reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-3 - Dietitian review of menu

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 3.
(a) Written
				policy, procedure, and practice provide that a qualified dietitian or state
				authorized agency reviews and approves the facility's dietary menus at least
				annually to ensure nationally recommended, age appropriate, daily allowances
				for basic nutrition are met.
(b)
				Food service supervisory staff shall verify adherence to the established menu
				on a daily basis and will log menu substitutions.
(c) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-4 - Meal planning

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 4.
Written policy, procedure, and practice provide that food
				  service staff plan meals based on approved menus at least one (1) week in
				  advance, and shall substantially follow the schedule. All meal planning and
				  preparation takes into consideration the following:
(1) Food flavor.
(2) Texture.
(3) Temperature.
(4) Appearance.
(5) Palatability.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-5 - Single menu

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 5.
Written policy, procedure, and practice provide that the
				  food service plan provides a single menu for all juveniles and staff, except
				  for those on a special diet.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-6 - Therapeutic diets

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 6.
(a) Written
				policy, procedure, and practice provide that special therapeutic diets are
				prepared and served to juveniles according to written orders by a physician or
				other health care practitioner.
(b)
				A therapeutic diet manual is available in the food service area and in the
				health services area for reference and information.
(c) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-7 - Religious diets

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 7.
(a) Written
				policy, procedure, and practice provide that special religious diets are
				prepared and served to juveniles whose beliefs require the adherence to
				religious dietary laws. These diets are reviewed and approved by the religious
				services staff member or volunteer religious services leader.
(b) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-8 - Sanitation inspection

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 8.
(a) Written
				policy, procedure, and practice provide that the food service manager, or other
				qualified personnel, conducts weekly sanitation inspections of all food service
				equipment and areas, including dining and food preparation areas.
(b) Water temperatures are checked and
				recorded daily. Water temperature on the final dishwasher rinse should be one
				hundred eighty (180) degrees Fahrenheit or between one hundred forty (140)
				degrees Fahrenheit and one hundred sixty (160) degrees Fahrenheit, if a
				sanitizer is used on the final rinse.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-9 - Daily temperature inspection

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 9.
(a) Written
				policy, procedure, and practice provide that the food service manager or other
				qualified personnel conducts daily inspections of all temperature controlled
				storage areas and appliances, including refrigerators, freezers, and dry
				storage areas. Temperatures are recorded with each inspection.
(b) Stored shelf goods shall be maintained
				between forty-five (45) degrees Fahrenheit and eighty (80) degrees
				Fahrenheit.
(c) Refrigerated foods
				shall be maintained between thirty-five (35) degrees Fahrenheit and forty (40)
				degrees Fahrenheit.
(d) Frozen
				foods shall be maintained at zero (0) degrees Fahrenheit or below, unless
				national or state health codes specify otherwise.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-10 - Monitoring meals

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 10.
Written policy, procedure, and practice provide that staff
				  must be present in the dining area to monitor and supervise juveniles during
				  meals.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-11 - Meal times

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 11.
(a) Written
				policy, procedure, and practice provide that an accurate record is maintained
				for all meals served.
(b) At least
				three (3) meals, of which two (2) are hot, are provided at regular times during
				each twenty-four (24) hour period, with not more than fourteen (14) hours
				between the evening meal and breakfast.
(c) Each juvenile has the opportunity to have
				at least fifteen (15) minutes of dining time for each meal.
(d) Snacks and food will be available for
				special occasions, such as late night admissions.
(e) Group dining is available for all
				juveniles unless there is a documented safety and security issue.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-12 - Employee sanitation

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 12.
(a) Written
				policy, procedure, and practice provide that food service employees comply with
				all applicable sanitation and health codes promulgated by federal, state, and
				local authorities. Health protection for all juveniles and staff in the
				facility, including all persons working in food services, shall include the
				following:
(1) All persons involved in food
				preparation receive a preassignment health examination and periodic
				reexamination as required by local or state sanitation codes to ensure freedom
				from illnesses transmittable by food or utensils.
(2) All food handlers are instructed to wash
				their hands upon reporting to duty and after using the toilet
				facilities.
(3) The food service
				manager, or their designee, monitors juveniles and other persons working in
				food service each day for health and cleanliness.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-13 - Storage of clothing

