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

Part 5: Care

Staffing 5-JCF-5C-36 (Ref 4-JCF-4C-35)

The health authority determines the essential health-care positions (physician, dentist, psychiatrist, health-care practitioner, nurse) needed to perform the scope of health care services. There is an annual review of the staffing plan by the health authority to determine if the number and type of staff is adequate Comment : Adequate staffing is based on variables such as facility size and configu ration, location, and juvenile type (medical, dental, mental health, and convalescent).

Protocols : Written policy and procedure.

Process Indicators : Staffing plans, levels and schedules; documentation of annual staffing plan review; observations; interviews.

Clinical Decisions 5-JCF-5C-37 (Ref 4-JCF-4C-36)

(MANDATORY) Clinical decisions are the sole province of the responsible health-care practitioner and are not countermanded by non-health care per sonnel Comment : The provision of health care is a joint effort of administrators and health care professionals and can be achieved only through mutual trust and coopera tion. The health authority arranges for the availability of health care services; the responsible health care practitioner determines what services are needed; and the official responsible for the facility provides the administrative support for making the services accessible to juveniles.

Protocols : Written policy and procedure.

Process Indicators : Health-record entries; observations; interviews.

Quarterly Meetings 5-JCF-5C-38 (Ref 4-JCF-4C-37)

The health authority meets with the facility or program administrator at least quarterly to discuss topics such as the effectiveness of the facilities’ health care program, a description of any environmental factors that need improvement, changes effected since the last meeting date, and, if needed, recommended corrective action(s) The health authority following each meeting submits a summary report Any condition that poses a danger to staff or juvenile health and safety is reported immediately to the facility or program administrator Comment: Minutes of the quarterly administrative meetings may be used to meet the requirements for a quarterly report.

Protocols : Written policy and procedure.

Process Indicators : Documentation of meetings and summary reports; interviews.

90 Juvenile Correctional Facilities, Fifth Edition