Kentucky Administrative Regulations › Title 501 - JUSTICE AND PUBLIC SAFETY CABINET - DEPARTMENT OF CORRECTIONS › Chapter 7 - Jail Standards for Restricted Custody Center Facilities › Section 501 KAR 7:090 - Medical services

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO: KRS 72.025, 441.045, 441.055, 441.560
NECESSITY, FUNCTION, AND CONFORMITY: KRS 196.035 authorizes the
				secretary to promulgate administrative regulations necessary or suitable for
				the proper administration of the functions of the cabinet or any division in
				the cabinet. KRS 441.560 requires the department to promulgate administrative
				regulations relating to the transfer of prisoners to the department for medical
				treatment and care. KRS 441.055 requires the Department of Corrections to
				promulgate administrative regulations establishing minimum standards for jails
				that house state prisoners. This administrative regulation establishes
				procedures to provide proper medical services in restricted custody
				centers.
Section 1. Medical Services.
(1) The center's medical services shall be
			 provided by contracting with a Kentucky licensed health care
			 provider.
(2) The medical authority
			 shall be a licensed practical nurse (LPN), a higher level of licensed nurse, a
			 licensed medical doctor, or licensed doctor of osteopathy. Telehealth services
			 may be used.
(3) The health care
			 staff and mental health professionals shall not be restricted by the jailer in
			 the performance of their duties except to adhere to the center's security
			 requirements.
(4) All health care
			 staff working in the center shall comply with state licensure and certificate
			 requirements commensurate with similar health care personnel working elsewhere
			 in the community. Copies of the licenses and certificates for health care staff
			 employed by the center shall be maintained on file within the center.
(5) A daily medical log shall be maintained
			 documenting specific medical treatment rendered in the center. This log shall
			 be kept current to the preceding hour.
(6) Prisoners shall not perform any medical
			 functions within the center.
(7)
			 Prisoners shall be informed verbally and in writing at the time of admission
			 the methods of gaining access to medical care within the center.
(8) All medical procedures shall be performed
			 according to orders issued by the responsible medical authority.
(9) Medical screening information shall be
			 transferred to the center from the jail on each prisoner. Jail personnel shall
			 ensure that the information is current when the prisoner is transferred. The
			 medical screening inquiry shall include:
(a)
			 Current illnesses and health problems;
(b) Medications taken and special health
			 requirements;
(c) Screening of
			 other health problems designated by the medical authority;
(d) Behavioral observation, state of
			 consciousness, and mental status;
(e) Notation of body deformities, markings,
			 bruises, lesions, jaundice, ease of movement, and other distinguishing
			 characteristics;
(f) Condition of
			 skin and body orifices, including rashes and infestations; and
(g) Disposition and referral of prisoners to
			 qualified medical personnel on an emergency basis.
(10) Medical, dental, and psychological care
			 for prisoners shall be provided in accordance with KRS Chapter 441.
(11) Medical research shall not be permitted
			 on any prisoner in the center.
(12)
			 Access to the prisoner's medical file shall be controlled by the medical
			 authority and the jailer. The medical record shall be separate from custody and
			 other administrative records of the center.
(13) The jailer or designee shall notify the
			 coroner, if a prisoner dies while in the jail's custody, to allow for a
			 postmortem examination pursuant to KRS 72.025.
(14) The center shall have first aid kits
			 available at all times.
(15) If a
			 urine surveillance program is in effect, there shall be written procedures for
			 carrying out the program