CCHP Standards for Health Services in Jails Exam 2024-, Exams of Nursing

Download CCHP Standards for Health Services in Jails Exam 2024- and more Exams Nursing in PDF only on Docsity! CCHP Standards for Health Services in Jails Exam 2024 Knowingly do not care for a PT: This is refusing the PT access to care. - Answer What is deliberate indifference? Landmark Case Estelle vs Gamble 1976. - Answer Access to care is directly related to Juveniles: - Answer 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. - Answer Health Staff & Security: Health staff will need to be oriented about the Correctional Facility policy. - Answer Company Policies: These cannot go against any Medical Director. CQI meets at least quarterly. - Answer 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. - Answer 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. - Answer 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. - Answer Records: If records are transferred with the PT, the record needs to be medical director. - Answer 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. - Answer Log of Deaths: This will include parents, guardian or juvenile department has to be contacted - Answer 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 - Answer Fees: With Juvenile there within 4 hours. - Answer 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. - Answer Adults (Jail) the screening is completed 7 days - Answer Transfer Screening: Juvenile assessments completed within a timely manner. - Answer Transfer Screening: Juvenile assessments completed within 7 days - Jail is in Juvenile assessments completed 7 days. Jail is 14 days. - Answer Initial Health Assessments: Juvenile assessments completed _______ days. Jail is _______ days. Juvenile assessments completed 7 days. Jail is ASAP or no later than 14 days. - Answer MH assessment: Juvenile assessments completed ____ days. Jail is __________ Jail completed ASAP or no later than 14 days. Juvenile is 7 days. Prison is 7 days. - Answer Oral Screening occurs: Jail completed __________ Juvenile is ________ . Prison is _________ Juvenile it is 7 days. Jail is 14 days. - Answer Oral Education occurs: This can be completed when the screening process is done. With Juvenile it is ______ . Jail is ________ Electronic Device - Answer = 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. - Answer 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 - Answer Policies on emergency forced psychotropic medications 15/30: Pg 133. - Answer 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. - Answer The use of forced psychotropic medication in emergency situation should be reviewed by? Research Activities. Pg 139 - Answer The Code of Federal Regulations (45 CFR 46, revised) has provision set to protect inmates involved in? TRUE - Answer 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 - Answer Exceptions in which it is not necessary to obtain informed consent include? Juvenile population, Elderly, Physical Disabled, MH and developmentally disabled. Pg 112. - Answer The Special needs of Pts include = master problem list. Pg 111. - Answer Chronic illness and special needs = requiring a treatment plan must be listed in the Supervising RN (CHARGE NURSE) - Answer 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 - Answer 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 - Answer = Will ensure that the MH Pts are maintaining their best level of functioning while in custody. Pg 116. alleviate symptoms and prevent relapse. Pg 116. This way the Pt is safe in the environment. - Answer Regarding mental health services = the immediate objective is to self-understanding, self-improvement, and development of skills to cope with and overcome disabilities associated with the disorder. Pg 116. - Answer MH Treatment Goals = Should include 15 mins - Answer Restraint checks by health staff are no less than every Detoxification. Pg 118. - Answer Medically Supervised Withdrawal is known as = continuing the MAT program prior to release. Pg 119. - Answer Deaths per Overdose = Pts with opioid use disorders who are released following long term confinement are at high risk for post release death from overdose. This risk can be reduced by outside of a hospital. Pg 119. - Answer Severe withdrawal syndromes = must never be managed physician or medical professional with the appropriate training and experience. Pg 119. - Answer Medically supervised withdrawal = Is best managed by the (e.g., methadone, buprenorphine, or naltrexone). Pg 119. - Answer MAT Program = Includes opioid treatment program license or a partner with an OTP community provider. - Answer The use of Methadone requires the facility to obtain an ___________________ Buprenorphine - Answer MAT PROGRAM can be prescribed by any provider with a license. Pg 119. handcuffs in front of the body. Pg 120. - Answer Custody Restraints with Pregnant females = Shall