reglab/statecodes huggingface dataset:
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 6 - Dental Care › Section 3999.364 - Dental Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purposes of this Article, the following definitions
						apply:
Dental Priority Classification means a numerical or
						alphanumerical code associated with a dental diagnosis and assigned by a dentist. It
						is the objective expression of the degree of urgency of a patient's dental needs,
						providing the timeframe within which treatment must be initiated subsequent to the
						date of diagnosis.
Face-to-Face Triage Encounter means a planned visit to assess
						and diagnose a patient's chief complaint and to provide necessary treatment
						following submittal of a CDCR 7362, Health Care Services Request Form, by a patient
						or when dental staff issues a ducat to a patient after performing a health record
						review.
Limited Problem Focused Exam Encounter means an unplanned
						visit to assess and diagnose a patient's chief complaint and to provide treatment if
						necessary for a patient with a dental emergency who arrives at the dental clinic
						unannounced without an appointment or who is referred to the dental clinic by health
						care or custody staff and dental staff has not issued a ducat to the patient and
						there is also no record of recently receiving a CDCR 7362, Health Care Services
						Request Form, from the patient addressing the emergent condition.
Plaque Index Score means a measurement used to determine a
						patient's level of oral hygiene.
Root Canal Therapy means a dental procedure in which the pulp
						chamber and canal(s) of a tooth are cleaned, shaped, and filled.
1. Change
						without regulatory effect renumbering former section
						3352.2, subsections (a)(1)-(5) to new
						section 3999.364, including amendment of
						section heading and section, filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
2. Repealer and new section filed
						10-28-2021; operative 1-1-2022 (Register 2021, No. 44). Filing deadline specified in
						Government Code section
						11349.3(a)
						extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60
						calendar days pursuant to Executive Order N-71-20.
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Perez, et al. v. Cate, et al., (No. C05-05241 JSW), U.S. District Court,
						  Northern District of California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 6 - Dental Care › Section 3999.365 - Dental Authorization Review Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
					 institution shall maintain a Dental Authorization Review (DAR) Committee. The DAR
					 Committee shall approve or disapprove requests for:
(1) Dental services otherwise excluded pursuant to
					 section 3999.200(b).
(2) Deviations from treatment policy.
(3) Medically necessary treatment that requires a
					 contracted specialist to provide treatment at the local institution.
(4) Medically necessary treatments, diagnostic
					 studies, or consultations that cannot be accomplished at the local
					 institution.
(5) Treatment
					 recommendations for special dental care needs.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 6 - Dental Care › Section 3999.366 - Dental Program Health Care Review Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Dental
					 Program Health Care Review Committee (DPHCRC) shall meet as often as necessary to
					 review cases approved by the Dental Authorization Review (DAR) Committee for those
					 dental services listed in sections
					 3999.365(a)(1), (2), (4) and
					 (5). DPHCRC decisions shall be completed within 15
					 business days of receipt and shall be based on criteria established in section
					 3999.200(c).
(b) The treating dentist shall notify the patient
					 of the DPHCRC's decision regarding dental services and document the decision in the
					 patient's health record.
1. Change
						without regulatory effect renumbering former section
						3352.3 to new section
						3999.366, including amendment of
						section and NOTE, filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Perez, et al. v. Cate, et al., (No. C05-05241 JSW), U.S. District Court,
						  Northern District of California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 6 - Dental Care › Section 3999.367 - Dental Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Access to
					 Dental Care.
(1) Patients shall have equal access
					 to dental services by:
(A) Submitting a CDCR 7362,
					 Health Care Services Request Form, requesting dental care for which ducated
					 face-to-face triage encounters shall be scheduled to have specific complaints
					 addressed.
(B) Unscheduled dental
					 encounters for emergency and urgent dental services.
(C) Referral from other health care providers,
					 ancillary, and custodial staff.
