N.H. Admin. Code § Cor 303.01 - Health and Medical Care in Departmental Facilities
(a) Medical care shall be provided to persons
under departmental control at each departmental facility. Medical care shall
include services providing for the person's physical and behavioral well-being
as well as treatment for specific diseases or infirmities.
(b) A physician licensed in New Hampshire by
the board of medicine shall be designated the chief medical officer and shall
be responsible for medical services and work cooperatively with departmental
behavioral health services on mutually related matters.
(c) Persons under departmental control
arriving at a departmental facility shall receive a comprehensive medical
examination within 14 days of arrival directed to the discovery of physical and
behavioral health illness.
(d)
Medical examinations shall include:
(1)
Medical and behavioral health history;
(2) A physical examination;
(3) A dental examination;
(4) Diagnostic lab tests;
(5) Notation of apparent medical physical
illnesses or accessibility issues;
(6) A determination of the physical ability
of each person under departmental control for work; and
(7) Notation of referrals or recommended
treatment for specific illnesses or accessibility issues.
(e) Based on the history and examination, a
licensed medical provider shall prescribe any necessary treatment including
referral or therapy.
(f) All
medical services shall be performed by medical staff licensed in the State of
New Hampshire under the general supervision of a licensed physician.
(g) The department shall include
appropriately licensed medical staff to assure persons under departmental
control have full-time access to medical care. Medical care shall include
provisions for the transfer of sick or injured persons under departmental
control to medical facilities as deemed medically necessary. Medical facilities
shall include prison infirmaries and referrals to outside medical specialists,
other licensed health care facilities, accredited hospitals and the secure
psychiatric unit.
(h) Medication
shall be prescribed only by properly licensed physicians, physician assistants
or ARNPs providers. Such medications shall only be dispensed under the
supervision of licensed pharmacists or by physicians.
(i) Medications appropriately prescribed and
dispensed as described above shall be administered in one of these methods:
(1) Self-administered by
individuals;
(2) Self-administered
by individuals under direct staff supervision; or
(3) Administered by medical staff.
(j) Medical records shall contain
documentation concerning healthcare related encounters including, but not
limited to medical and behavioral health assessment and examinations,
healthcare findings, and treatments.
(k) A routine sick call policy shall be
established for each facility. Each person under departmental control shall be
given an opportunity to request to report to sick call. Corrections officers
and other staff members shall transmit persons under departmental control
medical concerns to medical authorities for the persons under departmental
control when the individual person under departmental control is unable to do
so personally or when routine sick call is unavailable. No one shall prevent
persons under departmental control from seeking medical help. Individuals who,
because of their custody or other status, are not able to visit the health
services center to seek medical care on the schedule established, shall be
visited in their cell or other convenient place by a medical professional who
shall conduct an examination or perform any medical procedures as necessary. A
record shall be maintained in the persons under departmental control's medical
health record in regards to sick call activity documenting the nature of the
request and the response to that request.
(l) Medical personnel shall have available
portable screens or other devices to insure adequate privacy during medical
examinations and treatment. The medical services in-patient areas shall have a
call system so that patients can summon medical help when they are confined in
that facility. Nursing stations shall be so located that nurses can monitor the
condition of the patients.
(m)
Patients requiring monitoring shall be monitored by a trained individual or
staff member. Persons under departmental control housed in segregation or any
other restricted status that prevents them from visiting sick call at the
medical facility shall be visited at least once a day by a member of the
medical staff. The chief medical officer shall report to the chief
administrator of the facility or designee and the director of medical and
forensic services or designee whenever it is considered that a person under
departmental control's physical or behavioral health will be adversely affected
by continued imprisonment or by any condition of confinement.
(n) The department shall ensure that there
are written policies which detail the operations and procedures of departmental
medical facilities, medical care, medical services and medical treatment, and
that they are reviewed at least bi-annually, kept current, and
followed.
Notes
(See Revision Note at chapter heading for Cor 300) #7448, eff 2-6-01; ss by #9383, INTERIM, eff 2-3-09, EXPIRES: 8-3-09; ss by #9508, eff 7-8-09
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