be limited to Prophylactic - Answer The term ___________ = is used to describe procedures and treatments that prevent something from happening. This can include dental cleanings, vaccines, birth control, and sometimes surgery. medical information so that medical services and intervention for the victim can be initiated. Pg 124. - Answer Sexual Abuser = We are not permitted to gather evidence from the abuser however with medical consent we can gather TRUE - Answer TRUE OR FALSE . IM workers are not a substitute for health staff. Pg 125-126. Crisis intervention and provision of psychotropics - Answer = These are excepted for Pts with MH concerns that are short length stays at the facility or for transfer Pts. For units with a large population of Inmates with longer time frame stays should be offered a more extensive mental health programming. Pg 117. PT. Pg 126. - Answer Palliative Care = Enrollment to this program rests with the legally appointed surrogate - Answer Palliative Care with Incapacitated IM = If the Pt is incapacitated, the______________ must evaluate and consent to or refuse admission to the program. Pg 126. what the Pt wants done. Pg 126. - Answer Advanced Directives = Include living wills, which will state who can make decisions for the PT when the PT is incapacitated. Pg 126. - Answer Health Proxies = Will STATE Stable, improving, deteriorating. Pg 113. - Answer Clear Indicators of the severity of a condition includes? 24hrs. Pg 114. - Answer To be housed in Infirmary level care, the patient must be housed for a period longer than? Number of Pts, Severity of illness and Level of Pt care. Pg 114. - Answer Nurse to patient ratio is based on? : Clinical Acuity and categories of care provided. Pg 114. - Answer Frequency of provider and nursing rounds for patients in infirmary-based care are based on? Physician and Annually. Pg 119. - Answer Protocols for intoxication and withdrawal are approved by the ____ and how often? Transportation and during labor & delivery. Pg 122. - Answer Custody restraints on the pregnant inmate are not allowed during. : Tetanus, Diphtheria and Pertussis. Women must be counseled on these topics and should be available. Pg 121. - Answer Vaccinations offered to the pregnant inmate during her 3rd trimester should include (regardless of whether they were vaccinated outside of pregnancy). : 24hrs - Answer PT Care and Treatment = A sign explaining the services and how to access care should be posted in the intake/ processing area. Within _______________ of arrival the Pt is provided with written, electronic, or video information about how to Good Administrative Practice. Pg 75. - Answer Maintaining inventory lists of all clinical equipment is? A Provider - Answer = This is defined as a NP, Physician, Physician assistant. NP, PA, MH, and OD are all Providers. Pg 50. A Prescriber - Answer = This is defined as a NP, Physician, Physician assistant, Optometrist, or dentist. Pg 50. for the RHA to keep records. Pg 50. - Answer Licensure = It is the health staff's job to maintain their own license and certification. It is not the RHA responsibility however it is helpful 2 years. Pg 55. - Answer Correctional officers = These people receive health-related training every Inmates - Answer = in a peer health related programs are permitted to Assist patient in activates of daily living, Participate in a buddy system for nonacutely suicidal inmates, Participating in hospice programs. Pg 58. Cannot collect sick calls, schedule appts, view health records, handle or administer medications, handle surgical tools - sharp objects. Pg 58. - Answer Inmate workers are not allowed to= may assist health staff with routine tasks such as Clean the health services unit, Assemble blank health record forms, Work in a laboratory that makes prosthetic devices, Handle biohazardous wastes. Pg 59 - Answer Inmate workers are allowed to = . Annually - Answer Clinical performance enhancement reviews conducted? 75 - Answer . It is required by NCCHC that which % of correctional officers must receive health related training? CO's and Health staff - Both are appropriate as long as it is permitted by law. Pg 57. - Answer Who can administer or deliver prescription medications to inmates? RHA - Answer Who is responsible for approving the staffing plan? RHA and Facility Administrator. Pg 64. - Answer The new employee orientation program is approved by? : Yearly. Pg 64. - Answer New employee orientation program must be reviewed? CQI (continuous quality improvement committee) Pg 65. - Answer . The effectiveness of the orientation program should be evaluated by? Physician = MD or DO. - Answer This person has the final authority, final judgement regarding clinical issues with PT care. Pg 4. jeopardized - Answer Medical autonomy is __________ when = Cancellation of community consultants' appointments, Discontinuance of necessary medial diets