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

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POLICY #: 4,15 PAGE 2 OF 7 Duties and responsibilities of the afternoon shift Med Passer: -7 _ 5, Narcotic Drug Count r~ a. Narcotic count is required as outlined below.. 1, When an inmate has narcotic medications on the cart to be administered. Narcotic count should be done when a mad passer arrives for a new shift with Shift Supervisor, with the presentloff-going mad passer and when mad passer ends shift at night with shift Supervisor. 2. When an inmate is being transferred out to DOC, or FEDERAL inmate is transported AND his/her narcotic medication needs to go with him/her. The mad passer shall document the narcotic count of the inmate with the Shift Supervisor/Med passer. Each will initial the MAR narcotic control sheet to validate their count. 3. When a narcotic medication comes into the Jail it should be counted and documented by 2 Med Passers or a Med Passer and Shift Supervisor, If ft is approved by a Provider to be administered it should be documented on the narcotic count sheet and counted as i'rsted above. If it is not approved for administration it should be counted, count documented and sealed with tamper proof seal. Daily count of that medication should corrtinue until destroyed or inmate releasedttransferred out. 4 When narcotic medication is designated £or destruction. 5.When destroying narcotic drugs. (they shall be destroyed only under supervision of the Jail Administrator or Detention Supervisor and will be documented on the back of the MAR.) 6. Glucose Monitoring/Insulin administration. • In the frorrt of the MAR Logbook the list of inmates requiring glucose monRoring or Insulin administration should be reviewed.. • The Med Passer will take the Glucose Monitoring tray {containing jail approved supplies and those appropriate for testing,) to each cell where the inmate will be tested and/or administered insulin. Inmates requiring testing/insulin administration will be identified by their arm band. • Blood sugar readings will be obtained and documented on the MAR. • Inmates requiring insulin administration will be given an alcohol pad and pre-filled syringe with appropriate dose/type of insulin. The inmate will administer the insulin and return the used syringe to the mad passer for proper disposal. • The mad passer will document administration of the insulin on the MAR. The mad passer will ensure all used supplies are removed from the cell and property disposed, 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 changeslupdates 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 Old Jaii. 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. Lunch 8 Dinner 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 LD. 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 Photaidentification arm bands. The mad 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 mad passer will ensure that the Inmate swallows the administered medication. The mad passer will administer inhalants by the ordered administration method.