(D)
					 Receiving a Dental Priority Classification (DPC) based on clinical findings and
					 radiographs.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 6 - Dental Care › Section 3999.368 - Dental Urgent/Emergent Medication Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications
					 shall be available to patients with acute dental conditions in the dental clinic
					 when medication delivery by the Triage and Treatment Area nursing or medical staff
					 is not possible.
(1) The dentist may act as a
					 dispensing dentist. A dispensing dentist must assume all the requirements and
					 responsibilities of a dispenser of medications pursuant to California Business and
					 Professions Code section
					 4170.
(2) The dispensing dentist may provide the patient
					 with one bottle of over-the-counter consumer-ready packaged analgesic medication in
					 solid oral dosage forms, prescription medications for patients with urgent/emergent
					 conditions, and emergency medications for medical emergencies that occur within the
					 dental clinic.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 7 - Telehealth › Section 3999.375 - Telemedicine

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall provide
					 telemedicine services in CDCR institutions to provide care to the patient
					 population.
(1) Primary care telemedicine services
					 shall be used as a resource for institutions with recruitment and retention issues
					 and when providers are unavailable.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.380 - Pharmacy Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The pharmacy
					 shall be open a minimum of five days per week (Monday through Friday, except for
					 holidays) for at least eight hours per day.
(b) Pharmacy services shall be available after
					 normal business hours to ensure that critical information and medication are
					 available on a 24-hour basis.
(c)
					 Prescribers shall be allowed to change therapy, and the patient shall be notified of
					 the change.
(d) Each pharmacy shall
					 maintain a quality assurance program to document and assess pharmacy-related
					 medication errors.
1. New article
						8 (sections 3999.380-3999.385) and section filed
						7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant to
						Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New article 8 (sections
						3999.380-3999.385) and section refiled
						12-5-2019 as an emergency; operative 12-10-2019 (Register 2019, No. 49). Pursuant to
						Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New article 8 (sections
						3999.380-3999.385) and section refiled
						3-9-2020 as an emergency; operative 3-10-2020 (Register 2020, No. 11). A Certificate
						of Compliance must be transmitted to OAL by 6-8-2020 or emergency language will be
						repealed by operation of law on the following day.
4. Certificate of
						Compliance as to 3-9-2020 order transmitted to OAL 6-8-2020 and filed 7-20-2020
						(Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.381 - Rescue Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All
					 prescribed self-administered rescue medications including, but not limited to,
					 nitroglycerin sublingual tablets and bronchial inhalers, shall be available to
					 patients at all times.
(1) In inpatient areas,
					 medications shall not be kept at the patient's bedside except for prescribed
					 self-administered rescue medications on order of a health care provider.
(A) Prior to prescribing any medication to be
					 allowed at bedside, health care providers shall evaluate the patient's mental and
					 physical capacity to self-administer medication.
(B) Nursing staff shall instruct the patient on
					 the proper use and storage of the medications.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.382 - Investigational Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall allow the use of investigational medications if:
(1) The investigational medication is medically
					 necessary and is only available through an investigational treatment
					 protocol.
(2) The investigational
					 protocol is used (active drug, not placebo).
(3) Drug information about the investigational
					 medication is acquired by the physician and distributed to the pharmacy and nursing
					 staff.
(4) The nonformulary medication
					 process is followed.
(5) The
					 investigational medication is administered as Directly Observed Therapy
					 medication.
(6) The investigational
					 medication is included in the patient's medication profile.
(7) The physician obtains informed consent from
					 the patient prior to prescribing the investigational medication.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.383 - Medication Brought into California Department of Corrections and Rehabilitation by a Patient

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When a
					 patient from an outside facility (e.g., community hospital, clinic, physician's
					 office) arrives in the outpatient or licensed inpatient area of a California
					 Department of Corrections and Rehabilitation (CDCR) institution with outside
					 medication, a physician shall assess the appropriateness of the medication,
					 determine the availability of a formulary alternative, if indicated, and write a
					 medication order for the continuance of medication brought into the
					 institution.
