Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.009 - Episodic Care

Current through Reg. 50, No. 138; July 16, 2024
(1) Medical issues that require immediate
				attention shall be defined by the DHA or physician designee.
(2) Any complaint of severe pain, including
				dental pain, shall be treated as an emergency with immediate referral to the
				onsite nursing staff, ARNP, PA or Physician.
(3) Non-licensed staff shall immediately
				report any youth who appears incapacitated to their supervisor and the onsite
				health care staff.
(4) If a program
				utilizes a Licensed Practical Nurse (LPN) without the presence of a Registered
				Nurse onsite, then the LPN shall review all episodic or emergency cases daily
				(either electronically, telephonically or in person) with either the Registered
				Nurse or a higher licensure level health care staff.
(5) When licensed health care professional
				staff is not onsite, a designated non-licensed staff person shall contact the
				on-call licensed health care professional and/or access off-site services
				promptly.
(6) All staff members
				shall have access to contact Emergency Medical Services (EMS) by calling "911"
				immediately under any circumstances that require immediate medical attention or
				evaluation.
(7) Episodic care
				provided by a non-licensed staff person must have a follow-up evaluation by a
				licensed health care professional the next time this person is onsite, or
				sooner, if warranted.
(8) The
				Designated Health Authority or physician designee shall be notified when a
				youth requires emergency transfer off-site for evaluation, treatment and/or
				hospitalization.
(9) Non-licensed
				staff members who provide first aid and/or emergency care are authorized to
				provide care only within their training and maintain required certifications as
				per Chapter 63H-2, F.A.C.
(10)
				First aid supplies shall be kept and maintained onsite as determined by the
				Designated Health Authority.
(11)
				All licensed health care professionals shall maintain, at a minimum, current
				certification in Basic Cardiopulmonary Resuscitation (with AED training, as
				applicable).
(12) Training records
				and proof of staff certifications shall be maintained per Division 63H,
				F.A.C.
(13) Emergency drills, both
				announced or unannounced, shall be conducted for each shift, on a quarterly
				basis at a minimum, and simulate an episodic care event that calls for
				immediate First Aid and/or administration of CPR techniques and the initiation
				of the emergency procedures to follow when a life-threatening emergency does
				occur. Documentation of these drills shall also be maintained per
				facility.
(14) A list of emergency
				telephone numbers and cell-phone numbers must be posted or located accessible
				to all staff, on all shifts and be inaccessible to youth.
(15) Episodic care subsequent to a Protective
				Action Response (PAR) shall be conducted pursuant to paragraph   63H-1.007(2)(d),
				F.A.C.
(16) All episodic care
				provided shall be documented in the chronological progress notes in the
				Individual Health Care Record. Episodic care provided by non-licensed staff may
				be recorded on the Report of Onsite Health Care by Non-Health Care Staff Form
				(HS 049, December 2006), which is incorporated into this rule and is available
				electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03815
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
(17) All episodic care provided shall be
				documented on the Episodic Care (First Aid/Emergency) Care Log (HS 009, October
				2006) The Episodic (First Aid/Emergency) Care Log is incorporated into this
				rule and is available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03816
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399. The facility may utilize a form of
				their choice as long as the form includes all information required on the
				Episodic Care (First Aid/Emergency) Care Log that is incorporated by reference
				into Chapter 63M-2, F.A.C.
(18) The
				staff member who notifies the Designated Health Authority of the episodic event
				shall document the notification in the chronological progress notes.
(19) PAR Medical Review documentation is as
				follows:
(a) The Post-PAR interview and PAR
				Medical Review shall be documented on the progress note in the youth's
				Individual Health Care Record. The individual performing the Post-PAR interview
				will also sign and date the PAR Report.
(b) If an off-site medical review is
				conducted, the relevant sections of the youth's Individual Health Care Record
				and Medication Administration Record shall accompany the youth to the
				review.
(c) After an off-site
				medical review, the top of each page returned by the reviewer must be dated and
				labeled with "PAR Medical Review." The documents will then be placed in reverse
				chronological order in the Progress Notes in the youth's Individual Health Care
				Record.
(d) The facility
				Superintendent or Program Director shall review the PAR Incident report,
				Post-PAR interview and the PAR Medical Review.