without medical approval, Custody staff is too low to carry out day to day medical support. Administrative meetings - Answer = are attended by correctional administrator, RHA, medical, dental, mental health, and correctional staff. These are quarterly meetings. Pg 8. monthly. Pg. 8. - Answer Health Meetings and Statistical Report = These are both custody and health staff members. Pg 8. - Answer Facility staff includes = Date, location, attendance, topics discussed, corrective action and plans and previous concerns from the past meetings. Pg 8-9. - Answer Meeting minutes or summaries include = NCCHC standards. - Answer Healthcare policies = These should be cross-referenced with the _____________ Facilities do not need policies on topics that do not apply to them. Pg 10. Thresholds - Answer = are the expected level of performance established by the quality improvement committee. Pg 13. So problems can be identified early, and strategies developed for resolution. Pg 13. - Answer What is the benefit of a CQI program = high risk, high volume, or problem prone aspects of health care to patients. Pg 13. - Answer What is the essential element of a CQI = To monitor At least quarterly. Pg 12. - Answer CQI MEETINGS ARE HOW OFTEN = Grievances - Answer What is one topic that the CQI program does not measure in studies = . Pg 14. Annually Pg 14. - Answer The CQI measures each major service area - how often = housed single cell, segregated, max housing and during intake process. Pg 17. - Answer How is Privacy made difficult in jails = Assessing Pts when RHA. Pg 19. - Answer Access to Health Records = This is controlled by the prominent place in the health record. Pg 21. - Answer The problem list = is best kept in a TRUE - Answer TRUE OR FALSE Health Records needed on every IM = NO - A complete health record is not necessarily established on every inmate; however, any health encounter after the receiving screening requires the initiation of a record. Pg 20. It is NOT necessary or NOT desirable - Answer Health staff having access to criminal records = ____________ that all health staff members have access to the criminal history of their patients. Pg 21. 30 DAYS. Pg 23. - Answer Clinical mortality review must be conducted within = This is a review of the clinical care provided to the PT and circumstances leading up to the death. Completed within 30 days. Pg 23. - Answer What is the Clinical Mortality Review? = - Administrative Review - Answer : No time frame with jails but with JUVY has 30-day time frame. This is a review of the correctional care and emergency response actions surrounding the IM death. - Psychological Autopsy - Answer : Can be referred to as Psychological reconstruction or postmortem. This is completed on all deaths by suicide within 30 days. This is a written document on the IM"s life, factors that led up to the death and factors that may have contributed to the death. Anyway to improve PT care, anyway, to improve emergency response time, any other interventions possible. Pg 24. - Answer The clinical mortality review asks at least three key questions which include: = Suicide, Deaths off site, Homicides, Natural causes. Pg 24. - Answer A clinical mortality review applies to all deaths including = CQI program. Pg 25. - Answer . Grievances that are related to health services should be tracked through the continuous quality improvement program. - Answer Grievance mechanisms = are an important component of a facility's Custody staff - Answer = should NOT be involved with the investigating and responding to complaints about health care. Only health staff. Pg 25. Health care complaints - Answer = should be included in a formal grievance process or have a separate process. Pg 25. annually or sooner - Answer Grievances: These are tracked through the CQI program. Grievances need to be reviewed at least __________ . A face-to-face encounter is an effective way to resolve any problems with health services. Medication Assisted Treatment: - Answer This is medication treatment along with therapy. PTs that are enrolled in a community substance abuse program should be given this treatment. Intrasystem: - Answer This is an IM being transferred from one health service to another within the same facility. Opioid Addiction: - Answer PTs with this concern is more likely to overdose after discharge so medication assisted treatment is recommended prior to release. Physician - Answer The ____________ establishes and approves clinical protocols annually for chronic diseases and special needs developmental disability, serious mental health needs or physical disability, frail and elderly population. - Answer Special needs include: Those Pts with Treatment Plans: - Answer _____________ These should? Pts with mental health concerns should incorporate ways to address the Pts problems and enhance the Pts strength, involve Pts in their development and