Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 670 - City and County Detention Facility Standards › Subchapter 5 - Standards for Detention Facilities › Section 310:670-5-8 - Medical care and health services

Current through Vol. 41, No. 20, July 1, 2024
Adequate medical care shall be provided in a facility. The
				  administrator shall develop and implement written policies and procedures for
				  complete emergency medical and health care services. Policies and procedures
				  shall include at least the following:
(1) The administrator shall be responsible
				for the facility's medical services and shall develop, with the assistance of a
				designated medical authority, the facility's health care plan. Security
				restrictions shall be considered in the development of the plan, and any
				medical personnel included in the plan shall have their responsibilities
				regulated by written job descriptions. The health care plan shall cover at
				least the standards outlined in this section.
(2) Intake screening shall be performed on
				all inmates immediately upon admission to the facility and before being placed
				in the general population or housing area. An inmate whose screening indicates
				a significant medical or psychiatric problem, or who may be a suicide risk,
				shall be observed frequently by the staff consistent with the facility's policy
				and the identified need until the appropriate medical evaluation has been
				completed. After medical evaluation, these inmates may be assigned to housing
				consistent with the medical evaluation.
(A)
				Medications in the possession of the inmate at the time of the booking, whether
				prescription or over-the-counter shall be logged, counted and secured.
Prescription medications shall be provided to the
[inmate]
as directed by a physician or designated medical authority.
				The
[inmate]
shall be observed to ensure the prisoner takes
				the medication. The physician or designated medical authority shall be
				particularly aware through his or her training of the impact of opiate or
				methadone withdrawal symptoms that may occur in regard to the mental and
				physical health of the
[inmate]
. The physician or medical
				authority shall prescribe and administer appropriate medications to
				the
[inmate]
pursuant to Section 5-204 of Title 43A of the
				Oklahoma Statutes as the medical authority deems appropriate to address those
				symptoms. Neither prescription nor over-the-counter medications shall be kept
				by
[an inmate]
in a cell with the exception of prescribed
				nitroglycerin tablets and prescription inhalers. Over-the-counter medications
				shall not be administered without a physician's approval unless using
				prepackaged medications
[57 O.S. § 4.1(1)]. This authorization to
				allow certain medications in a cell does not require a facility to allow the
				medications in a cell where inmate safety is threatened or abuse of the
				medication is documented. Prepackaged over-the-counter medications are those
				medications provided in single-dose packaging.
(B) Medical reception information shall be
				documented in a format approved by the designated medical authority which shall
				include inquiry into:
(i) Current illnesses
				and health problems including medications taken and any special health
				requirements;
(ii) Behavioral
				observation, including state of consciousness and mental status;
(iii) Notation of body deformities, trauma
				markings, i.e., bruises, lesions, ease of movement, and jaundice;
(iv) Condition of skin and visible body
				orifices, including infestations; and
(v) Disposition/referral of inmates to
				qualified medical personnel on an emergency basis.