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Health Services Technical Manual EFFECTIVE DATE: 07/01/2019

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Health Services Technical Manual EFFECTIVE DATE: 07/01/2019 1 HEALTH SERVICES OPR: CONTRACT HSCMB Assistant Director MONITORING BUREAU TECHNICAL MANUAL SUPERSEDES: 08/15/2018 ARIZONA DEPARTMENT OF CORRECTIONS EFFECTIVE DATE: 07/01/2019 REPLACEMENT PAGE REVISION DATE: N/A INTRODUCTION PURPOSE: This Health Services Contract Monitoring Bureau (HSCMB) Technical Manual was created to provide technical and professional guidance for the delivery of quality health care within the Arizona Department of Corrections facilities or their supporting non-ADC organizations. RESPONSIBILITY: It is the responsibility of the ADC Health Services Contract Vendor, with oversight monitoring by HSCMB, to ensure that adequate Dental, Medical, Mental Health, Nursing, Pharmaceutical, Medical Records, Laboratory, and X-ray services are available to the inmate population incarcerated within the Arizona Department of Corrections. 2 Table of Contents OPR: Arizona Department of Corrections SUPERSEDES: 08/15/2018 Health Services Technical Manual EFFECTIVE DATE: 07/01/2019 Chapter 1, Sec. 1.0 Guiding Doctrines and Philosophies ................................................................. 10 Chapter 1, Sec. 2.0 Authority and Accountability ............................................................................ 12 Chapter 1, Sec. 3.0 Communications, Meetings and Reports .......................................................... 17 Chapter 1, Sec. 4.0 Policy Administration (Policy and Procedures) ................................................ 20 Chapter 1, Sec. 5.0 Quality Improvement of Health Services .......................................................... 22 Chapter 1, Sec. 5.1 Peer Review of Professional Activities ............................................................. 29 Chapter 1 Sec. 6.0 Incident Command System (ICS) ..................................................................... 32 Chapter 1, Sec. 6.1 Urgent Notification List .................................................................................... 36 Chapter 1, Sec. 6.2 Emergency Medical Supplies ............................................................................ 37 Chapter 1, Sec. 7.0 Confidentiality ................................................................................................... 39 Chapter 1, Sec. 8.0. Medical Grievance System ................................................................................ 41 Chapter 2, Sec. 1.0. Resource Administration ................................................................................... 42 Chapter 2, Sec. 2.0 Pharmacy Inventory Control ............................................................................. 44 Chapter 2, Sec. 3.0. Medical Sharp and Tool Control ....................................................................... 48 Chapter 2, Sec. 4.0 Budget and Inventory Control ........................................................................... 55 Chapter 2, Sec. 5.0 Infection Control ............................................................................................... 56 Chapter 2, Sec. 6.0 Environmental Health ....................................................................................... 58 Chapter 2, Sec. 7.0 Kitchen Sanitation ............................................................................................. 60 Chapter 2, Sec. 8.0 Ectoparasite Control and Treatment Procedures ............................................... 61 Chapter 3, Sec. 1.0 Responsible Authorities & Staff Administration .............................................. 63 Chapter 3, Sec. 2.0 Staffing Patterns ................................................................................................ 66 Chapter 3, Sec. 3.0 Credentialing Responsibilities ........................................................................... 67 Chapter 3, Sec. 4.0 Orientation and Education for Health Services Staff ........................................ 69 Chapter 3, Sec. 4.1 Medication Administration Training ................................................................. 71 Chapter 3, Sec. 5.0 Clinic Space, Equipment, and Supplies ............................................................ 72 3 Chapter 3, Sec. 6.0 Student and Extern Clinical Rotation Programs ............................................... 74 Chapter 3, Sec. 7.0 Inmate Workers ................................................................................................. 77 Chapter 3, Sec. 8.0 Training for Correctional Officers .................................................................... 80 Chapter 4, Sec. 1.0 Pharmacy Administration .................................................................................. 