include strategies to prevent relapse. The strategies should include / describe: - Signs and symptoms associated with the relapse or reoccurring difficulties as in (AVH, anxiety, depression etc.) - How the PT thinks relapse can be avoided. - How to best help the PT manage crisis / mental health concerns. Treatment plans: - Answer __________ Should help the PT with developmental / Mental health concerns cope with the correctional environment and alert custody staff when concerns arise. special housing. - Answer IMs with intellectual limitations are at higher risk for victimization and may need Subjective, Objective, Assessment and Plan. - Answer SOAP: Infirmary level of Care: - Answer ____________ This is daily monitoring. This is for the Pts that require more extensive care than can be provided in the general housing. This is for the Pts that need daily monitoring and skilled nursing care but do not need hospital admission. Pts with this is always in sight (eye or voice) of staff. At least daily the charge RN (supervising RN) ensures that care is being provided as ordered. behavior, medication concerns, recovering from surgery and for the mentally unstable. - Answer Observation beds in the infirmary level of care: These are designed for the medical or mental health observation for certain reasons as in Access to care: - Answer Means that in a timely manner, a Pt is seen by a health care professional, rendered clinical judgement and receives care that is ordered. licensed dentist - Answer Oral Care is under the supervision of a Oral Screening: - Answer ________ Completed within 14 days from admission. This may be completed by the dentist or health care professional. These can be done as part of the intake process. Case of Estelle v Gamble 1976 - Answer Is what the correctional health care standards are based on Oral Examination: - Answer ________ This is completed within 12 months of admission and completed by dentist. oral care - Answer This is the instructions of oral hygiene, examination, and treatment of dental concerns. Oral Screenings: - Answer 14 days to be completed. This is visual observation of the teeth and gums, and notations of any concerns requiring treatment by the dentist. This may be completed by the dentist or health care professional TRUE - Answer TRUE OR FALSE Oral Screenings: These can be done as part of the intake process. TRUE - Answer TRUE OR FALSE Pts will arrive at the jail from another county, Prison etc. We need to ensure that their services are continued at our facility. - Qualified Health Care Professionals will review the IMs health record or summary to ensure the continuity of care. - If the PT does not arrive with a record or summary, we should request one (ROI). Oral Examination - Answer : Within 12 months from admission. This includes reviewing the Pts history of dental services, dental examinations, charting of teeth, assessments of the tissue, and using a mouth mirror to explore any concerns. (RHA): Responsible Health Authority - Answer Ensures that the facility maintains a coordinated system for health care delivery. The _____must be on site at least weekly. The _______ mainly ensures that the policies are being carried out correctly. Qualified health care professionals - Answer Nurses, Doctors, MH, Dentist etc. Are labeled as Custody staff: - Answer Security and CO staff. Are labeled as Health care staff - Answer Administrative staff, Support staff, health records, lab techs, medical assistant etc. Are labeled as at least quarterly - Answer Administrative Meetings are held at least monthly. - Answer Health staff meetings occur - how often annually. - Answer Health care policies and procedures are reviewed at least Policy: - Answer a facility position on an issue related to its operations. Procedure: - Answer Details of how a policy will be carried out. quarterly. - Answer Continuous Quality Improvement Program (CQI): Meets at least Clinical Mortality Review - Answer : is an assessment of the care provided to the IM and circumstances leading up to the death. Administrative Review - Answer : is an assessment of correctional and emergency responses surrounding the death. Psychological Autopsy: - Answer is a written document of a person's life with factors that led up to and contributed to the cause of death. This is usually completed by a psychologist. Grievance - Answer : Is the way the facility protects the IM's rights to disagree with or question the health care services. 