5139-36-13 Medical and health care services.

(A) The CCF shall have a written policy and procedure requiring each CCF to have a licensed physician(s) or medical resource such as a hospital or clinic designated for the medical supervision, care and treatment of juveniles. When the health care authority is other than a physician, final medical judgments rest with a single designated physician. The CCF shall ensure twenty-four hour availability of consultation, advice and emergency service response. Such resources shall be located in the same or nearby community.

(B) The CCF shall have a written policy and procedure requiring that a medical examination be conducted within fourteen days before or after admission, and updated annually.

(C) The CCF shall have a written policy and procedure providing for the prompt notification of juvenile's parents/guardians and responsible agency in case of serious illness, serious surgery, serious injury or death.

(D) The CCF shall have a written policy and procedure requiring that, following the admission of a juvenile, CCF staff shall attempt to verify prescribed medications and that the proper dosages of these medications are administered at the time interval prescribed by the appropriate medical authority.

(E) The CCF shall have a written policy, procedure, and practice providing for the proper management of pharmaceuticals and shall address the following subjects:

(1) A formulary specifically developed for the facility prescription practices that requires (a) prescription practices including requirements that psychotropic medications are prescribed only when clinically indicated as one facet of a program of therapy, (b) "stop order" time periods for all medications, and (c) the prescribing provider reevaluates a prescription prior to its renewal.

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

(3) Maximum security storage and periodic inventory of all controlled substances, syringes, and needles.

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

(5) Administration of medication by persons properly trained and under the supervision of the health authority and facility administrator or designee.

(6) Accountability for administering or distributing medications in a timely manner and according to physician's orders.

(F) The CCF shall have a written policy and procedure requiring that a medical record be maintained on each juvenile which shall include pertinent information concerning illnesses, communicable diseases, physical abnormalities, allergies and the administration of treatment.

(G) The CCF shall have a written policy and procedure requiring a written plan for the staff's response to juveniles who are identified as potentially suicidal.

(H) The CCF shall have a written policy and procedure requiring that first-aid kits are available, and have been approved by the "American Red Cross" or other qualified health care personnel.

(I) The CCF shall have a written policy and procedure requiring that all staff, on all shifts be certified, and maintain certification in first aid and CPR.

(J) The CCF shall have a written policy and procedure governing the development, and subsequent updating, of a facility formulary or drug list for pharmaceuticals stocked by the facility.

(K) The CCF shall have a written policy and procedure requiring that juveniles be informed of the procedures for gaining access to medical services.

(L) The CCF shall have a written policy and procedure that provides for informing appropriate staff of special medical and mental health problems of juveniles.

(M) All written policies and procedures are approved annually by the responsible health care authority.

(N) The CCF shall have a written policy and procedure requiring that in consultation with the juvenile's physician, each facility shall periodically review each juvenile's current regimen of medication and, as authorized by the physician, make adjustments to that regimen as appropriate. In no event shall a facility begin, alter or suspend a juvenile's medication without the approval of a physician.

(O) Written policy and procedure shall be developed and implemented for medical isolation under the directions of qualified health care personnel.

(P) The CCF shall have a written policy and procedure requiring that the responsibility for arranging emergency treatment of dental needs be that of the facility.

(Q) The CCF shall have a written policy and procedure requiring that poison control numbers and other emergency numbers be readily accessible to staff and clearly posted throughout the facility.

(R) Written policy and procedure shall specify that emergency mental health services for juveniles be provided by qualified mental health professionals.

(S) Written policy and procedure shall provide that when a juvenile requires medical attention in a potentially health-threatening emergency and such treatment conflicts with the religious tenets or practices of the juvenile's custodial parent, the CCF shall immediately transport the juvenile to a medical facility and refer the matter, as appropriate, to a juvenile judge in the committing county, the department of youth services, public children's services agency (PCSA) or county department of human services.

(T) Juveniles shall be provided the opportunity for daily showers, and showers after strenuous exercise.

(U) The CCF shall have a written policy and procedure and practice that provides soap, washcloths, towels, toothbrush, toothpaste, deodorant, shampoo, combs and personal hygiene supplies to the juvenile. The CCF should also make provisions for routine hair care services.

(V) When there is a medical isolation room separate from the living unit, such room shall be equipped to provide for washing, drinking, toilet use and safety needs of the confined juvenile with facilities for visual and audio monitoring.

Effective: 02/07/2014
R.C. 119.032 review dates: 11/14/2013 and 11/14/2018
Promulgated Under: 111.15
Statutory Authority: 5139.04
Rule Amplifies: 5139.23 , 5139.33 , 5139.36
Prior Effective Dates: 2/3/2004