82 Chapter 4, Sec. 1.1 Pharmaceutical Dispensing Procedures ............................................................ 86 Chapter 4, Sec. 1.2 Pharmacy Medications Issued to Clinic Stock .................................................. 93 Chapter 4, Sec. 1.3 After Hours Pharmacy Support and Clinic Stock Medication Storage Area .... 97 Chapter 4, Sec. 1.4 Pharmacy Security ........................................................................................... 101 Chapter 4, Sec. 1.5 Post-Exposure Prophylaxis for Employees ..................................................... 103 Chapter 4, Sec. 1.6 Non-Formulary Drug Requests ....................................................................... 104 Chapter 4, Sec. 1.7 Compounding and Prepackaging .................................................................... 106 Chapter 4, Sec. 1.8 Drug Utilization Review/Evaluation ............................................................... 107 Chapter 4, Sec. 1.9 Drug Recalls .................................................................................................... 109 Chapter 4, Sec. 1.10 Special Pharmacy Issues ................................................................................. 110 Chapter 4, Sec. 1.11 Psychotropic Medications ............................................................................... 112 Chapter 4, Sec. 1.12 Methadone Use ................................................................................................ 114 Chapter 4, Sec. 2.0 Laboratory Procedures .................................................................................... 115 Chapter 4, Sec. 3.0 Radiologic Imaging Procedures ...................................................................... 117 Chapter 5, Sec. 1.0 Inmate Access To Health Care ........................................................................ 120 Chapter 5, Sec. 1.1 Transportation of Inmate-Patients ................................................................... 122 Chapter 5, Sec. 1.2 Special Handling Intake/Medication Issues Intake/Gender Dysphoria Issues 125 Chapter 5, Sec. 1.2.1 Paper Health Records – Transfer Process of Released Offenders .................. 130 Chapter 5, Sec. 1.2.2 Transfer inmates to ICE .................................................................................. 134 Chapter 5, Sec. 1.3 Continuous Progress Notes (SOAPE) ............................................................. 137 Chapter 5, Sec. 1.4 Treatment Plans ............................................................................................... 140 Chapter 5, Sec. 1.5 Nursing Assessment and Protocols ................................................................. 142 Chapter 5, Sec. 2.0 Intake & Return to Custody ............................................................................ 144 Chapter 5, Sec. 2.1 Intake at Non-Reception Facility .................................................................... 148 Chapter 5, Sec. 3.0 Non-Emergency Health Issues ........................................................................ 150 Chapter 5, Sec. 3.1 Routine Appointments Health Needs Request (HNR) .................................... 154 Chapter 5, Sec. 3.2 Inmate Access to Appointment Locations ...................................................... 156 Chapter 5, Sec. 4.0 Routine Appointments -Recording.................................................................. 159 Chapter 5, Sec. 5.0 Continuity of Care Upon Transfer .................................................................. 161 Chapter 5, Sec. 5.1 Chronic Condition Care (Monitored Conditions) ........................................... 166 4 Chapter 5, Sec. 5.2 Security of Accountability of Paper Health Records ...................................... 168 Chapter 5, Sec. 5.3 Organization of the Health Record .................................................................. 170 Chapter 5, Sec. 6.0 Medication Delivery (Keep On Person) .......................................................... 180 Chapter 5, Sec. 6.1 Transfer Medications ....................................................................................... 184 Chapter 5, Sec. 6.2 Outside, Intake and Transfer Medication orders ............................................. 186 Chapter 5, Sec. 6.3 Adverse Drug Reactions .................................................................................. 189 Chapter 5, Sec. 6.4 Medication Administration ............................................................................. 190 Chapter 5, Sec. 6.5 Narcotics Accountability ................................................................................. 194 Chapter 5, Sec. 6.6 Medication Error Reporting ............................................................................ 196 Chapter 5, Sec. 7.0 Clinical Follow Up Requirements ..................................................................
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