Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.0048 - Comprehensive Physical Assessment (CPA)

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				Comprehensive Physical Assessment (HS 007) shall be completed no later than
				seven (7) calendar days following the date of admission and prior to the youth
				engaging in strenuous exercise or being subjected to extreme outdoor weather
				conditions including, but not limited to, high heat indices and frigid
				temperatures. For youth with a Comprehensive Physical Assessment completed
				prior to admission, see subsection   63M-2.0048(8), F.A.C.
(2) Youth in detention who are released
				pending placement in a Residential Commitment Program are to have a CPA
				completed prior to release from detention, or documentation of a current CPA
				completed.
(3) The standard
				Comprehensive Physical Assessment (CPA) form shall be used by all
				practitioners. The Comprehensive Physical Assessment (HS 007, October 2007) is
				incorporated into this rule and is available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03803
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399. When a community practitioner
				completes the CPA, (physician, PA, or ARNP), all efforts shall be made to
				provide them with the approved form for documentation. If this cannot be done,
				the DHA, his/her physician designee, PA or ARNP shall augment that assessment
				to ensure that all of the CPA's required components are clearly documented on
				the alternate form.
(4) A new CPA,
				or a focused medical examination documented in the chronological progress
				notes, shall be completed as clinically indicated when a youth's condition
				warrants.
(5) The first Medical
				Grade is assigned at the time of the first CPA. The Medical Grade is to be
				updated or changed whenever the youth's health status changes to such an extent
				that it is warranted.
(6)
				Registered Nurses and Licensed Practical Nurses may only increase a Medical
				Grade; they are not permitted to decrease grades. These changes shall be
				documented in the progress notes as well as the Problem List (HS 026),
				Medication Administration Record (HS 019) and Practitioner's Orders. The
				Problem List (HS 026, October 2006) is incorporated into this rule and is
				available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03804
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
(7) For youth with a Medical Grade 1, the
				Comprehensive Physical Assessment is current if performed within the last two
				years. For Medical Grades 2-5, the Comprehensive Physical Assessment is current
				if performed within the past 12 months.
(8) A Comprehensive Physical Assessment
				completed prior to the youth's current admission may be used as follows:
(a) A current CPA with no changes in the
				youth's medical condition. The current CPA shall be reviewed as the youth is
				examined and signed off as reviewed by the physician, PA, or ARNP.
(b) A current CPA with a change in the
				youth's medical condition. The clinician shall conduct a focused medical
				evaluation of the youth and document in the progress notes of the Individual
				Health Care Record.