Agenda - 06-13-2006-5d - Laserfiche WebLink

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POLICY #: 4.15 PAGE 3 OF 8 Duties and Responsibilities of Orange County Jaii Med Passers ~, _. 7. MAR Log and Med cart • The Med Passer is to check the MAR book before leaving the medical room to ensure the MARS are in alphabetical order by Inmate name and have Inmate photo/identification sticker attached, • Med Passer shall check MAR's and ensure changes/updates are reflected on the MAR. Changes/updates of Treatments should also be reflected on the MAR, New Diabetic inmates should also be added to Glucose Monitoring list if applicable. • The drawers of the medication cart are clearly marked Annex and QId Jail. Each drawer shall have all drug cards filed by Cell Block clearly marked with each inmate's name in alphabetical order. Medication cards should follow in order as listed on the MAR and shall have each inmate's photo/identification attached, 8. Breakfast Medication Administration Before leaving the medication room for medication administration, the Med Passer shall prepare the medication cart with necessary supplies. • Med Passer will enter their I.D, button in the medication probe before the medication pass. Time of entry and exit of each cell by the Med Passer will be documented by this probe, When administering any drug to an inmate, the inmate shall approach the Med Passer and display his/her photo-identification arm band. The arm band is to be viewed for verification of inmate to receive medication. If an Inmate does not have an arm band, the Shift Supervisor is to be notified for their intervention. Medications are not to be administered to Inmates without Photo-identification arm bands, The med passer will administer all tablets and capsules by pouring the medication from a medication cup into the inmate's hand. Disposable medication paper cups may be given to the inmate when administering medication.. The med passer will ensure that the Inmate swallows the administered medication. • The med passer will administer inhalants by the ordered administration method. • The med passer will administer creams, powders, liquids, etc,.. in disposable medication paper cups. The med passer will initial the MAR to verify administered medication. • The med passer will mark the MAR to verify refused medication. • The med passer will note the back of the MAR for any unusual medication issues. • At completion of administration of medications, the Med Passer will review the MAR book fo ensure all medications have been signed as administered/refiised, etc. 9. Med Passer will hourly check the Inmate Medical screening and Requests Bins for new forms. New forms will be reviewed and action taken for appropriate requests andlor medical information. Medical requests for PRN medications shall be placed in the Charts for Review box with the Inmates chart attached. Jail Health Provider shall be contacted for medication that the Med Passer feels needs to be initiated sooner than the next scheduled Clinic Day. Medical requests to see the Jail Health provider should be reviewed for urgencylneed. If it is felt to be an urgent request, Jaii Health Provider should be contacted for discussion of the complaint. ff the request is not urgent, the Medical Request and Inmate chart should be placed in the Next Clinic box for the Provider's next clinic day. Medication orders obtained from a Provider shall be documented in the Inmate chart and chart placed in the Charts for Review Box. Provider shall sign at next clinic day.