New York Codes, Rules and Regulations › Title 9 - EXECUTIVE DEPARTMENT › Subtitle AA - STATE COMMISSION OF CORRECTION › Chapter VI - Minimum Standards And Regulations For Management Of State Correctional Facilities › Part 7651 - Health Services › Section 7651.11 - Infirmary services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				  department shall ensure that all inmates have access to infirmary
				  services.
(b) Except in
				  emergencies, inmates shall be admitted to a facility infirmary only upon the
				  order of a clinical physician. If an inmate is admitted to a facility infirmary
				  from a hospital, the clinical physician shall request a written comprehensive
				  treatment summary and plan for continuing care from such hospital.
(c) Any inmate admitted to a facility
				  infirmary who the facility medical director determines may have an infectious
				  reportable disease shall be placed in medical isolation.
(d) Within 24 hours of admission to a
				  facility infirmary, each inmate shall receive a physical examination.
(e) Within 48 hours of admission to a
				  facility infirmary, a written treatment plan and a written nursing care plan
				  shall be formulated for each inmate. Such written plans shall identify and
				  address the specific medical and direct nursing care needs of each inmate,
				  shall be updated at specified intervals and shall be made a part of each
				  inmate's medical record.
(f) Each
				  inmate in a facility infirmary shall be visited and evaluated by a physician at
				  intervals prescribed by the medical director and specified in each written
				  treatment plan.
(g) After each
				  evaluation, the physician shall make a written progress note in the inmate's
				  medical record. Each note shall be legibly signed and dated by the physician
				  making such evaluation, together with identification of professional
				  title.
(h) At least once every hour
				  on a 24-hour basis each day, a nurse shall visit and observe each inmate in the
				  infirmary. Each such visit shall be recorded in ink in a nursing observation
				  log maintained for that purpose which may be separate from the clinical
				  record.
(i) A summary of relevant
				  activities, problems, orders and precautions shall be recorded in each
				  infirmary patient's record at the termination of each shift.
(j) No inmate shall be discharged from the
				  infirmary unless by order of a clinical physician.
(k) The discharge of an inmate from a
				  facility infirmary for the purpose of effecting a transfer to another
				  correctional facility shall be made only after the medical director of the
				  sending facility has documented in writing the medical appropriateness of such
				  transfer and only after direct consultation between the medical directors of
				  the sending and receiving facilities has taken place. Such determination shall
				  be made a part of the inmate's permanent medical record.
(l) Each correctional facility which operates
				  an infirmary shall have an infirmary discharge planning program in effect for
				  the continuing medical follow-up care of inmates which is adequate for their
				  post-discharge needs.
(m)
				  Infirmaries in newly constructed or renovated facilities shall provide a
				  minimum of 80 square feet of floor space per inmate in the sleeping
				  area.
(n) Each infirmary shall have
				  available areas for the separation of all isolation patients. Such areas shall
				  have facilities for medical and nursing isolation techniques as required by
				  this Part.
(o) Each facility
				  infirmary shall have a linen inventory sufficient to meet the needs of the
				  infirmary, with provisions for handling, storage and processing laundry in a
				  manner to prevent the spread of infection and to ensure the maintenance of
				  clean linen.
(p) Each facility
				  infirmary shall provide adequate toilet and bathing facilities appropriate in
				  number, size and design to meet the needs of infirmary residents. At a minimum,
				  at least one centralized toilet shall be provided for each eight infirmary
				  inmates, and at least one bathing facility for each 20 infirmary patients, one
				  of which shall be equipped for handicapped inmates.
(q) Each facility infirmary shall provide at
				  least one room which shall be equipped and located to permit close, short-term
				  observation of inmates.
(r)
				  Infirmaries in newly constructed or renovated facilities shall provide separate
				  clean and soiled utility rooms.