Current through all regulations passed and filed through September 16, 2024
Each twelve-hour facility shall maintain the following
minimum standards in regard to medical policies and procedures:
(A)
(Essential) Medical policies and procedures will be
specifically developed for the facility. A physician, licensed to practice
medicine in Ohio, will document approval upon initial development and whenever
revisions are made.
(B)
(Essential) Health-trained personnel will perform a
medical, dental and mental health screening on each prisoner upon arrival at
the jail. Findings will be recorded on a form approved by the jail physician.
The receiving screening includes at least the following:
(1)
Inquiry
into:
(a)
Current illness and health problems;
(b)
Dental
problems;
(c)
Mental health problems;
(d)
Use of alcohol
and drugs including types, amounts and frequency used, date or time of last use
and history of any problems after ceasing use;
(e)
Past and present
treatment or hospitalization for mental disturbances or suicidal
ideation;
(f)
Possibility of pregnancy;
(g)
Other health
problems designated by the jail physician.
(2)
Observation
of:
(a)
Behavior
including state of consciousness, mental health status, appearance, conduct,
tremors and sweating;
(b)
Body deformities and ease of movement;
(c)
Condition of
skin, including trauma markings, bruises, lesions, jaundice, rashes,
infestations and needle marks or other indications of drug
abuse.
(C)
(Essential) The
jail will provide, or make provisions for, twenty-four hour emergency health
care.
(D)
(Essential) Prisoners will be treated by a personal
physician in the jail at their own expense, upon approval by the jail
physician, provided that current credentials of the personal physician are
verified.
(E)
(Essential) The jail will exercise proper management of
pharmaceuticals and address the following:
(1)
Procedures for
medication receipt, storage, dispensing and administration or
distribution
(2)
Dispensing of medicine in conformance with federal and
state laws
(F)
(Essential) No prisoner will be denied health
care.
(G)
(Essential) prisoners evidencing signs of mental
illness or developmental disability will be referred immediately to qualified
mental health personnel.
(H)
(Essential) The jail will have a plan for identifying
and responding to suicidal prisoners. The plan components will include:
(1)
Identification -
The receiving screening form contains observation and interview items related
to the prisoner's potential suicide risk;
(2)
Training - Staff
members who work with prisoners are trained to recognize verbal and behavioral
cues that indicate potential suicide. The plan includes initial and annual
training;
(3)
Assessment - The plan specifies a suicide risk
assessment, and level system. Only a qualified mental health professional may
remove prisoners from suicide risk status;
(4)
Monitoring - The
plan specifies the procedures for monitoring an prisoner who has been
identified as potentially suicidal. A suicidal prisoner is checked at varied
intervals not to exceed ten minutes. Regular documented supervision is
maintained. prisoners are placed in a designated cell, all belongings removed,
and other prevention precautions initiated as appropriate;
(5)
Referral - The
plan specifies the procedures for referring potentially suicidal prisoners and
attempted suicides to a mental health care provider or
facility;
(6)
Communication - Procedures exist for ongoing written
communication between health care and correctional personnel regarding the
status of suicidal prisoners;
(7)
Intervention -
The plan addresses how to handle a suicide in progress, including first aid
measures;
(8)
Notification - The plan includes procedures for
notifying the jail administrator, outside authorities, family members of
completed or attempted suicides requiring medical
hospitalization;
(9)
Reporting - The plan includes procedures for
documenting, monitoring, and reporting attempted or completed suicides.
Completed suicides are reported to the division of parole and community
services within thirty days of the incident;
(10)
Review - The
plan specifies procedures for medical and administrative review if a suicide or
a serious suicide attempt, as defined by the suicide plan,
occurs;
(11)
Critical incident debriefing - The plan specifies the
procedures for offering critical incident debriefing to affected staff and
prisoners.
(I)
(Essential) Emergency medical equipment and supplies,
as determined by the jail physician, will be available at all times,
inventoried monthly and replenished as needed.
(J)
(Essential) There
is a written infectious diseases control program implemented in the facility
that collaborates with the local health department.
Replaces: 5120:1-12-09
