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

Performance Standard 6A: Access to Services

Protocols : Written policy and procedure. Treatment plan format.

Process Indicators : Offender health records. Interviews.

Emergency Plan 5-ACI-6A-08 (Ref. 4-4351)

(MANDATORY) There is a written plan for access to 24-hour emergency medical, dental, and mental health services availability. The plan includes:

• on-site emergency first aid and crisis intervention • emergency evacuation of the offender from the facility • use of an emergency medical vehicle • use of one or more designated hospital emergency rooms or other appropri - ate health facilities • emergency on-call or available 24 hours per day, physician, dentist, and mental health professional services when the emergency health facility is not located in a nearby community • security procedures providing for the immediate transfer of offenders, when appropriate • emergency medications, supplies and medical equipment Comment : In the event that primary health services are not available, and partic- ularly in emergency situations, back-up facilities or providers should be predeter- mined. The plan may include the use of an alternative hospital emergency service or a physician on-call service.

Protocols : Written policy and procedure.

Process Indicators : Designated facility. Provider lists. Transportation logs. Interviews.

Infirmary Care 5-ACI-6A-09 (Ref. 4-4352)

Offenders are provided access to infirmary care either within the correctional setting or off site. If infirmary care is provided onsite, it includes, at a mini- mum, the following: • definition of the scope of infirmary care services available • a physician on call or available 24-hours per day • health care personnel with access to a physician or a registered nurse and are on duty 24-hours per day when patients are present • all offenders/patients are within sight or sound of a staff member • an infirmary care manual that includes nursing care procedures • compliance with applicable state statutes and local licensing requirements

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