Perf-Based Stds, Adult Corr. Inst. 5th ed March 2021

Part 6: Healthcare

Protocols : Written policy and procedure. Referral consult form.

Process Indicators : Health records. Completed referral consult records. Documen- tation of annual list review. Transportation logs. Interviews.

Transportation 5-ACI-6A-06 (Ref. 4-4349)

A transportation system that assures timely access to services that are only available outside the correctional facility is required. Such a system needs to address the following issues: • prioritization of medical need • urgency (for example, an ambulance versus a standard transport) • use of a medical escort to accompany security staff, if indicated • transfer of medical information The safe and timely transportation of offenders for medical, mental health, and dental clinic appointments, both inside and outside the correctional facil- ity (for example, hospital, health care provider, or another correctional facili- ty) is the joint responsibility of the facility or program administrator and the health services administrator. Comment : It is essential that the medical and the custody staff work cooperatively in the design and implementation of the medical-transport system. Consideration should balance issues of security as well as medical or psychological concerns about the use of restraint devices that may affect the offender’s health condition or access to care.

Protocols : Written policy and procedure. Transport form and log.

Process Indicators : Offender health records. Completed transport forms and log entries. Observation. Interviews.

Treatment Plan 5-ACI-6A-07 (Ref. 4-4350)

A written individual treatment plan is required for offenders requiring health care supervision, including chronic and convalescent care. This plan includes directions to health care and other personnel regarding their roles in the care and supervision of the patient, and is developed by the appropriate health care practitioner for each offender requiring a treatment plan. Comment : Offenders requiring treatment plans include the following: the chron- ically ill, offenders with serious communicable diseases, the physically disabled, pregnant offenders, the terminally ill, offenders with serious mental health needs, and the developmentally disabled.

172 Adult Correctional Institutions, Fifth Edition