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Policy 710Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2024/05/22, All Rights Reserved. Published with permission by Santa Ana Police DepartmentMedical Screening - 1Medical Screening 710.1 PURPOSE AND SCOPE The purpose of this policy is to establish a medical screening process for newly booked incarcerated persons so that medical, mental health, and dental issues are properly identified and addressed, and to obtain a medical clearance when necessary. 710.2 POLICY It is the policy of this department that a medical screening be performed on all incarcerated persons upon arrival at the intake area to ensure that existing, emergent, and urgent health care, dental, or mental health needs are identified, risks are assessed, and incarcerated persons with contagious and communicable diseases are properly classified and housed for their health and the health of the general population (15 CCR 1051; 15 CCR 1206.5(a); 15 CCR 1207). 710.3 ELEMENTS OF MEDICAL SCREENING The medical screening shall be performed by health services personnel. All completed medical screenings should be forwarded to the Responsible Physician. A review of any positive finding shall be performed by a qualified health care professional. No incarcerated person should be allowed to conduct health care evaluations or provide treatment to any other incarcerated person. All incarcerated persons shall complete a medical screening as part of the booking process. If an arrestee refuses to cooperate with the medical screening, the screener will complete as much of the health assessment as reasonably possible and the arrestee will be closely observed until the arrestee cooperates with the remainder of the screening process. The Responsible Physician should work cooperatively with the Jail Administrator to develop the medical screening forms, which should be applicable for general health, mental health, and suicide screening purposes. The forms should be completed no later than 24 hours after the arrival of an incarcerated person but prior to an incarcerated person being housed in the general population. All medical screening forms shall be forwarded to the medical unit and the qualified health care professionals shall be alerted to those that need priority attention. 710.3.1 MEDICAL SCREENING INQUIRY The medical screening inquiry should include a review of the incarcerated person's prior jail medical record, if any, and document the following: •History of infectious or communicable diseases that are considered serious in nature; current treatment, symptoms, medications, chronic illness, or health issues, including communicable diseases, or special health requirements, and/or dietary needs (15 CCR 1051) •Acute dental problems Santa Ana Police Department Custody Manual Medical Screening Copyright Lexipol, LLC 2024/05/22, All Rights Reserved. Published with permission by Santa Ana Police DepartmentMedical Screening - 2•Past and recent serious communicable disease symptoms (e.g., chronic cough, coughing up bloody sputum, lethargy, weakness, weight loss, loss of appetite, fever, night sweats) (15 CCR 1051) •Mental illness, including psychiatric hospitalizations within the last three months •Gender issues •History of or current suicidal ideation •Acute allergies •History of or current prescription or illegal drug use, including the time of last use •History or current symptoms of substance abuse withdrawal •Current, recent, or suspected pregnancy; any history of gynecological problems and present use and method of birth control •Appearance or history of developmental disabilities, body deformities, or other physical abnormalities •Incarcerated persons who have given birth in the past year and are charged with murder or attempted murder of their infants shall be referred to mental health services at the time of booking (15 CCR 1207.5) •Any other health issues as identified by the Responsible Physician Qualified health care professionals should assist in developing specific mental health medical screening questions and should provide training in analyzing incarcerated person responses. The Responsible Physician should establish the role of the qualified health care professional in the medical screening process. Should the medical screening identify a need for a more comprehensive medical assessment of the incarcerated person, a qualified health care professional should initiate appropriate follow-up action, which may include transporting the incarcerated person to an off-site medical facility. 710.3.2 MEDICAL SCREENING OBSERVATION The health care professional completing the medical screening observation shall document the following observations: •Appearance (e.g., sweating, tremors, anxious, disheveled) •Behavior (e.g., disorderly, appropriate, insensible) •State of consciousness (AVPU): oAlert - spontaneously responsive oVerbal - requires verbal stimulation to respond oPain - requires painful stimulation to respond oUnresponsive - does not respond •Ease of movement (e.g., body deformities, gait) Santa Ana Police Department Custody Manual Medical Screening Copyright Lexipol, LLC 2024/05/22, All Rights Reserved. Published with permission by Santa Ana Police DepartmentMedical Screening - 3•Breathing (e.g., persistent cough, hyperventilation) •Skin (e.g., lesions, jaundice, rashes, infestations, bruises, scars, recent tattoos, needle marks or other indications of drug abuse) •Any other observable health symptoms The Jail Administrator and the Responsible Physician should develop a procedure through which it can be reliably determined what prescription medications the incarcerated person is taking and the medical urgency for continuing those medications without interruption. 710.3.3 DOCUMENTATION Written documentation of the medical screening should include the name of the screener, the date and