(b) Outside medications
					 shall be used for a patient only after the medications have been examined and
					 positively identified upon admission to an outpatient or a licensed inpatient
					 setting within CDCR by a physician or pharmacist and ordered and approved for use by
					 a Primary Care Provider or psychiatrist if it is a psychotropic
					 medication.
(c) Outside medication must
					 be Directly Observed Therapy or Nurse Administered unless specifically approved by a
					 physician.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.384 - Handling of Confiscated Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medication
					 found in the possession of a patient which meets the criteria below shall be
					 confiscated:
(1) Prescription medications found
					 outside of an approved container.
(2)
					 Medication where the prescription is past the "stop date" on the label.
(3) A mixture of medications in any labeled or
					 unlabeled container.
(4) Prescription
					 medications which are not prescribed to the patient.
(5) Unauthorized medications from an outside
					 source.
(6) Over-the-counter medications
					 which are not in consumer-ready packaging or otherwise properly labeled by
					 pharmacy.
(7) Any medications which are
					 expired or adulterated.
(8) Medications
					 not used as prescribed, including, but not limited to:
(A) Medications passed to other patients or
					 inmates.
(B) Alterations of an inhaler
					 or other medication container.
(C)
					 Hoarded.
(D) Crushed or
					 altered.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 8 - Pharmacy › Section 3999.385 - Floor Stock Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Licensed
					 units and health care treatment areas shall have a limited supply of floor stock
					 medications for immediate administration to ensure timely availability of
					 medications for urgent/emergent administration.
(1) Health care treatment areas which are not
					 licensed units shall only maintain rescue medications needed for urgent/emergent use
					 and routine vaccines.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.390 - Durable Medical Equipment and Medical Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall provide Durable Medical Equipment (DME) and medical supplies to
					 patients as medically necessary to ensure patients have equal access to prison
					 services, programs, and activities.
(b)
					 Patients shall not have the option to order DME from third party vendors.
(c) Timeframes for delivery of prescribed DME,
					 including nonformulary requests, and medical supplies are as follows:
(1) Same day.
(2) Expedited: within five calendar
					 days.
(3) High priority: within 14
					 calendar days.
(4) Routine: within 90
					 calendar days.
(5) For patients
					 returning to institutions from hospitals, medically necessary DME shall be available
					 upon arrival at the institution.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.391 - Maintenance of Durable Medical Equipment and Medical Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients
					 shall not be financially responsible for the cost to purchase medically necessary
					 Durable Medical Equipment (DME).
(b)
					 Medical supplies are provided at Department expense and at no cost to the
					 patient.
(c) Patients may receive a
					 temporary loan of DME when:
(1) The permanent DME
					 is not available for use (e.g., ordered and not delivered, being repaired) and an
					 interim accommodation is required.
(2)
					 The need for DME is time-limited due to the nature of the condition requiring the
					 need for DME (e.g., crutches during a healing fracture of the
					 leg).
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.392 - Patient Transfer, Release, or Parole with Durable Medical Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All Durable
					 Medical Equipment (DME) from outside of the Department arriving with a patient to an
					 institution shall be subject to inspection, review, and acceptance by custody for
					 safety and security concerns and health care staff for medical necessity.
(1) If custody staff determines a safety or
					 security concern with a particular item of DME either generally or in the possession
					 of a particular patient, the Chief Medical Executive or designee shall be consulted
					 immediately to determine appropriate action to accommodate the patient's
					 needs.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.393 - Hygiene and Miscellaneous Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Hygiene
					 supplies shall not be considered medical supplies or Durable Medical Equipment (DME)
					 and are not prescribed by health care staff.
(1)
					 Patients shall request hygiene supplies from custody staff who shall be responsible
					 for distribution of requested supplies.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.394 - Comprehensive Accommodation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall provide medically necessary accommodations to patients to ensure
					 equal access to prison services, programs, and activities.
(b) The following are not medically necessary
					 accommodations and shall not be ordered by health care staff:
(1) Bedding including standard-issued custody
					 mattresses, extra pillows, and blankets.
