Section 950-1-13-.17 - Health Care (Alabama Administrative Code)

§ 950-1-13-.17. Health Care

(1) There is a written agreement between the short-term detention facility and a physician or emergency medical facility for the provision of health care services to juveniles housed in the Facility. (MANDATORY)

(2) Written Policy, Procedure, and practice provide that when a juvenile is in need of hospitalization he/she is accompanied by a staff member who stays with the juvenile at least during Admission.

(3) Juvenile's medical complaints are monitored and responded to daily.

(4) There is a written plan, communicated to all staff, for the dispensing, storage, and disposal of all pharmaceuticals (prescription and non-prescription). This plan includes: (MANDATORY)

(a) a formulary of over the counter medication and indications for their usage and dosage.

(b) a system of individual accounting of medications disposed to juveniles

(c) dispensing procedures

(5) At the time of Admission, all staff are informed of the juveniles special medical problems or of any physical problems that might require medical attention. (MANDATORY)

(6) Written Policy, Procedure, and practice provide for 24 hour emergency medical, dental, and mental health care availability as outlined in a written plan that includes arrangements for the following: (MANDATORY)

(a) on site emergency first-aid and crisis intervention

(b) emergency evacuation of the juvenile from the Facility

(c) use of an emergency medical vehicle

(d) use of one or more designated hospital emergency rooms or other appropriate health facilities

(e) emergency on-call physician, dentist, and mental health professional services when the emergency health facility is not located in a nearby community

(f) security procedures providing for the immediate transfer of juveniles where appropriate

(7) written Policy, Procedure, and practice provide that juvenile careworker staff and other personnel are trained to respond to health-related situations within a four-minute response time.

(a) recognition of signs and symptoms and knowledge of action required in potential emergency situations

(b) administration of first aid and cardiopulmonary resuscitation (CPR)

(c) methods of obtaining assistance

(d) signs and symptoms of mental illness, retardation, and chemical dependency

(e) procedures for patient transfers to appropriate medical facilities or Health Care providers

(8) The short-term detention facility has available first aid kit(s), the contents, location and Procedure for periodic inspection are approved by health trained personnel.

(9) There is a written suicide prevention and intervention program that is reviewed and approved by a qualified medical or mental health professional. All staff are trained in the implementation of the program prior to beginning employment. (MANDATORY)

(10) Written Policy, Procedure, and practice provide for medical examination of any employee or juvenile suspected of a communicable disease.

(11) Written Policy, Procedure, and practice provide for screening, care, and/or referral for care for mentally ill or retarded juveniles.

(12) Written Policy, Procedure, and practice address the Facility's provision for detoxification of juveniles from alcohol, opiates, barbiturates, and similar drugs. (MANDATORY)

(13) Written Policy, Procedure, and practice provide for the prompt notification of juveniles parents/guardian and the responsible Agency in the case of serious illness, surgery, injury, or death. (MANDATORY)

(New Rule: Filed December 17, 2004; effective January 21, 2005. Amended by Alabama Administrative Monthly Volume XXXVII, Issue No. 02, November 30, 2018, eff. December 21, 2018.)

Author: Alabama Department of Youth Services, Office of Licensing and Standards

Statutory Authority: Code of Ala. 1975, §§ 44-1-27(a)(b), 44-1-24(4)(6), 38-13-4.

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