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 13.
Written policy, procedure, and practice provide that the
				  stored supply of clothing, linens, and bedding exceeds that required for the
				  facility's maximum juvenile population.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-14 - Issuance of bedding and linens

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 14.
(a) Written
				policy, procedure, and practice provide that juveniles are issued clean bedding
				and linens, including the equivalent to the following:
(1) Two (2) sheets.
(2) One (1) pillow.
(3) One (1) pillowcase.
(4) One (1) mattress, not to exclude a
				mattress with an integrated pillow.
(5) Sufficient blankets to provide comfort
				under existing temperature controls.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-15 - Security garment

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 15.
(a) Written
				policy, procedure, and practice provide that when standard issued clothing
				presents a security or medical risk, the juvenile is supplied with a security
				garment that promotes the safety of the juvenile.
(b) Juveniles are not placed in security
				garments as punishment.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-16 - Clothing issuance

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 16.
(a) Written
				policy, procedure, and practice provide that juveniles are provided the
				opportunity to have three (3) complete sets of clean clothing per week, with
				provisions for clean underwear and socks daily. Clothing is the following:
(1) Properly fitted.
(2) Climatically suitable.
(3) Durable.
(4) Presentable.
(5) Not degrading.
(6) Not in disrepair.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-17 - Personal clothing sanitation

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 17.
Written policy, procedure, and practice provide that when
				  juveniles are admitted, personal clothing shall be:
(1) properly cleaned and disinfected;
				or
(2) placed in a sealed
				container; before storage or allowing the juvenile to keep and wear the
				clothing.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-18 - Daily bathing

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 18.
Written policy, procedure, and practice provide that
				  juveniles are permitted to shower or bathe daily and after strenuous exercise.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-19 - Hygiene products

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 19.
(a) Written
				policy, procedure, and practice provide that articles necessary for maintaining
				proper hygiene are provided to all juveniles. Each juvenile shall be given
				access to or provided the following:
(1)
				Soap.
(2) Toilet paper.
(3) Toothbrush.
(4) Toothpaste.
(5) Comb or hairbrush, or both.
(6) Special hygiene items for
				females.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 7 - Food Service and Hygiene › Section 7-20 - Hair care services

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 20.
(a) Written
				policy, procedure, and practice provide that hair care services are culturally
				appropriate and comply with applicable regulatory requirements available to
				juveniles. Equipment used to provide hair care services shall be:
(1) inventoried;
(2) sanitized; and
(3) stored securely when not in
				use.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-1 - Health care authority

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 1.
(a) Written
				policy, procedure, and practice provide that the facility has a designated
				health care authority with responsibility for health care pursuant to a written
				agreement, contract, or job description.
(b) Such health care responsibilities shall
				include the following:
(1) Defining the scope
				of health care services.
(2)
				Developing a facility's health care policies and procedures.
(3) Developing mechanisms, including written
				agreements, when necessary, to ensure that the necessary scope of services is
				provided and properly monitored.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-2 - Quarterly meetings

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 2.
(a) Written
				policy, procedure, and practice provide that the health care authority meets
				with the facility administrator at least quarterly to discuss the following
				topics:
(1) Effectiveness of the facility's
				health care program.
(2)
				Environmental factors that need improvement.
(3) Changes effected since the last meeting
				date.
(4) If needed, recommended
				corrective action or actions.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-3 - Health care authority positions

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 3.
(a) Written
				policy, procedure, and practice provide that the health care authority
				determines the essential health care positions needed to perform the scope of
				health care services, including the following:
(1) Physician.
(2) Dentist.
(3) Psychiatrist.
(4) Psychologist.
(5) Nurse.
(6) Medical assistant.
(7) Nurse practitioner.
(8) Physician assistant.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-4 - Medical decisions

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 4.
(a) Written
				policy, procedure, and practice provide that medical decisions are the sole
				province of the responsible health care practitioner and are not countermanded
				by non-health care personnel.
(b)
				This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-5 - Monitor health care services