30 - Answer When a death occurs: ___ days to complete the clinical mortality review 30 days. - Answer - Psychological autopsy is performed by all deaths per suicide within Detailed description for carrying out policy. - Answer Which of the following best defines a "procedure"? A. Detailed description for carrying out policy. B. A measurable objective to be achieved. C. Official position on a work-related issue. D. Rules and regulations. Registered Dietitian Nutritionist: (RDN) - Answer __________ Facility provides this to the general population. The ________ will provide a review of the regular diet for nutritional adequacy at least annually. The ____ will review the regular diet also if the menu is changed. annually - Answer The Exposure Control Plan: This is approved by the responsible physician. This plan is reviewed and updated ____ . This plan describes the staff actions to be taken to eliminate or minimize exposures to pathogens. RHA - Answer The _____ ensures: All medical, dental and laboratory equipment are cleaned, decontaminated, and sterilized. Sharps and biohazardous wastes are disposed of properly. Surveillance to detect patients with infectious diseases is effective. Inmates with contagious diseases (medical concerns) are identified and medically isolated. The Responsible Health Authority. - Answer RHA: means Negative pressure (ISO CELLS) - Answer ____ rooms: also called isolation rooms, are a type of medical room designed to prevent airborne microorganisms in the room from entering hallways and corridors. monthly - Answer Environmental Inspection of Health Services: This is conducted _____ to ensure that the equipment is inspected and maintained, the unit is clean and sanitary, and to ensure the unit is occupationally and environmentally The RHA: will implement programs to prevent the spread of diseases. (TB SKIN TEST, ETC.) - Answer The ______ : will implement programs to prevent the spread of diseases. (TB SKIN TEST, ETC.) Responsible Physician - Answer The________ : Will determine the timing and necessity of all health screenings and health assessments. disease prevention. - Answer The Periodic Health Assessments: This helps with Adverse Clinical Event: - Answer Is an injury or death caused by medical management rather than an illness Near Miss Clinical Event: - Answer Is an error in clinical activity without a consequential adverse patient outcome. 2 years - Answer - COs are trained every ________ in health-related training. Expected 100% attend however 75% is required. 12 - Answer How many CEU per year Responsible Physician: - Answer The _________ Will approve the training programs for medication administration state law. - Answer - Staff who administer medication need to be permitted to do so by __________ RHA: - Answer ____ Will complete the staffing plan. Staffing Plan: - Answer _________ ? This will provide a layout of the full-time staff coverage, to address any concerns, openings, and address how full coverage will be accomplished. Completed by RHA. The staffing plan is needed to ensure that there is staff coverage to prevent unreasonable delays in services. Do not count on the staffing plan. - Answer Staffing Plan: Volunteers, intern students etc. _______ DO THEY COUNT OR NO? HEALTH CARE LAISON: - Answer _________ This may be an CO or other person without a health care licensure who is instructed by the responsible physician to carry out the following: - Reviewing of screening forms for follow-up attention. - Reviews of nonemergency health care request. - Helps to carry out providers orders such as housing, diet, and work duties etc. - Maintains privacy for the IM. - Have contact information for all on-call staff. Health Care Laison. - Answer IMs should continue to have health services if Qualified Health Professional is absent through ______ 24hrs. - Answer HEALTH CARE LAISON: are needed when Qualified Health Professionals are absent for ____ annually or more if needed. - Answer The orientation lesson plan: This program is approved by the RHA & Facility Administrator. This plan is reviewed _________ RHA & Facility Administrator. - Answer The orientation lesson plan: This program is approved by the _____________ Basic Orientation - Answer All health staff will receive__________ on or before their first day of on-site service. In-Depth Orientation. - Answer Within 90 days of hire: The staff will receive __________ Basic orientation: - Answer _____________________ All health staff will receive THIS on or before their first day of on-site service. This will provide the staff with the details needed to ensure they can function effectively and safely in the facility. This orientation will address the following: - Policies and Procedures. - Security services. - Response to emergencies. - Job duties. - IM- Staff relationships. In-Depth Orientation - Answer ___________: This will occur within 90 days of hire. This is a full training of all health services that are not covered in the Basic orientation. This will provide details on the difference of providing health services in the community versus correctional facility. - Dispensing: - Answer ________ This is the act of placing one or more doses of medication into a container that is labeled for the PT. This container will state the Pts name, contents inside and any other