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CCHP Standards for Health Services in Jails with 400 questions and answers
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CCHP Standards for Health Services in Jails with 400 questions and answers
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CCHP Standards for Health Services inJails with 400 questions and answers
daily by health staff and every 15 min by CO staff. - Segregated IMs: With Juvenile -
They are monitored
daily by medical and 1x week by mental health.
3xs per week. - Jail: Solitary Confinement (ISO CELL): Assessed _______
Limited Confinement is ______
Procuring: - Means Ordering medications.
Dispensing - : Placing the medications into a container that is correctly labeled.
Distribution: - System of delivering, storing, or accounting medications.
Accounting: - Reordering, summarizing, analyzing, reporting, or verifying medications.
as needed or when competence is questioned. - Clinical Performance Reviews: These
are annually for all qualified health staff.
The RHA will complete individual reviews When?
biohazardous materials and waste, not allowed to clean the clinical work areas. - IM
WORKERS: With Juvenile's they are not allowed to work with
Jail & Prison 75 required. Juvenile 85% required - Correctional staff: Trained every 2
years.
Jail & Prison _________ required.
Juvenile _________ required.
monthly. - Environmental Inspection of equipment: This is
annually. - The exposure plan: This is reviewed, updated as needed and
signed_______
constant observation - 1 on 1
15 mins with unpredictable intervals - Suicide prevention program: All facilities have to
have a prevention program. Acutely suicidal is 1 on 1.
Acutely suicidal is ________ and Non acutely is monitored every ____________.
,adverse and near miss clinical events. - Patient Safety Systems: Is to prevent
who are being transported. - Exercise or Rec time: 1 hr. per day - 7 days a week. The
only Pts that do not get exercise are those
RHA - The__________ eliminates any unreasonable barriers to IMs receiving care.
___________ : ensures that all healthcare policies and procedures are documented and
easily accessible/available to all staff.
Examples of unreasonable barriers:
- Punishing IMs per seeking help.
- Excessive fees.
- Holding sick calls until 2am or at odd times on purpose.
- Being understaffed or underfunded.
- Having review processes that delay sick calls.
- It is required to have a responsible physician (MD OR DO), a NP cannot replace or
substitute as the responsible physician.
Clinically Ordered Restraints - = For this type of restraint Metal or Hard plastic devices
should not be used such as handcuffs, etc. Pg 130.
Emergency Chair - = A chair designed to transport a PT while in restraint from arms,
legs, shoulders, and chest. Pg 130.
Electronic Device - = A device applied to the wrist or ankle when activated sends
electrical energy to the muscle tissue of the PT. Pg 130.
EMR or Individual logs or Cell cards could be all the above. = Pg 131. - Documentation
of seg rounds must be noted on ____ and must include date and time, and signature of
health staff member?
a. Require licensed provider authorization prior to use
b. Specify when, where and how the psychotropic medication may be forced
c. Can be given without authorization only in emergency situations - Policies on
emergency forced psychotropic medications
15/30: Pg 133. - When dealing with Forced Psych meds - Follow up documentation is
made by nursing staff at least once within the first ______ minutes, then every _____
minutes until transfer or patient no longer requires monitoring
CQI Program: Pg 134. - The use of forced psychotropic medication in emergency
situation should be reviewed by?
Research Activities. Pg 139 - The Code of Federal Regulations (45 CFR 46, revised)
has provision set to protect inmates involved in?
,TRUE - TRUE OR FALSE
Medical, dental, or mental health treatment without consent can result in legal action?
. Life threatening conditions
Emergency care of Pts who do not have the capacity to understand the information
Certain public health matters - Exceptions in which it is not necessary to obtain
informed consent include?
Juvenile population, Elderly, Physical Disabled, MH and developmentally disabled. Pg
112. - The Special needs of Pts include =
master problem list. Pg 111. - Chronic illness and special needs = requiring a treatment
plan must be listed in the
Supervising RN (CHARGE NURSE) - While in infirmary care = it is appropriate for an
LVN to ensure that care is being provided as ordered - however the ___________ must
ensure appropriate care is being provided at least daily. Pg 114.
TRUE - TRUE OR FALSE
Infirmary level care = is not a physical location that defines infirmary level care, but the
scope of care Provided. Pg 114.
RHA - = Will ensure that the MH Pts are maintaining their best level of functioning while
in custody. Pg 116.
Knowingly do not care for a PT: This is refusing the PT access to care. - What is
deliberate indifference?
Landmark Case Estelle vs Gamble 1976. - Access to care is directly related to
Juveniles: - With this group
You are not allowed to assess the co-pays for medical sick calls.
security regulations - Health staff has to abide by the security regulations. - Health Staff
& Security: Health staff will need to be oriented about the
Correctional Facility policy. - Company Policies: These cannot go against any
Medical Director. CQI meets at least quarterly. - CQI Committee: The person in charge
of this is the
Greater than 500 IMs will need 2 reviews
Less than 500 IMs will need just 1 review. - Yearly Reviews per Process Review &
Outcome Studies: Greater than 500 IMs will need _____ reviews, Less than 500 IMs will
need ______ review.
, if the juvenile presents as a risk of security. - Privacy with Security CO's and
assessments: In Jail COs are allowed to be near health staff per CO's receive HIPPA
training, however when it comes to private exams privacy is needed as in Breast exam,
rectum exams etc. With Juvenile facilities- COs are only present if
sealed. - Records: If records are transferred with the PT, the record needs to be
medical director. - Clinical Morality Review: This is completed by the
- Pts name, DOB, ID Number.
- Cause of death.
- Manner of death.
- Age at death.
- Date of clinical review.
- Date of Administrative review.
- Date of findings of review shared with staff.
- Date of psychological autopsy if applicable. - Log of Deaths: This will include
parents, guardian or juvenile department has to be contacted - Juveniles with
emergency notification: If the juvenile has no family / guardian to complete the forms for
consent to treatment, then the probation staff will complete this. If there are cases of
serious illness, injury, or death the
are no fees for services - Fees: With Juvenile there
within 4 hours. - Screenings: With Juveniles the screening takes place_____________
It is required with Juveniles that they be screened for sexual diseases. With Juveniles
the screening questions will assess hx or recent sexual encounters.
soon as possible. - Adults (Jail) the screening is completed
7 days - Transfer Screening: Juvenile assessments completed within
a timely manner. - Transfer Screening: Juvenile assessments completed within 7 days -
Jail is in
Juvenile assessments completed 7 days.
Jail is 14 days. - Initial Health Assessments: Juvenile assessments completed _______
days. Jail is _______ days.
Juvenile assessments completed 7 days.
Jail is ASAP or no later than 14 days. - MH assessment: Juvenile assessments
completed ____ days. Jail is __________
Jail completed ASAP or no later than 14 days.
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