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 5.
(a) Written
				policy, procedure, and practice provide that a system is developed and
				implemented by the health care authority to review and monitor health care
				services. The necessary elements of the system shall include the following:
(1) An annual review of the health care
				policies and procedures.
(2) A
				review and evaluation of the health care data, including the following:
(A) Complaints and grievances.
(B) Offsite transports.
(C) Hospital admissions.
(D) Serious injuries to juveniles and
				staff.
(E) Contagious disease
				management.
(F) Suicide attempts or
				suicide.
(G) Deaths.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-6 - Health care equipment

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 6.
Written policy, procedure, and practice provide that
				  adequate equipment, supplies, and materials for health care service delivery
				  are available and maintained as determined by the health care authority in
				  collaboration with the facility administrator.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-7 - Medical management

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 7.
(a) Written
				policy, procedure, and practice provide that the health care authority shares
				with the facility administrator information concerning a juvenile's medical
				management within the guidelines of confidentiality. Policy determines how
				information is provided to staff to address the medical needs of the juvenile
				as it relates to the following:
(1)
				Housing.
(2) Program
				placement.
(3) Daily
				activity.
(4)
				Restrictions.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-8 - Health care credentials

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 8.
(a) Written
				policy, procedure, and practice provide that health care personnel comply with
				applicable federal and state licensure, certification, or registration
				requirements.
(b) Current
				credentials and licensure are verified annually and are on file in the
				facility.
(c) Concerns about
				incompetence or professional misconduct are managed in accordance with state
				law, agency policy, and relevant professional ethical codes.
(d) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-9 - Health care job description

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 9.
(a) Written
				policy, procedure, and practice provide that the duties and responsibilities of
				qualified health care professionals and health care practitioners are governed
				by written job descriptions, contracts, or agreements approved by the health
				care authority.
(b) Current job
				descriptions are kept on file in the facility.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-10 - Services provided pursuant to written orders

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 10.
(a) Written
				policy, procedure, and practice provide that treatment by a qualified health
				care professional is performed pursuant to written standing or direct orders by
				a health care practitioner. Health care practitioners practice within the
				limits of applicable laws and regulations.
(b) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-11 - Trainee who delivers health care

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 11.
(a) Written
				policy, procedure, and practice provide that any person or trainee who delivers
				health care in the facility, as part of a formal training program:
(1) works under the supervision of
				appropriate health care staff with prior approval from the health care
				authority; and
(2) provides health
				care services commensurate with their level of training.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-12 - Emergency services

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 12.
(a) Written
				policy, procedure, and practice provide that the following twenty-four (24)
				hour emergency services are available to the juvenile population:
(1) Medical.
(2) Dental.
(3) Mental health.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-13 - Juvenile health care transfers

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 13.
(a) Written
				policy, procedure, and practice provide that juveniles who need health care
				beyond the resources available in the facility, as determined by the
				responsible health care practitioner, are transported under appropriate
				security provisions to a facility where such care is provided.
(b) A written list of referral sources,
				including emergency and routine care, is available and reviewed and updated at
				least annually.
(c) The
				transportation process shall address the following:
(1) Security procedures for nonemergency and
				emergency transport of juveniles.
(2) Medically sensitive conditions and
				specific precautions to be taken by a transportation officer that are addressed
				and documented prior to transport.
(3) Security staff should provide medical
				escort to the outside facility.
(4)
				Transfer of medical information for continuity of care.
(5) Notification of the placing agency
				without delaying the transfer.
(6)
				Notification of the parent or guardian.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-14 - Written medical summary

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 14.
Written policy, procedure, and practice provide that a
				  written medical summary is required for all transfers to maintain continuity of
				  care. When a juvenile is transferred, the following is required:
(1) The health record and medical summary
				shall be forwarded to the receiving facility prior to or provided at
				arrival.
(2) Confidentiality of the
				health record is maintained.
(3)
				Medically sensitive conditions and specific precautions to be taken by
				transportation officer are addressed and documented prior to
				transport.
(4) Written instructions
				regarding medication or health interventions required en route should be
				provided to transporting officers and be kept separate from the medical
				record.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-15 - Information to access health care

