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An inmate has the right to refuse a health assessment. Please refer to the <br /> policy-Right to Refuse Treatment. If an inmate refuses a TB test, the <br /> inmate must be placed in isolation for precautionary measures, as TB is an <br /> infectious disease. Medical staff should monitor inmate until the TB testing <br /> is completed. Depending upon the reasons for the inmate's refusal, the <br /> Medical Director and/or mental health staff may be advised to speak with <br /> the inmate about his/her concerns. <br /> All history and physicals must be referred to the Medical Director for review <br /> and sign-off. <br /> Grievance Procedure <br /> Upon receipt of an inmate's grievance, the nurse will review the information <br /> presented and speak with the inmate about the problem and possible <br /> resolution. All information about the conversation should be documented <br /> on the grievance form and filed within the inmate's medical record. All <br /> responses to inmate grievances must be timely and based on principles of <br /> adequate and prudent medical care. <br /> Correctional officers will provide grievance forms to inmates upon their <br /> request. The inmate will give the completed form to a correctional officer <br /> who then gives the form to the medical staff for resolution. <br /> An incident report may accompany a copy of the grievance if submitted to <br /> the SHP corporate office. If the corporate office needs to be involved in the <br /> resolution of the problem, communication with the nurse, as well as a <br /> review of the applicable records and/or other information will begin. The <br /> nurse should notify the corporate office of the need for involvement. <br /> After the grievance has been resolved, the Detention Center Administrator <br /> should be notified as to the resolution. <br /> If the inmate does not agree with the resolution, an appeal may be filed <br /> citing additional information. The nurse and Detention Center Administrator <br /> will once again review this appeal grievance, with a copy forwarded to the <br /> corporate office for resolution. All appeals must be sent to the corporate <br /> office for review. <br />