(2) Housing including single cells, cell housing
					 and dormitory housing, except for control of infectious disease or for mental health
					 reasons as recommended by a Mental Health Interdisciplinary Treatment
					 Team.
(3) Clothing; shoes, including
					 tennis shoes, with the exception of physician-ordered orthotic shoes; specific sizes
					 of clothing; thermal underwear; hats; and long-sleeved shirts.
(4) Shower chairs.
(5) Extra toilet paper.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.395 - Artificial Appliances

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Appliance
					 categories. Appliances include, but are not limited to, eyeglasses, artificial eyes,
					 dental prosthesis, artificial limbs, orthopedic braces and shoes, and hearing aids.
					 A patient's need for such appliances shall be based on medical necessity and
					 prescribed appliances shall be provided at state expense.
(b) Possession of appliance. No patient shall be
					 deprived of a prescribed orthopedic or prosthetic appliance in the patient's
					 possession upon arrival into the Department's custody or properly obtained while in
					 the Department's custody unless a Department physician or dentist determines the
					 appliance is no longer needed and the patient's personal physician, if any, concurs
					 in that opinion. If a patient's dental prosthetic appliance is confiscated for
					 safety and security reasons, a dentist shall be notified by the next business day to
					 determine whether the patient will require any accommodations due to the loss of the
					 prosthetic appliance.
(c) Dental
					 appliances. Departmental dentists shall not order prescribed dental appliances made
					 from precious metal, and departmental dentists or dental laboratories shall not
					 perform repairs to existing dental prosthesis made from precious metal. If a
					 patient's existing dental appliance made from precious metal needs repair, the
					 dentist shall offer the patient the option of having a new prosthesis
					 made.
1. Renumbering
						and amendment of former section
						3999.375 to new section
						3999.395 filed 3-12-2019 as an
						emergency; operative 3-12-2019 (Register 2019, No. 11). Pursuant to Penal Code
						section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 8-19-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						Certificate of Compliance as to 3-12-2019 order transmitted to OAL 8-14-2019 and
						filed 9-24-2019 (Register 2019, No. 39).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal
						  Code.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 9 - Durable Medical Equipment/Supplies and Accommodations › Section 3999.396 - Reading Glasses. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
5. Renumbering of
						former section 3999.396 to new section
						3999.208 filed 5-31-2023; operative
						7-1-2023 (Register 2023, No. 22).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  Armstrong Remedial Plan. Armstrong v. Newsom (No. C94-2307 CW), U.S. District Court,
						  Northern District of California; and Plata v. Newsom (No. C01-1351 JST), U.S.
						  District Court, Northern District of California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 10 - Emergency Medical Response › Section 3999.400 - Emergency Medical Response

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 California Department of Corrections and Rehabilitation (CDCR) shall ensure that
					 medically necessary emergency medical response, treatment, and transportation is
					 available, and provided 24 hours per day to patients, employees, contract staff,
					 volunteers, and visitors.
(b) Material
					 and equipment required for patient support during a medical emergency shall be
					 available and operational at all times at every Triage and Treatment Area and
					 licensed inpatient unit.
(c) Patients
					 may request medical attention for urgent/emergent health care needs from any CDCR
					 employee. The employee shall, in all instances, notify health care staff without
					 delay. Direct contact with the patient by a Registered Nurse (RN), Advanced Practice
					 Provider, or physician, either in person or by telephone, shall be provided for all
					 patients requesting urgent/emergent medical attention or who are referred by
					 staff.
(d) Preservation of a crime scene
					 shall not preclude or interfere with the delivery of emergency medical
					 care.
(e) Custody requirements shall not
					 delay medical care during a medical emergency unless the safety of staff, patients,
					 or the general public would be compromised.
(f) At least one RN shall be available on-site at
					 each institution 24 hours a day, 7 days a week for emergency health care.