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8-2
Sec. 15.
(a) Written
				policy, procedure, and practice provide that upon arrival at the facility, all
				juveniles are informed of how to access health care services. The information
				is communicated orally and in writing and is conveyed in a language that is
				easily understood by each juvenile. When literacy, language barriers, or
				physical handicap prevents a juvenile from understanding oral and written
				information, a staff member or translator assists the juvenile.
(b) No member of the detention staff shall
				impede the juvenile's requests for access to health care services.
(c) There is a system for processing and
				resolving juvenile grievances relating to health care concerns.
(d) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-16 - Sexual assault

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 16.
(a) Written
				policy, procedure, and practice provide that victims of sexual assault are
				referred, under appropriate security provisions, to a community facility
				qualified for assessment and treatment of victims and gathering of
				evidence.
(b) This is a mandatory
				standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-17 - Daily health care requests

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 17.
(a) Written
				policy, procedure, and practice provide that there is a process for all
				juveniles to initiate daily requests for health care services. All health care
				requests are triaged and reviewed daily by a qualified health care
				professional, health care practitioner, or health trained staff.
(b) A priority system is used to schedule
				health care services and address health care requests for conditions that are
				routine, urgent, and emergent.
(c)
				Health care services are available to juveniles at the facility:
(1) in a clinical setting at least five (5)
				days a week; and
(2) provided by a
				qualified health care professional or health care
				practitioner.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-18 - Intake health screening

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 18.
(a) Written
				policy, procedure, and practice provide that an intake health screening
				commences upon the juvenile's arrival at the facility and is performed by a
				qualified health care professional or health trained staff. When health trained
				staff conducts the health screening, procedures shall require a subsequent
				review of positive findings by a qualified health care professional. The
				responsible health care practitioner, in cooperation with the health care
				authority and facility administrator, establishes written procedures and health
				screening protocols. All findings are recorded on a health screening form
				approved by the health care authority.
(b) The health screening shall include
				inquiry into the following:
(1) History of
				chronic illnesses and serious infectious or communicable diseases, including
				symptoms and treatment.
(2)
				Obstetrical and gynecological history and current pregnancy status.
(3) Use of alcohol and other drugs, including
				the following:
(A) Type or types of drugs
				used.
(B) Mode of use.
(C) Amounts used.
(D) Frequency used.
(E) Date or time of last use.
(F) History of convulsions or other problems
				that occurred after ceasing use.
(4) Current illness and health
				problems.
(5) Tuberculosis (TB)
				risk factors, including the following:
(A)
				Household contact with TB.
(B)
				Travel to or residence within a high risk TB area.
(C) Homelessness.
(D) Symptoms of TB.
(6) Current medications.
(7) Current dental problems.
(8) Recording of height and weight.
(9) Other health problems designated by the
				responsible physician.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-19 - Staff informed of special medical needs

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 19.
Written policy, procedure, and practice provide that, at the
				  time of admission, program staff are informed of juveniles' special medical
				  needs or of any physical problems that might require medical
				  attention.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-20 - Health assessment and examination

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 20.
(a) Written
				policy, procedure, and practice provide that all juveniles shall receive a
				health assessment and examination.
(b) The health assessment shall:
(1) occur within seven (7) days of the
				juvenile's arrival to the facility;
(2) be completed by a qualified health care
				professional (with minimum credentials of licensed practical nurse or
				registered nurse); and
(3) include,
				at least, the following:
(A) Review of the
				current medical file, including the admission screening.
(B) Review of the medical file from previous
				stays, including medical examinations, medical tests, and identification of
				problems.
(C) A recording of the
				following:
(i) Height.
(ii) Weight.
(iii) Pulse.
(iv) Blood pressure.
(v) Respiration.
(vi) Temperature.
(D) Request for additional information, if
				necessary, to complete medical, dental, mental health, and immunization
				histories.
(E) Consultation with a
				health care practitioner, as appropriate.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-21 - Health education and wellness information

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 21.
Written policy, procedure, and practice provide that all
				  juveniles receive health education and wellness information from a curriculum
				  approved by the health care authority.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-22 - Informed consent

