NCJ Number
47771
Date Published
1978
Length
50 pages
Annotation
A GUIDE TO STANDARD OPERATING PROCEDURES FOR THE DELIVERY OF MEDICAL CARE AND HEALTH SERVICES IN ACCORDANCE WITH AMERICAN MEDICAL ASSOCIATION (AMA) STANDARDS IS PRESENTED FOR JAIL PHYSICIANS AND ADMINISTRATORS.
Abstract
THE PROCEDURES RELATE TO AND DESCRIBE PERSONNEL, EQUIPMENT, SUPPLIES, AND PROCESSES FOR MEDICAL CARE DELIVERY WITHIN THE CORRECTIONAL SETTING AND INCLUDE INFORMATION REGARDING MEDICAL AUTHORITY AND RESPONSIBILITY, PATIENT FLOW, CLINICIANS, REFERRALS, AND JAILER ROLES IN HEALTH CARE DELIVERY. STRUCTURED OBSERVATION AT TIME OF INTAKE IS RECOMMENDED TO PREVENT COMPLICATIONS SUCH AS EPIDEMICS, HEALTH REGRESSION, SUICIDES, AND ASSAULTS. A SCREENING FORM TO BE USED BY ALLIED PERSONNEL OR TRAINED BOOKING OFFICERS IS PROVIDED. SAMPLE GUIDELINES FOR THE ADMINISTRATION AND LOGGING OF MEDICATIONS ARE ALSO PROVIDED. CONTRACTUAL CONSIDERATIONS CONCERNING AGREEMENTS BETWEEN MEDICAL DIRECTORS AND JAILS ARE DISCUSSED, INCLUDING THE TERM OF CONTRACT, DUTIES, COMPENSATION, INSURANCE, EQUIPMENT, EMPLOYEES, NONPRISONER SERVICES, INSERVICE EDUCATION, TEACHING, AND DISPUTE ARBITRATION. A SAMPLE AGREEMENT IS PROVIDED, ALTHOUGH PHYSICIANS AND ADMINISTRATORS ARE ADVISED TO DESIGN SITUATION-SPECIFIC AGREEMENTS WITH LEGAL ASSISTANCE. SAMPLE JOB DESCRIPTIONS ARE INCLUDED FOR A PHYSICIAN'S ASSISTANT, A MORNING/AFTERNOON NURSE, AN AFTERNOON/LATE EVENING NURSE, AND A NIGHT PARAMEDIC. STANDING ORDERS FOR SPECIFIC MEDICAL OR EMERGENCY NEEDS ARE RECOMMENDED AND QUALIFIED MEDICAL PERSONNEL WITH INFORMATION PERTAINING TO THE DEFINITIVE TREATMENT OF RELATIVELY ROUTINE OR EMERGENCY MEDICAL CONDITIONS. SAMPLE STANDING ORDERS FOR ABRASIONS AND LACERATIONS NOT REQUIRING SUTURES AND FOR FREQUENT MEDICAL COMPLAINTS SUCH AS ALLERGIC REACTIONS OR URINARY INFECTION ARE PROVIDED. AN EQUIPMENT AND MEDICATION SUPPLY LIST IS INCLUDED, AS IS A LIST OF COMMON MEDICAL PROBLEMS WHICH SHOULD BE CONSIDERED WHEN REVISING A HEALTH HISTORY FORM. A GUIDE FOR COMPILING STATISTICAL DATA FOR THE ANNUAL REPORT IS ALSO PROVIDED. FORMS WHICH MAY BE INCLUDED IN THE CONFIDENTIAL PERSONAL MEDICAL RECORD ARE REPRODUCED.