Perf-Based Stds, Juvenile Correctional Facilities, 5th Ed_DEC 2024

Part 5: Care

Protocols : Written policy and procedure. Process Indicators : Completed medical-summary form; completed referral form; observations; interviews.

Summary on Transfer 5-JCF-5C-09 (Ref 4-JCF-4C-09)

A written medical summary is required for all intrasystem transfers to main tain continuity of care When a juvenile is transferred, the following is required: 1 The health record and medical summary shall be forwarded to the receiv ing facility prior to or provided at arrival 2. Confidentiality of the health record is maintained. 3. Medically sensitive conditions and/or specific precautions to be taken by transportation officer(s) are addressed and documented prior to transport. 4 Written instructions regarding medication or health interventions re quired en route should be provided to transporting officers and be sepa rate from the medical record Comment : Accompanying medical information does not require a release-of- in formation form. Transfers may be permanent or temporary. Protocols : Written policy and procedure. Process Indicators : Completed medical-transfer-summary form; transportation re cords; health record entries; observations; interviews. (MANDATORY) Treatment by a qualified health professional is performed pursuant to written standing or direct orders by a health care practitioner Health-care practitioners, such as nurse practitioners and physician’s assis tants, practice within the limits of applicable laws and regulations Commen t: None. Protocols : Written policy and procedure, standing orders. Process Indicators : Health-record entries and documentation of compliance with standing orders; observations; interviews. A decision-making process is in place that governs elective procedures or sur gery for juveniles Comment : Guidelines should be available for qualified health care professionals and health care practitioners for decisions on elective procedures or surgery need ed to correct a substantial functional deficit or if an existing pathological process threatens the well being of the juvenile over a period of time.

Provision of Treatment 5-JCF-5C-10 (Ref 4-JCF-4C-10)

Elective Procedures 5-JCF-5C-11 (Ref 4-JCF-4C-11)

76 Juvenile Correctional Facilities, Fifth Edition