(g) A Medical Provider On-Call shall be available
					 24 hours a day, 7 days a week to provide consultation and on-site care as
					 necessary.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of
						  California.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 10 - Emergency Medical Response › Section 3999.401 - Response and Treatment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A First
					 Responder shall:
(1) Evaluate the situation and
					 initiate appropriate First Aid or Basic Life Support measures.
(2) Immediately notify health care staff of a
					 possible medical emergency and summon the appropriate level of assistance.
(3) Inform the health care staff of the nature of
					 the emergency and the general status of the patient including, but not limited to,
					 whether the patient is conscious, breathing, bleeding, or other observable patient
					 conditions and complaints.
(4)
					 Immediately initiate Cardiopulmonary Resuscitation if appropriate.
(5) Initiate community Emergency Medical Services
					 activation if necessary.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 10 - Emergency Medical Response › Section 3999.402 - Off-Site Emergency Health Care Attention

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Emergency
					 health care attention. If an inmate is away from a facility for authorized reasons,
					 such as assignment to a camp or transportation between institutions, and becomes
					 seriously ill or injured, emergency health care attention by available resources
					 shall be obtained by the official in charge. Community physicians and hospitals
					 shall be used if the patient's condition does not permit prompt return to a
					 Department medical facility.
1. Change
						without regulatory effect adopting new article 10 (section
						3999.402) and renumbering former
						section 3354, subsection (d) to new section
						3999.402, including amendment of
						section and NOTE, filed 4-15-2019 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2019, No. 16).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal
						  Code.
The amended version of this section by
						Register
						2024, No. 28, effective 7/1/2024 is not yet
						available.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 11 - Public Health › Section 3999.410 - Disease and Virus Testing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The CDCR
					 shall assess, screen, treat, and contain Tuberculosis (TB).
(1) Reception Centers. Patients shall be
					 immediately screened for TB symptoms upon arrival at the Reception Center (RC) as
					 part of the RC screening process.
(A) Asymptomatic
					 patients with a prior negative Interferon-Gamma Release Assays (IGRA) test, negative
					 Tuberculin Skin Test (TST), or unknown or inadequate documentation of TB infection
					 status shall have an IGRA test drawn at the RC.
1.
					 Asymptomatic patients known to be HIV infected shall also receive a chest X-Ray
					 within 72 hours of arrival unless their records contain documentation of a normal or
					 stable chest X-Ray within the preceding 30 days. The chest X-Ray shall be read
					 within 24 hours. Any HIV infected patient with a chest X-Ray abnormality that cannot
					 be documented as stable for 60 or more days by previous records, shall be isolated
					 and evaluated by a clinician even if asymptomatic.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 11 - Public Health › Section 3999.411 - Waiver of Disease and Virus Screening

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Coccidioidomycosis Waiver. Patients who are medically restricted from the
					 Coccidioidomycosis (Cocci) 2 area, who are not medical high risk and do not have a
					 negative cocci skin test are permitted to waive the medical restriction from
					 residence in the Cocci 2 area.
(1) Patients
					 meeting these criteria may waive their medical restriction at any time and may do so
					 regardless of their current housing location.
(2) Waivers for medical restrictions from the
					 Cocci 2 area shall become invalid when patients either have a negative cocci skin
					 test or become medical high risk.
(3)
					 Patients with a history of cocci are not restricted from residing in the Cocci 2
					 area and thus do not need to sign waivers to reside in the Cocci 2 area.
(4) Patients requesting a waiver of the medical
					 restriction from the Cocci 2 Area shall be scheduled for an evaluation by a health
					 care provider.
(5) At the encounter,
					 patient education and information regarding the health care risks of waiving the
					 medical restriction, including the risk of morbidity and mortality from cocci
					 exposure, shall be discussed.
(6) If the
					 patient still wishes to waive the medical restriction at the conclusion of the
					 encounter, the health care provider shall complete the CDCR 128-C ASP and PVSP,
					 Coccidioidomycosis Waiver, and provide a copy to the patient.