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 22.
(a) Written
				policy, procedure, and practice provide that all informed consent standards in
				the jurisdiction are observed and documented.
(b) The informed consent of parent, guardian,
				or legal custodian is obtained where required by law.
(c) The juvenile and parent, guardian, or
				legal custodian are informed about health care in a language that is easily
				understood.
(d) When health care is
				rendered against the juvenile's will, it is only in accordance with federal and
				state laws and regulations.
(e)
				Staff shall document the juvenile's or parent's consent or refusal with respect
				to health care treatment in the juvenile's medical records.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-23 - Privacy

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 23.
Written policy, procedure, and practice provide that health
				  care contacts, including medical and mental health interviews, examinations,
				  and procedures, should be conducted in a setting that respects the juvenile's
				  privacy.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-24 - Notification of serious illness, injury, or death

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 24.
(a) Written
				policy, procedure, and practice provide that the juvenile's parent, guardian,
				or legal custodian shall be promptly notified in the following cases:
(1) Serious illness.
(2) Serious bodily injury.
(3) Death of a juvenile.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-25 - Female health care

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 25.
(a) Written
				policy, procedure, and practice provide that female juveniles receive the
				following services, when necessary:
(1)
				Obstetrical.
(2)
				Gynecological.
(3) Family
				planning.
(4) Health
				education.
(5) Pregnancy
				management.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-26 - Medical and dental adaptive devices

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 26.
Written policy, procedure, and practice provide that medical
				  and dental adaptive devices are permitted, when medically necessary, as
				  determined by the responsible health care practitioner, and when security is
				  not compromised.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-27 - Dental care

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 27.
Written policy, procedure, and practice provide that dental
				  care is provided to each juvenile. There is a defined scope of available dental
				  services that includes the following:
(1) A dental screening conducted upon
				admission by a qualified health care professional or health trained
				staff.
(2) Dental care education
				provided by a qualified health care professional or health trained
				staff.
(3) Proper dental care that
				includes the following:
(A) Juveniles shall be
				allowed to brush their teeth at least twice daily.
(B) The facility shall provide dental
				examinations by a physician or dentist, if needed.
(C) The facility shall provide emergency
				dental care, as needed.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-28 - Health-related situation response time

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 28.
(a) Written
				policy, procedure, and practice provide that designated direct care staff and
				all health care staff:
(1) are trained to
				respond; and
(2) respond; to
				health-related situations within a four (4) minute response
				time.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-29 - First aid kits and AEDs

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 29.
(a) Written
				policy, procedure, and practice provide that first aid kits and automatic
				external defibrillators (AEDs) are available in designated areas of the
				facility as determined by the health care authority in conjunction with the
				facility administrator.
(b) The
				health care authority shall establish procedures for first aid kit and AED use
				by nonmedical staff.
(c) Monthly
				equipment inspections will be conducted and documented of:
(1) first aid kits; and
(2) AEDs.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-30 - Biohazardous waste and equipment decontamination

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 30.
Written policy, procedure, and practice provide that the
				  management of biohazardous waste and decontamination of medical and dental
				  equipment and instruments comply with applicable local, state, and federal
				  regulations.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-31 - Management of pharmaceuticals

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 31.
(a) Written
				policy, procedure, and practice provide that management of pharmaceuticals and
				over-the-counter medications shall include the following:
(1) Prescription practices, including the
				following requirements:
(A) Medications are
				prescribed only when clinically indicated and with defined stop order time
				periods.
(B) Medications are
				prescribed as one (1) facet of a program of therapy.
(C) The prescribing provider reevaluates a
				prescription prior to its renewal.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-32 - Medical experiments prohibited

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 32.
(a) Written
				policy, procedure, and practice prohibit the use of juveniles for medical,
				pharmaceutical, or cosmetic experiments.
(b) This does not preclude individual
				treatment of a juvenile based on his or her need for a specific medical
				procedure that is not generally available.
(c) Clinical research aimed at improving the
				care or condition of confinement is not prohibited. Institutions electing to
				perform such research shall be in compliance with all state and federal
				guidelines.
(d) This is a mandatory
				standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-33 - Drugs as discipline prohibited

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 33.
(a) Written
				policy, procedure, and practice provide that under no circumstances stimulants,
				tranquilizers, or psychotropic drugs are administered for purposes of
				discipline, security control, or experimental research.
(b) This is a mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-34 - Restraints for medical purposes

