(A) The following standards are mandatory:
(1) Written policy and procedure require each detention center to have a licensed physician(s) or medical resources, such as a hospital or clinic, designated for the medical supervision, care and treatment of residents. The detention center shall ensure twenty-four-hour availability of consultation, advice and emergency services response. Such resources shall be located in the same or nearby community.
(2) Written health care policies and procedures shall be approved and signed by the responsible health care authority annually.
(3) Written policy and procedure require that all medicines be administered only by trained staff as directed by the nurse or health care authority.
(4) Policy and procedure require that within seven days after an admission an examination shall be performed and recorded by a physician and/or qualified health personnel to determine the apparent health of the child. Medical arrangements for community follow-up upon a youth's discharge shall be conducted as identified by the medical authority in a timely manner.
(5) Written policy and procedure provide for the prompt notification of parents/guardians of the child as well as the responsible agency in case of serious illness, serious surgery, serious injury and death.
(6) Written policy and procedure require the safe and secure management, storage distribution and control of all drugs, medical records and supplies to be maintained at all times as applicable to facilities with pharmacies.
(7) Written policy and procedure require that a medical record be maintained on each child, which shall include pertinent information concerning illnesses, communicable diseases, physical abnormalities, allergies and the administration of treatment.
(8) Written policy and procedure require a written plan for the staff's response to children who are identified as potentially suicidal.
(9) Written policy and procedure require that first-aid kits are available. The responsible health care authority approves the contents, number, location and procedure for periodic inspection of the kits.
(10) Written policy prohibits the administration of stimulants, tranquilizers, or psychotropic drugs, solely for behavior management.
(B) The following standards are recommended:
(1) Written policy and procedure require initial health screening of all children, including intra-system transfers, upon arrival at the detention center. The screening shall be performed by qualified health care personnel or by other personnel trained in health screening techniques. All findings are recorded on a printed screening form approved by the responsible health care authority.
(2) Written policy and procedure shall be developed and implemented for medical isolation under the direction of qualified health care personnel.
(3) Written policy and procedure require that the responsibility for arranging emergency treatment of dental needs be that of the detention center in conjunction with the responsible health care authority.
(4) Written policy and procedure provide that necessary medical services, which cannot be provided within the detention center, be provided at a nearby hospital or other medical detention center.
(5) Written policy and procedure provide that direct care staff and other personnel are provided with a training program that is approved by the responsible health care authority in cooperation with the detention center director and includes the following:
(a) Recognition of signs and symptoms, and knowledge of action required in potential emergency situations;
(b) Administration of first aid and cardiopulmonary resuscitation (CPR);
(c) Methods of obtaining assistance;
(d) Signs and symptoms of mental health issues and developmental disabilities, chemical dependency, venereal disease, and parasitic infestation;
(e) Procedures for patient transfer to appropriate medical facilities or health care providers.
(6) An adequate and proper supply of antidotes and other emergency drugs, and related information, is readily available to trained staff to meet the needs of the detention center. Such antidotes and emergency drugs are administered only as prescribed by a qualified health care authority.
(7) The detention center has written policy and procedure governing the development, and subsequent updating, of a detention center formulary or drug list for pharmaceuticals stocked by the detention center.
(8) Written policy and procedure require that youth be informed of the procedures for gaining unimpeded access to medical services.
(9) Written policy and procedure specify that emergency mental health services for children be provided by qualified mental health professionals.
(10) Written policy and procedure provide for informing appropriate staff of special medical and mental health problems of children.