Rule 5120:1-12-09 | Medical.
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.
Last updated May 14, 2024 at 9:58 AM
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