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Treatment services may include on-site and/or off-site crisis intervention. <br /> Not all treatments include the prescribing of psychotropic medications. <br /> 'Crisis intervention is to be initiated if patient is a threat to themselves and <br /> others. <br /> Pregnant Inmates <br /> All verified and confirmed pregnant inmates will be referred to the <br /> designated prenatal clinician who can provide obstetric services including <br /> regular prenatal care, medical exams, activity level advice, safety <br /> precautions, nutrition guidance and counseling. The inmate will be <br /> prescribed prenatal vitamins while incarcerated and applicable laboratory <br /> and diagnostic testing will be performed. <br /> The Detention Center Administrator must be notified of the inmate's <br /> pregnancy and on-going treatment. Corrections Officers should be alerted <br /> to the inmate's due date as it approaches and she should be under close <br /> observation around that time. <br /> Medical staff will document inmate's previous health history and other <br /> births. An outside specialty clinic visits will also be documented and noted <br /> in the patient's chart, along with services rendered noted in the file. Medical <br /> staff must utilize the Pregnancy Flow Sheet to monitor the pregnancy. The <br /> Medical Director should review the flow sheet on a consistent basis, maybe <br /> at the established chronic clinics reviews. <br /> Pregnant inmates needing obstetric services will be referred to the local <br /> County Health Department. <br /> The designated mental health provider may be asked to participate in the <br /> treatment plan regarding the patient. Issues which may be discussed are <br /> any psychotropic medications needs and/or depressions issues the patient <br /> may experience due to separation from the baby after the birth. <br /> Medical Records <br /> All medical records will be kept in the medical unit or, if inactive, in a secure <br /> place accessible to medical personnel. For period of seven years. The <br /> Detention Center Administrator should be consulted as to the space needed <br /> for the storage of inactive files. <br />