2011-398 Health - Agreement for Orange County Jail Health Plan for 2011

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b. Release is made with the inmate's written consent or the written consent of the inmate's guardian. C. Release is made pursuant to a subpoena or court order. d. Release is made to the Physician of a person exposed to the inmate's potentially infectious body fluid. Note: If an exposed officer learns from the detention center physician or private physician that an inmate is HIV infected, he or she must keep that information strictly confidential. The reason for telling the officer is to permit effective treatment and counseling. It is a misdemeanor if the officer discloses this information to another officer. The only exception to the confidentiality law is N.C.G.S. 53A 222 allows inspectors with the Detention Center and detention branch to see an inmate's medical record unless the inmate objects in writing. Before inspectors may review the inmate must be informed in writing of his right to object Privacy All medical evaluations and services are to be performed in as much privacy, with respect to security issues, as possible. The discretion is with the Medical Director, physician, or nurse providing the service. Security personnel may be present if the patient poses a probably risk to the safety of the medical staff or others. Instruction on maintaining confidentiality is given to security staff that observes or hears health encounters. When cell side triage is required, medical staff must take extra precautions as to promote private communication with the inmate. Handling of Intoxicated Inmates Upon completion of the screening process, patients indicating such uses must be immediately referred to the medical staff for further evaluation and treatment.