Policy Text
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MJ/RCCC
OPERATIONS ORDER
Health Care Services
The purpose of this Order is to provide an overview of responsi bilities for health care
services to include medical, den tal, and psychiatric services a t the Main Jail and the
Rio Cosumnes Correctional Center (RCCC).
I. Policy
The Main Jail and RCCC shall ensure provisions of emergency and basic health care
services and psychiatric services are available to all prisoner s pursuant to Article 10 of
the California Code of Regulati ons. This order is not intended to replace approved
health care policies and procedur es for the delivery of service s and treatment.
II. Administrative Structure of C orrectional Health Services (C HS)
A. The Chief of Correctional Health Services is responsible for administrative
decisions affecting medical and dental services and shall repor t to the
Chief Deputy of Corre ctional Services.
B. The Correctional Health Services Medical Director shall be r esponsible for
overseeing the delivery of medica l and dental care services and shall
report to the Chief of Correct ional Health Services.
C. The Director of Nursing is r esponsible for all decisions per taining to
nursing and the direction and supervision of all nursing staff and shall
report to the Chief of Correct ional Health Services.
D. Regular meetings organized a nd scheduled by the Medical Dire ctor and
Director of Nursing shall be conducted to discuss and review th e health
care delivery system and heal th care environment.
1. The division commanders or designee, custody staff, medical and
Jail Psychiatric Services (J PS) staff shall participate.
2. The topics discussed shall be documented and submitted to th e
Sheriff or his/her designee and s hall address the effectiveness o f
the medical care delivery system processes, a review of any environmental factors which are substandard, changes
implemented during the last r eporting period, recommended
changes, and quarterly statistics.
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MJ/RCCC
III. Administrative Structure o f Jail Psychiatric Services (JPS )
A. The Clinical Director of Jail Psychiatric Services shall be a board certified
psychiatrist responsible for the delivery of mental health trea tment
services to prisoners.
B. The Clinical Director shall a ssist staff in resolving clinic al problems and
report directly to the Chairman of the Department of Psychiatry at the
University of California, D avis Medical Center (UCDMC).
C. The Program Manager for Jail Psychiatric Services shall be r esponsible
for supervising mental health st aff in the delivery of program services, for
facilitating the resolution of clinical and administrative prob lems, and for
maintaining a line of communication with the Clinical Director and
Chairman of the Department o f Psychiatry at UCDMC.
IV. General Information
A. Medical staff shall make effort to comply with the most curr ent
Accreditation Standards of the Ins titute for Medical Quality, C alifornia
Medical Association.
B. Matters of medical/dental j udgment and mental health care ar e the sole
province of the responsible appropriately licensed health care provider.
C. When prisoners are tr ansferred between the Main Jail and RCCC (inter-
facility transfers, FATRN), the prisoners medical records will also be
transferred within eight (8) hour s of his/her arrival at the fa cility.
D. Prisoners shall not be used for medical, pharmaceutical, or cosmetic
experiments.
E. Prisoners shall not be used for performing direct patient ca re services,
scheduling health care appointments, determining access of pris oners to
health care services, handling or having access to surgical ins truments,
syringes, needles, medications, or health records, or operating diagnostic
or therapeutic equipment.
F. Quarterly meetings and necessary communications with the cus tody staff
shall be maintained to ensure awareness of the general health c onditions
of the prisoners.
G. Correctional Health Service s shall determine adequate staffi ng levels and
personnel requirements for providing necessary health care serv ices to
prisoners. The Sheriff may adv ise and recommend service levels .
H. Security regulations applicabl e to facility personnel also a pply to health
care personnel.
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MJ/RCCC I. All appropriate state and federal licensing, certification, and registration
requirements and restrictions apply to health care personnel.
1. The duties and responsibilities of health care personnel sha ll be
specified by written job descriptions.
J. Correctional Health Services staff shall render necessary li fe sustaining or
first aid treatment to members of the custody staff in the even t they
sustain an injury on duty.
K. After medical staff has rendered treatment, the employee sha ll be
encouraged to seek further medical aid from private sources acc ording to
the provisions of the California Workman’s Compensation laws.
L. If necessary and appropriate, transportation to the nearest medical facility
shall be provided to the injured employee.
V. Correctional Health S ervices Responsibilities
A. Medical staff shall evaluate the health care needs of prison ers and provide
the treatment necessary to prev ent deterioration, and improve t he
condition of injuries or illnesses at the time of booking and t hat arise
during incarceration.
B. CHS staff shall provide tw enty-four (24) hour health screeni ng of all
arrestees in a timely manner p rior to the prisoners booking.