergo a medical
screening as prescribed in Section
2603.50(b)(8).
A) Newly admitted children suspected of
having any type of communicable disease shall be isolated and an immediate
referral shall be made to the facility physician for a possible transfer to a
medical facility, unless the admitting facility can safely and effectively
segregate and maintain a medically prescribed course of treatment.
B) All children admitted to shelter care
shall be given a medical examination by a physician or his/her designated
qualified medical person within 14 days after admission, unless there is
documentation the youth has had an examination within six months prior to
admission.
5) Sick Call
Procedures shall be established for daily sick call.
A) The names of children reporting to sick
call shall be recorded in the medical log.
B) Children with emergency complaints shall
receive attention as quickly as possible regardless of the sick call
schedule.
C) Non-medical shelter
care staff may issue any form of over-the-counter medication, providing the
facility physician gives prior written approval to the facility for such
issue.
6) Written Record
or Log
A written record, in ink, shall be maintained, as part of the
child's personal file, of all treatment and medication prescribed, including
the date and hour such treatment and medication is administered.
A) A written record shall be maintained of
over-the-counter medication, e.g., aspirin, cough medicine, etc., issued by
shelter care staff.
B) A written
record shall be kept of all special diets.
C) A child's treatment and medication program
shall be a part of the summary to the assigned social worker.
7) Medical Security
Security of medical supplies must be maintained at all
times.
A) Prescribed medication,
including over-the-counter medication and other abusable medical supplies,
shall be secured and accessible only to designated staff.
B) Children shall receive one dose of
medication at a time and shall be required to ingest medication in the presence
of a medical staff member or shelter care staff member.
C) A perpetual inventory of all prescribed
drugs, including over-the-counter medication, and other abusable medical
supplies shall be maintained.
D)
Shelter care facilities shall not stock prescription drugs.
8) First Aid Training
One person on duty per shift shall have completed a basic
course of first aid training and cardiopulmonary resuscitation training
(CPR).
9) First Aid Supplies
Each facility shall maintain a stock of first aid supplies for
the treatment of cuts, bruises, sprains, and other minor injuries. First aid
supplies and all medication must be stored in a locked cabinet not accessible
to children.
10)
Notification of Illness
Illness and treatment shall be reported to parents or
guardians. Parents or guardian, the assigned social worker, and the court shall
be immediately notified of a child's serious illness or
injury.
11) Medical or
Pharmaceutical Experimentation
Medical or pharmaceutical experimentation of any type is
prohibited.