(7) All waivers shall be honored until rescinded
					 by the patient or until the patient develops a condition which prevents medical
					 restriction from the Cocci 2 area from being waived.
(A) Patients shall be transferred to an
					 intermediate institution out of the Cocci 2 area within 60 business days from the
					 date the patient rescinds the waiver.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 12 - Palliative and Hospice Care › Section 3999.415 - Palliative Care and Treatment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 Department shall provide palliative care and treatment when the patient's terminal
					 condition results in pain or disability to such an extent that the Primary Care
					 Provider (PCP) and the patient determine that only palliation shall be provided
					 pursuant to section
					 3999.200.
(b) Criteria for hospice admission are as follows:
(1) The hospice PCP or Chief Medical Executive or
					 designee certifies a prognosis of six months or less if the disease follows its
					 expected course.
(2) The patient or
					 designated legal representative agrees to palliative goals/philosophy of hospice
					 services.
(3) The custody level is
					 appropriate and there cannot be any other precluding custody
					 considerations.
(4) The hospice has the
					 ability to meet the needs of the patient according to the level and intensity of
					 care required.
(5) The patient follows
					 safety measures and the plan for medical and non-medical
					 emergencies.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 13 - Inmate Deaths › Section 3999.417 - Inmate Deaths

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 institution head shall maintain a valid service agreement with local mortuaries to
					 provide services such as cremation, transportation, and/or other services related to
					 the disposition of a deceased inmate's body.
(b) When an inmate's death occurs away from an
					 institution/facility, the body of the deceased shall, unless the county coroner
					 orders otherwise, be released to a licensed funeral director in the community where
					 the death occurred.
(c) If the deceased
					 is known to have had a communicable disease which presents a threat to the public
					 health and safety, health care staff shall notify the contract mortuary and public
					 agencies as required by California Code of Regulations, Title 17, section
					 2500, and Health and Safety Code
					 sections
					 1797.188
					 and
					 1797.189.
(d) A chaplain of the decedent's professed faith
					 may perform a ceremony in accordance with that faith.
(e) Staff shall review the decedent's central file
					 and locate the current Notification in Case of Inmate Death, Serious Injury, or
					 Serious Illness to identify the inmate's next of kin or person(s) to be notified,
					 and to determine the existence of a will. The Notification is to be completed
					 annually or when the inmate is transferred. Counseling staff are to complete the
					 Notification and must witness the inmate's dated signature. The Notification is not
					 to be used as a will. The Notification shall include:
(1) Inmate name, CDCR number, personal
					 identification number, and current institution.
(2) The name, relationship, telephone, and address
					 of person to be notified.
(3) The name,
					 relationship, telephone, and address of the contact person for a will.
(4) Whether the inmate is a foreign
					 national.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 13 - Inmate Deaths › Section 3999.418 - Inmate Death Reporting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All patient
					 deaths shall be reported to headquarters regardless of whether the death occurred:
(1) On institution grounds.
(2) In a fire camp.
(3) At a contracted facility.
(4) While out-to-court and housed in a county
					 facility.
(5) In an outside
					 hospital.
(6) In a Skilled Nursing
					 Facility or other long-term care facility.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 3 - Health Care Operations › Article 13 - Inmate Deaths › Section 3999.419 - Inmate Death Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
a) The
					 Department shall ensure that federal and state privacy protections apply to a
					 deceased patient's Protected Health Information. These protections require the
					 release of records to those people either appointed by the patient or who are deemed
					 a personal representative by state law.
1. New section
						filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant
						to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency
						language will be repealed by operation of law on the following day.
2.
						New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019,
						No. 49). Pursuant to Penal Code section
						5058.3, a
						Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020,
						No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or
						emergency language will be repealed by operation of law on the following
						day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL
						6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal Code;
						  Sections
						  3200-
						  3212, Probate
						  Code; and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District
						  of California.