vital information. Administering: - Answer - ______ This is the act of giving medication to a PT. Procuring: - Answer ______ This is the act of ordering medication for the facility Disposing: - Answer _____ This is the act of destruction of medication after the med is expired or no longer needed - Distribution: - Answer _______ This is the system for delivering, storing, and accounting for medication from the source of supply to the nursing station or point where they are administered to the PT. - Accounting - Answer _______ : This is the act of reordering, summarizing, verifying, and reporting medications being used. - DEA - Controlled Substance - Answer ______ : The medications that come under the jurisdiction of the federal Controlled Substance Act. - The RHA and Pharmacist - Answer __________ : These two should ensure that the pharmaceutical operations operate legally and properly. - Formulary - Answer _______ : This is a written list of prescription and nonprescription medications that are available to the prescribers in the facility. - Self-medication program: - Answer _________ (This is also known as Keep-on- persons programs). This permits the IM to carry and administer their own medications when allowed by the provider. G. Allergies. H. Dietary concerns. I. Prescription medications (Details of provider, pharmacy, dosage and last time taken.) J. Drug use. K. Withdrawal concerns and symptoms. L. Pregnancy. M. Any other health problems / concerns that need attention. TRUE - Answer TRUE OR FALSE These screening forms are dated and timed & include the name, signature and title of person completing the form. medically isolated (ISO CELL). - Answer - Pts who has infectious diseases (TB, COVID ETC.) these Pts are ________ opiate history and test obtained - Answer If a woman is pregnant or may be pregnant there will be an _______ pregnancy test performed - Answer If a woman confirms opiate use, there will be a ___________ Medical Clearance: - Answer __________ is a documented clinical assessment of medical, dental, and mental status before the PT is admitted to the facility. The medical clearance can come from the on-site health staff or may require the PT to be sent to the hospital. Receiving Screening - Answer __________: This is a process that identifies potential emergency situations among new arrivals. This is done to ensure that Pts with known illnesses and Pts with medications are identified for further assessment and treatment. Medication assisted treatment: - Answer ____________ This is the use of medication in combination with counseling and behavioral therapy to provide a "whole patient" approach to the treatment with substance abuse disorders. TRUE - Answer TRUE OR FALSE Receiving Screening is to fulfill four purposes: 1. Identify and meet any urgent health needs of those being admitted. 2. Identify and meet any known or easily identifiable health need that requires medical intervention. 3. Identify and isolate Pts who appear to be potentially contagious. 4. Obtain a medical clearance when necessary. TRUE - Answer TRUE OR FALSE This screening is completed by health staff however if health staff are not available it can be completed by a health trained CO if the health staff is not on duty. TRUE - Answer TRUE OR FALSE New Arrival Pts should not be released from the intake area until the screening is completed. follow up with the mental health staff. - Answer Screeners should always assess the potential for suicide, history of suicide, suicidal behavior, and mental health concerns such as delusions, hallucinations, self-harm markings, disoriented, depression, withdrawal from alcohol or drugs, memory concerns, etc. A history of trauma or severe mental health concerns will warrant a_ ______________ TRUE - Answer TRUE OR FALSE If the new arrival Pts states that they have active treatment with medical, dental or mental health- then that group shall be notified, ROI sent for records to complete further treatment Full Population Assessments: - Answer _______________ Involves performing assessments on 100% of the IMs Individual Assessments: - Answer This is centered around those IMs with higher risk health concerns. These are completed within 2 days of arrival. 