SECTION 377:3-13-138. Medical and health care programs

(a)   The facility shall have a designated physician as a health care authority.

(b)   The health care authority shall be authorized to make and shall be responsible for making decisions about the deployment of health resources and the day-to-day operations of the health care services program.

(c)   Current credentials/licensures and job descriptions for health care providers shall be maintained at the facility.

(d)   Access to medical and dental records shall be restricted to authorized personnel.

(e)   All medical/health care records are confidential and shall be maintained in a separate secure file.

(f)   Each facility shall have written health care policy and procedures approved by a designated physician, which include the following:

(1)   the arrival of a new juvenile admission shall require a medical and dental screening by a licensed nurse;

(2)   all medical screening findings shall be recorded on a form approved by the physician;

(3)   all medication and first aid supplies shall be accounted for during the receiving, storing, dispensing, administering and distributing process; and

(4)   medical and dental instruments and supplies (i.e. syringes, needles, scalpel blades, and other sharps) shall be under maximum secure storage, controlled, and perpetually inventoried under the supervision of on-duty secure facility staff.

(g)   Each secure facility shall have written policy and procedures for serious or common problems, including:

(1)   drug toxicity and withdrawal,

(2)   pregnancy,

(3)   sexually transmitted disease (STD),

(4)   suicide threats, and

(5)   emotional problems.

(h)   Each facility shall have written policy and procedures addressing the management of communicable and infectious diseases in juveniles, to include tuberculosis, hepatitis, HIV, and Methicillin-resistant Staphylococcus aureus (MRSA).

(i)   Upon arrival at the secure facility, all juveniles shall receive health care services information as contained in the juvenile handbook issued during orientation.

(j)   A medical/health care assessment shall be conducted within fourteen (14) days of admission unless there is documentation of a medical/health assessment within the previous ninety (90) days.

(k)   No member of the secure facility staff shall impede a juvenile's requests for access to health care services.

(l)   The use of medication for punishment, control or program management shall be prohibited.

(m)   The facility shall prohibit the use of juveniles for medical, pharmaceutical or cosmetic experiments.

(n)   If neurological problems are suspected in a case of learning disabilities, the medical services worker shall refer the juvenile for testing.

(o)   The staff shall refer a juvenile with speech and hearing defects to a speech pathologist.

(p)   The secure facility physician or licensed nurse shall review medical and dental records whenever possible prior to the juvenile's discharge or transfer. When a juvenile is transferred to another facility, the secure facility worker shall ensure that the juvenile's medical records or a summary of his or her medical records is forwarded to the receiving facility prior to or upon arrival.

(q)   Upon discharge/release the facility's designated physician shall sign a medical summary that is included in the juvenile's medical file.

[Source: Added at 27 Ok Reg 638, eff 1-8-10 (emergency); Added at 27 Ok Reg 2182, eff 7-15-10; Amended at 32 Ok Reg 1980, eff 9-11-15]