The amended version of this section by
						Register
						2024, No. 28, effective 7/1/2024 is not yet
						available.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 4 - Special Circumstances › Article 1 - Health Care › Section 3999.425 - Donation and Sale of Blood

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Institution
					 heads may permit, subject to acceptance by a blood collection agency, inmates to
					 donate blood for charitable and research purposes or to sell their blood only when
					 needed blood cannot be reasonably and readily obtained from other sources. When a
					 blood sale is authorized, the inmate must receive from the purchaser a payment equal
					 to the current market price for purchases of the same type blood. The facility may
					 impose an additional charge to the purchaser to retrieve the cost of Department
					 resources used in the drawing of the blood. Proceeds of such charges shall be
					 deposited in the inmate welfare fund.
1. Change
						without regulatory effect renumbering former article 2 (sections
						3999.410-3999.411) to new article 1
						(sections 3999.425-399.432) and renumbering
						former section 3999.411 to new section
						3999.425 filed 4-15-2019 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 2019, No. 16).
Note: Authority cited: Section
						  5058, Penal Code.
						  Reference: Section
						  5054, Penal
						  Code.
The amended version of this section by
						Register
						2024, No. 28, effective 7/1/2024 is not yet
						available.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 4 - Special Circumstances › Article 1 - Health Care › Section 3999.426 - Inmate Workers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Inmate
					 workers. Only trained or certified inmates shall operate health care equipment.
					 Inmates shall not be permitted to:
(1) Schedule
					 appointments.
(2) Determine another
					 inmate's access to health care services.
(3) Obtain blood samples.
(4) Administer blood.
(5) Introduce or discontinue intravenous
					 infusions.
(6) Have access to surgical
					 instruments, syringes, needles, medications, or health records except as otherwise
					 specified in these regulations.
(7)
					 Perform any task identified as a health care responsibility.
California Code of Regulations › Title 15 - Crime Prevention and Corrections › Division 3 - Adult Institutions, Programs and Parole › Chapter 2 - Rules and Regulations of Health Care Services › Subchapter 4 - Special Circumstances › Article 1 - Health Care › Section 3999.427 - Hunger Strike

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Inmates who
					 are participating in an individual or mass organized hunger strike shall be provided
					 health care (including assessment, monitoring, and treatment) regardless of the
					 reason for their strike.
(b) The Warden
					 or designee and Chief Executive Officer (health care) or designee shall determine
					 when a mass organized hunger strike exists.
(c) Response to hunger strikes.
(1) Health care staff shall not prescribe meal
					 replacements, including milk, juice, or nutritional supplements to patients
					 participating in a hunger strike unless medically necessary.
(2) Designated licensed health care staff shall
					 observe all participants daily and determine any need for immediate medical
					 attention.
(3) When custody staff
					 identifies an inmate as a participant in a hunger strike, staff shall adhere to the
					 following timelines:
(A) Within 24 hours, health
					 care staff shall notify each participant in a mass hunger strike that they are
					 eligible for sick call evaluations during the hunger strike.
(B) Within 72 hours, mental health staff shall
					 conduct a mental health evaluation for patients in the Mental Health Services
					 Delivery System (MHSDS) or Developmental Disability Program (DDP). After the initial
					 72-hour evaluation, patients in the MHSDS or DDP shall have a mental health
					 evaluation scheduled at least every 14 calendar days.
(C) Within seven calendar days, the participant
					 shall be scheduled for a face-to-face triage assessment by a Registered Nurse who
					 shall provide education on the adverse effects and risks of fasting and the
					 refeeding syndrome.
(D) After 14
					 calendar days, and at least weekly thereafter, health care staff shall schedule
					 identified participant(s) (even if not in a high-risk group) for a Primary Care
					 Provider visit which will include a Body Mass Index determination.
(E) After 21 calendar days, participant(s) shall
					 be provided with written information about advance directives including, but not
					 limited to, the following forms; CDCR 7421, Advance Directive for Health Care, and
					 CDCR 7465, Physician Orders for Life-Sustaining Treatment
					 (POLST).