(A) Medical policies and procedures shall be specifically developed for the facility.Initial approval shall be documented by a physician, licensed to practice medicine in Ohio, and whenever revisions are made.
(B) Health-trained personnel shall perform a medical, dental and mental health screening on each prisoner upon arrival at the jail. Findings shall 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) The jail shall provide, or make provisions for, twenty-four hour emergency health care.
(D) Prisoners shall 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) The jail shall 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) No prisoner shall be denied health care.
(G) Prisoners evidencing signs of mental illness or developmental disability shall be referred immediately to qualified mental health personnel.
(H) The jail shall have a plan for identifying and responding to suicidal prisoners. The plan components shall 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 a 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. Inmates 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 prisoner 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) Emergency medical equipment and supplies, as determined by the jail physician shall be available at all times, inventoried monthly and replenished as needed.
(J) There shall be a written infectious diseases control program implemented in the facility.