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 34.
(a) Written
				policy, procedure, and practice provide guidelines regarding the use of
				restraints on juveniles for medical and mental health purposes, including the
				following:
(1) Conditions under which
				restraints may be applied.
(2)
				Types of restraints to be applied.
(3) Identification of one (1) or more
				qualified health care professionals, qualified mental health care
				professionals, or health care practitioners who may authorize the use of
				restraints after reaching the conclusion that less intrusive measures are not
				successful.
(4) Monitoring
				procedures.
(5) Length of time
				restraints are to be applied.
(6)
				Less restrictive alternatives are developed and implemented as soon as
				possible.
(7) After-incident
				review.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-35 - Medical isolation

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 35.
(a) Written
				policy, procedure, and practice provide that when a juvenile is placed in room
				confinement or isolation for medical purposes, a qualified health care
				professional or health trained staff shall:
(1) be informed immediately; and
(2) complete an assessment as determined by
				the health care authority.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-36 - Chronic care and treatment planning

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 36.
(a) Written
				policy, procedure, and practice provide that juveniles with chronic illnesses
				or conditions, such as asthma and diabetes, receive periodic care and treatment
				that includes the following:
(1) Medication
				monitoring.
(2) Laboratory
				testing.
(3) Specialist
				consultation, as needed.
(4) Health
				care practitioner review and examination, as indicated, following written
				policies, procedures, and practices developed in conjunction with the health
				care authority.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-37 - Communicable disease and infectious control program

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 37.
(a) Written
				policy, procedure, and practice provide for a communicable disease and
				infectious control program for juveniles, including the management of the
				following:
(1) Methicillin-resistant
				Staphylococcus aureus.
(2)
				Hepatitis A, B, and C.
(3)
				Scabies.
(4) Varicella.
(5) Meningococcemia.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-38 - Management of HIV

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 38.
(a) Written
				policy, procedure, and practice provide that the management of human
				immunodeficiency virus (HIV) infection in juveniles is included in the
				communicable disease and infectious control program. The program for HIV
				management shall include procedures for the following:
(1) When and where juveniles are to be HIV
				tested.
(2) Ensuring
				confidentiality of protected health information.
(3) Follow-up care, including arrangements
				with appropriate health care authorities for continuity of care when the
				juvenile is released.
(4) All staff
				supervising juveniles receive training on and exercise universal safety
				precautions.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-39 - Management of tuberculosis

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 39.
(a) Written
				policy, procedure, and practice provide that the management of tuberculosis
				(TB) in juveniles is included in the communicable disease and infectious
				control program. The program for TB management shall include procedures for the
				following:
(1) When and where juveniles are
				to be screened and tested.
(2)
				Treatment of latent tuberculosis infection and tuberculosis disease.
(3) Medical isolation, when
				indicated.
(4) Follow-up care,
				including arrangement with applicable department of health for continuity of
				care if the juvenile is released prior to completion of
				therapy.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-40 - Juvenile health records

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 40.
(a) Written
				policy, procedure, and practice provide that a juvenile's health records, paper
				or electronic, or both, contain the following items, or documented attempts to
				obtain the following items, filed in a uniform manner:
(1) Patient identification on each
				sheet.
(2) Receiving screening
				form.
(3) Health appraisal data and
				examination forms.
(4) Record of
				immunizations.
(5) Diagnoses,
				treatments, and dispositions.
(6)
				Individualized treatment plan, when applicable.
(7) Progress reports.
(8) Place, date, and time of health
				encounters.
(9) Record of
				prescribed medications and their administration records, if
				applicable.
(10) Laboratory, x-ray,
				and diagnostic studies.
(11)
				Release of information forms.
(12)
				Consent and refusal forms.
(13)
				Health services reports, including the following:
(A) Emergency department.
(B) Dental.
(C) Mental health.
(D) Telemedicine.
(E) Other consultations.
(14) Discharge summary of hospitalization and
				other termination summaries, including the following:
(A) Outpatient treatments.
(B) Special services not requiring
				hospitalization but which have an endpoint that is
				documented.
(15) Legible
				signatures and the titles of the providers in ink, type, or stamp under the
				signature.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 8 - Medical › Section 8-41 - Confidentiality of health records

