Orange County NC Website
S <br /> health appraisal data forms; <br /> all findings, diagnoses, treatments, <br /> dispositions; <br /> prescribed medications and their <br /> administration; <br /> laboratory, x-ray and diagnostic studies; <br /> signature and title of each documenter; <br /> consent and refusal forms; <br /> place, date and time of health encounters; <br /> discharge summary of hospitalizations; <br /> health service reports (e.g. , dental, <br /> psychiatric and other consultation) . <br /> C) develop health record transfer practices and record <br /> retention policy; <br /> D) paper management of pharmaceuticals including the <br /> following stipulations: <br /> - adherence to state pharmacy law; <br /> - adherence to federal controlled substance act; <br /> - re-evaluation of prescriptions before renewal; <br /> - maximum security of pharmaceuticals, syringes <br /> and needles; <br /> - prohibition of misuse of psychotropic <br /> medication. <br /> E) a training guide for jail employees which would <br /> cover: <br /> action required for potential emergencies; <br /> - signs and symptoms of an emergency; <br /> - obtaining emergency care; <br /> - patient transfer procedures; <br /> - chemical dependency and emotional disturbance; <br /> 3 <br />