5120:1-8-09 Medical.

(A) The full service jail facility shall have a designated jail physician, licensed to practice medicine in Ohio, who shall be responsible for health care services pursuant to a written agreement, contract or job description.

(B) Medical policies and procedures shall be specifically developed for the jail with initial approval documented by the jail physician and whenever revisions are made.

(C) 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

(3) Medical disposition of prisoner:

(a) General population or

(b) General population with prompt referral to appropriate health care or

(c) Referral to appropriate health care service for emergency treatment or

(d) Medical observation/isolation.

(D) Qualified health care personnel shall complete a health appraisal for each prisoner within fourteen days after arrival at the jail. Health appraisals shall include the following:

(1) Review of receiving screening

(2) Collection of additional data to complete the medical, dental, mental health and immunization history

(3) Laboratory and/or diagnostic tests to detect tuberculosis and other suspected communicable diseases

(4) Recording height, weight, pulse, blood pressure and temperature

(5) Other tests and examination as determined necessary by the jail physician

(6) Medical examination including review of mental and dental status

(7) Review of results of the medical examination tests and identification of problems by a physician or other qualified health care personnel

(8) Initiation of therapy when determined necessary by the jail physician

(9) Development and implementation of a treatment plan

(10) Mental health assessment

(E) The jail shall provide, or make provisions for, twenty-four hour emergency health care.

(F) A physician and/or qualified health care professional conducts sick call:

(1) Once per week for jails with an average daily population of less than fifty

(2) Three times per week for jails with an average daily population of fifty to one hundred ninety-nine.

(3) Five times per week for jails with an average daily population of two hundred or more.

(G) Medical care shall be performed by qualified health care personnel pursuant to written protocol or order of the jail physician. Verification of current credentials of each qualified health care personnel shall be maintained on file.

(H) The jail shall ensure that there is a daily procedure whereby prisoners have an opportunity to report medical complaints to the jail physician directly or through other health-trained personnel.

(I) Medical complaints shall be:

(1) Recorded and maintained on file

(2) Reviewed daily by qualified health care personnel and treatment shall be provided as necessary.

(J) 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.

(K) The jail shall maintain a method of recording entries in the health record in the format of the record approved by the jail physician.

(1) Health records are confidential and only accessible to personnel designated by the jail physician

(2) Staff may be advised of prisoners' health status only to preserve the health and safety of the prisoner, other prisoners or the jail staff.

(L) The jail shall exercise proper management of pharmaceuticals and address the following:

(1) Physician orders

(2) Procedures for medication receipt, storage, dispensing and administration or distribution

(3) Secure storage and monthly inventory of all controlled substances, syringes and needles

(4) Dispensing of medicine in conformance with federal and state laws

(5) Administration of medication by health-trained personnel and under the supervision of the health authority and jail administrator or designee

(6) Accountability for administering or distributing medications according to physician's orders.

(M) No prisoner shall be denied health care.

(N) The jail physician or a dentist shall provide prisoners with professional dental services as determined necessary.

(O) Prisoners evidencing signs of mental illness or developmental disability shall be referred immediately to qualified mental health personnel.

(P) 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 serviceswithin 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.

(Q) Emergency medical equipment and supplies, as determined by the jail physician shall be available at all times, inventoried monthly and replenished as needed.

(R) There shall be a written infectious diseases control program implemented in the jail.

(S) Pregnant prisoners shall receive pre-natal care as determined necessary by the jail physician.

(T) A written policy regarding the use of medical restraints and therapeutic seclusion for prisoners under treatment for medical or mental illness shall specify the types of restraints that may be used and when, where, how and for how long restraints and therapeutic seclusion may be used.

(1) Use shall be authorized by a physician upon concluding that no other less restrictive treatment is appropriate.

(2) There shall be ten-minute checks by health-trained personnel for any prisoner placed in medical restraints or therapeutic seclusion.

R.C. 119.032 review dates: 01/10/2013 and 01/08/2018
Promulgated Under: 111.15
Statutory Authority: 5120.01 , 5120.10
Rule Amplifies: 5120.10
Prior Effective Dates: 1/2/81, 6/2/86, 7/1/94, 9/21/98, 2/21/03, 09/01/2011