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 41.
(a) Written
				policy, procedure, and practice provide that the principle of confidentiality
				applies to juvenile health records and information about juvenile health
				status.
(b) The active health
				record is maintained separately from the confinement case record.
(c) The health care authority, in accordance
				with state and federal law, controls access to the health record. Inactive
				health records are retained as permanent records in accordance with state and
				federal law.
(d) This is a
				mandatory standard.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 9 - Mental Health › Section 9-1 - Mental health services

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 1.
(a) Written
				policy, procedure, and practice:
(1) provide
				mental health services for juveniles; and
(2) assure juvenile detention facilities are
				not intended to be mental health treatment facilities.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 9 - Mental Health › Section 9-2 - Mental health screening

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 2.
(a) Written
				policy, procedure, and practice provide that juveniles receive an initial
				mental health screening at the time of admission to the facility by a qualified
				mental health professional or mental health care trained personnel. The mental
				health screening includes the following:
(1)
				Use of the MAYSI-2 or other department approved, evidence-based, mental health
				screening that includes suicide ideation and a risk level system.
(2) Inquiry into the following:
(A) History of self-injurious and suicidal
				behavior.
(B) History of inpatient
				and outpatient psychiatric treatment.
(C) History of alcohol and other drug
				use.
(D) History of treatment for
				alcohol and other drug use.
(E)
				Current suicidal ideation.
(F)
				Current mental health complaint.
(G) Current treatment for mental health
				problems.
(H) Current prescribed
				psychotropic medication.
(3) Observations of the following:
(A) General appearance and
				behavior.
(B) Evidence of abuse or
				trauma.
(C) Current symptoms of the
				following:
(i) Psychosis.
(ii) Depression.
(iii) Anxiety.
(iv)
				Aggression.
(4)
				Disposition of juvenile of one (1) of the following:
(A) Cleared for general population.
(B) Cleared for general population with
				appropriate referral to mental health care service.
(C) Referral to appropriate mental health
				care service for emergency intervention.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 9 - Mental Health › Section 9-3 - MAYSI-2 caution or warning levels

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 3.
(a) Written
				policy, procedure, and practice provide that when a juvenile scores either a
				"moderate probability/caution" level or "high probability/warning" level, on
				either the MAYSI-2 or other department approved, evidence-based, mental health
				screening that includes suicide ideation and a risk level system, the detention
				facility will immediately take any emergency action necessary to protect the
				life of the juvenile, including the completion of a mental health
				assessment.
(b) Juveniles scoring a
				"moderate probability/caution" level or "high probability/warning" level on the
				suicide screening will be provided a clinical follow-up assessment unless the
				results of a secondary screening indicate:
(1)
				this follow-up assessment is not warranted; and
(2) evidence for not referring the juvenile
				for a clinical follow-up assessment is:
(A)
				clearly documented; and
(B)
				reviewed by the facility administrator or their
				designee.
Indiana Administrative Code › Title 210 - DEPARTMENT OF CORRECTION › Article 8 - JUVENILE DETENTION FACILITIES › Rule 9 - Mental Health › Section 9-4 - Comprehensive evaluation

Current through July 10, 2024
Authority: IC 11-8-2-5; IC 31-31-8-2
Affected: IC 31-31-8
Sec. 4.
(a) Written
				policy, procedure, and practice provide that juveniles referred for a mental
				health evaluation or treatment, or both, to be provided by facility staff or
				contractors, will receive a comprehensive evaluation by a qualified mental
				health care professional.
(b) The
				evaluation is to be initiated as soon as possible, and within thirty (30) days
				of the referral date, and will include the following:
(1) Review of mental health screening and
				appraisal data.
(2) Review of the
				individual's mental health history.
(3) Direct observations of
				behavior.
(4) Collection and review
				of additional data from individual diagnostic interviews and tests, as
				appropriate.
(5) Recommendations
				for treatment with appropriate referral, including transfer to an appropriate
				mental health facility when psychiatric needs exceed the treatment capability
				of the facility.