14 days. - Answer The Health Assessment will be completed within how there is no change in the health status. - Answer If the health assessment is deferred due to a recent assessment within 12 months there needs to be documentation on Physician - Answer The __________ controls the components of the health assessment health status being examined. - Answer Health Assessment: The process of the Pts Physical Examination: - Answer __________ This is a hands-on evaluation / inspection to determine the presence of physical signs of illness. Clinically Significant Finding: - Answer ____________ Any deviation from the normal significantly impacts the health and safety of Pt. urgent mental health needs are met. - Answer Mental Health screenings will be performed to ensure that 14 days by QMHP or MHP. - Answer Mental health screenings will be performed ASAP - within MHE - Answer These are details of what? History of: A. Psych hospital admissions and out-PT services. B. Substance Abuse use, concerns & hospitalizations. C. Withdrawal concerns / Seizures. D. Detoxification & out-PT treatment. E. Suicidal behavior. F. Violent behavior. G. Victimization. H. Special needs history. I. Cerebral Trauma. J. Sexual abuse & sex offenses. Status of: A. Psychotropic medications. B. Suicidal ideation. C. Drug or alcohol use. D. Withdrawal concerns. E. Orientation to Person, Place, and Time. F. Emotional response to being arrested. G. Screening for special needs / disabilities. 30 days or sooner. - Answer Mental health evaluations from positive screenings should be completed within TRUE - Answer TRUE OR FALSE If Pts require acute mental treatment and services beyond this facility - the PT is transferred to an appropriate facility Qualified Mental Health Professionals: - Answer What title? Psychiatrists, Psychologists, Psych social workers, Psych nurses etc. nursing administrator and physician. - Answer Nursing Protocols and Procedures: These are reviewed annually by the The Nursing Assessment Protocol - Answer : This is a written instruction or guide for the steps to be taken in evaluating a Pts health status and to guide documentation in the health record. Pt discharge. - Answer The Pts medical, dental, and mental health services (all services) are active and coordinated from admission to TRUE - Answer TRUE OR FALSE Upon the time when Pt is placed in segregation - Health care professionals review the PTs chart, record - if any medical, dental or MH existing concerns arise that department is notified. 1x per week - Answer IM in solitary confinement: - Are monitored daily by medical staff, at least________ by MH staff. - IM's who are segregated & have limited contact with others are monitored 3 days a week by medical or MH. the date and time. - Signature of staff making the rounds. - With IMs in segregation, it is important to document why bruising, markings, outlook, attitude, depression, SI etc. - Answer Documentation of Segregation Rounds: - Will need to include? Segregated - Answer : Means Isolated from the general population. Solitary Confinement - Answer : Extreme form of segregation (ISO CELL). This is where the IM will have contact with staff fewer than 3xs per day. emergency forced psych medication. - Answer The Policies on____________________? This is given without consent for short-term use. This is not for behavioral control or disciplinary action. This standard does not apply if the medication is court ordered (Involuntary meds). TRUE - Answer TRUE OR FALSE When a provider orders the psych med to be forced, there needs to be documentation on: - Pts condition - Threat posed. - Reason for forced meds. - Other treatments attempted. - Treatment plan goals for less restrictive treatments. 30 minutes until the PT is released from the facility or no longer requires visits. - Answer Once medication is forced: Nursing staff will need to follow up with the PT within the first 15 minutes, then every - The PT is a threat to himself or others due to mental illness. - All less restrictive or intrusive measures have been employed or have been judged by the provider. - The provider will document the Pts condition, the threat posed, reason for forced meds, and other treatments attempted. - Answer Emergency meds are to be used when: 3 things have to be met. Forensic Information - Answer : This is physical or psychological information collected from an IM that may be used for legal concerns. Health staff - Answer are not involved in the collection of forensic information. TRUE - Answer TRUE OR FALSE If Pts refuse, there will need to be: - Description of the service being refused. - Evidence that the PT has been informed about the consequences that may occur. - Signature of PT. - Signature of health staff (If Pt refuses another health staff or custody staff can sign). If there is a life threatening emergency, then informed consent is not required. Activities of Daily Living (ADL) - Answer = Generally refers to the ambulation, bathing, dressing, feeding and toileting etc. Administrative Review - Answer = This is an assessment of correctional and emergency response actions surrounding an IM death. Access to care - Answer = means that, in a timely manner, a PT will be seen by health professionals to obtain the care that is ordered. Adverse Clinical Event = - Answer Clinical error, Injury, or death per medical management rather than by the Pts diseases. Clinical Performance Enhancement - Answer = Process of having a health staff's clinical work reviewed by another staff at the same level or higher. Comprehensive Health Summaries = - Answer Documents containing relevant health information as in medical, dental, mental health, medications, and allergies and health referrals. DEA - Controlled Substance - Answer = The medications that come under the jurisdiction of the federal Controlled Substance Act. Designated Mental Health Clinician - Answer = This refers to a psychiatrist, psychologist, psych social worker. Healthcare Record Review - Answer = Review of the health record using a form or audit tool to ensure the quality of care provided is adequately documented. Provider - Answer = Defined as NP, physician assistant, or physician. Prescriber = - Answer Defined as NP, dentist, physician assistant, or physician. - Pts condition - Threat posed. - Reason for forced meds. - Other treatments attempted. - Treatment plan goals for less restrictive treatments. - Answer When a provider orders the psych med to be forced, there needs to be documentation on: what topics? behavioral control or disciplinary action. - Answer The Policies on emergency forced psych medication. This is given without consent for short-term use. This is not for ______________________________ This standard does not apply if the medication is court ordered (Involuntary meds). 15 minutes 30 minutes - Answer Once medication is forced: Nursing staff will need to follow up with the PT within the first __________ , then every __________ until the PT is released from the facility or no longer requires visits. TRUE - Answer TRUE OR FALSE Emergency meds are to be used when: - The PT is a threat to himself or others due to mental illness. - All less restrictive or intrusive measures have been employed or have been judged by the provider. - The provider will document the Pts condition, the threat posed, reason for forced meds, and other treatments attempted. Forensic Information: - Answer This is physical or psychological information collected from an IM that may be used for legal concerns. TRUE - Answer TRUE OR FALSE Health staff are not involved in the collection of forensic information. - Description of the service being refused. - Evidence that the PT has been informed about the consequences that may occur. - Signature of PT. - Signature of health staff (If Pt refuses another health staff or custody staff can sign). - Answer If Pts refuse, there will need to be: TRUE - Answer TRUE OR FALSE If there is a life threating emergency, then informed consent is not required. - In Private. - Answer In terms of care, clinical encounters should be conducted? - RHA. - Answer Who approves the health records? - Current problems, Allergies and Medications. - Answer If the health records are being stored separately, what is the minimum that needs to be included and accessible to all health staff? - Separate from the correctional records and in a secure condition. - Answer Health care records should be stored where? When someone is screened. - Answer . A health care record is initiated when? - 30 days - Answer A clinical mortality review needs to be conducted within? - 30 days. - Answer A psychological autopsy is performed on all deaths by suicide in what time frame? - Assessment of the care provided to the IM and circumstances leading up to the death. - Answer What is a clinical mortality review? - Assessment of the correctional and emergency response actions surrounding the death. - Answer What is an administrative review? - Psychologist or other qualified leveled mental health professional. - Answer Who conducts a psychological autopsy? - The appropriateness of care provided, determine changes needed (policy, procedure etc.), identify any issues or barriers - Answer All deaths are reviewed to determine what? . - A written document of an individual's life with emphasis on factors that led up to / contributed to the death. - Answer What is a psychological autopsy? - Yes, If the person is still an active IM with the facility the facility is still responsible for them. - Answer If an IM dies off site, is the death review still completed? - IM's right to disagree with services. - Answer . What is a grievance? - At least annually or sooner if needed. - Answer Grievances are reviewed when? - Registered dietitian nutritionist. - Answer What is RDN? - Access to care. - Answer This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble quarterly - Answer Administrative meetings are held at least? - Monthly. - Answer JAILS Health staff meetings occur at least. monthly - Answer JAILS Statistical reports are made at least? - Responsible Physician. - Answer With whom does the final clinical judgements rest? - Weekly. - Answer How frequent for RHA to be on site? - 1976 Estelle V. Gamble. - Answer What court case set the standard for IMs to have access to care? - In a timely manner, the PT is assessed. Clinical judgement is provided. PT receives the care that is requested. - Answer Define access to care in three topics?