doc_1303985

Policy 731Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2024/02/21, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Oral Care - 1Oral Care 731.1 PURPOSE AND SCOPE The intent of this policy is to ensure that incarcerated persons have access to dental care and treatment for serious dental needs. While the focus of this policy is primarily on urgent and emergent dental care, as with medical or mental health care, dental care is available based upon patient need. 731.1.1 DEFINITIONS Definitions related to this policy include: Infection control practices - Are defined by the American Dental Association (ADA) and the Centers for Disease Control and Prevention (CDC) as including sterilizing instruments, disinfecting equipment, and properly disposing of hazardous waste. Oral care - Includes instruction in oral hygiene, examinations, and treatment of dental problems. Instruction in oral hygiene minimally includes information on plaque control and the proper brushing of teeth. Oral examination - Includes taking or reviewing the patient's oral history, an extra-oral head and neck examination, charting of teeth, and examination of the hard and soft tissue of the oral cavity with a mouth mirror, explorer, and adequate illumination. Oral screening - Includes visual observation of the teeth and gums, and notation of any obvious or gross abnormalities requiring immediate referral to a dentist. Oral treatment - Includes the full range of services that in the supervising dentist's judgment are necessary for proper mastication and for maintaining the incarcerated person's health status. 731.2 POLICY It is the policy of this department that oral care is provided under the direction of a dentist licensed in this state (15 CCR 1215). 731.3 ACCESS TO DENTAL SERVICES Emergency and medically required dental care is provided to each incarcerated person upon request (15 CCR 1215). Access to dental services should be as follows: (a)All incarcerated persons wishing to see the dentist for a non-emergency issue shall complete a sick call form. Requests should be triaged according to the nature and severity of the problem and should be seen by a dentist according to assigned priority. (b)If an incarcerated person suffers obvious trauma or other dental emergency, the qualified health care professional may arrange for immediate access to a dentist or may transfer the incarcerated person to an emergency room for treatment. (c) Santa Ana Police Department Custody Manual Oral Care Copyright Lexipol, LLC 2024/02/21, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Oral Care - 2(d)Records documenting all dental treatment should be maintained in the incarcerated person's medical record file and retained in accordance with established records retention schedules. Examination results should be recorded on a uniform dental record using a numbered system. (e)Medications prescribed by a dentist should be administered in accordance with pharmacy procedures and documented in the incarcerated person's medical record. (f)Necessary dental services identified by a dentist that are not available on-site should be provided by written referral to the agency responsible for the incarcerated person as deemed necessary by the facility dentist.