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

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POLICY #: 4.15 PAGE 3 OF T Duties and responsibilities of the afternoon shift Med Passer: ~ J Lunch & Dinner Medication Administration contd; • 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 to ensure all medications have been signed as administered refused, etc. 9. Med Passer will hourty check the Inmate Medical screening and Requests Bins for new fortes. 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 urgency/need. If it is felt to be an urgent request, Jail Heahh 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 Jail Health Provider's next clinic day. Medical requests to see the Jail Health provider should be reviewed for urgency/need. ff it is felt to be an urgent request, Jail 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 Jail Health Provider's next clinic day. Medication orders obtained from a Jail Health Provider shall be documented in the Inmate chart and chart placed in the Charts for Review Box. Jail Health Provider shall sign at next clinic day, Medication orders obtained to be initiated as STAT or Next Med Pass, shall be documented on the Inmate's MAR according to Jail Protocol. Medical Intake forms should be screened for medications to be initiated and significant health problems (Heart disease, Diabetes, Seizures, Alcohol/Drug use daily, etc,) The appropriate Jail Health Provider shall be contacted at time of review of the intake for initiation of medication, Any Health problem in question of significance should be discussed with a Jail Health Provider, Information about medications to be initiated (name, dose, frequency) should be ascertained from the Inmate by the Med Passer prior to contacting the Jail Health Provider. However, obtaining medication information from the Inmate should not delay contacting the Jail Health Provider for any sign cant length of time. If information is not readily available, the Jail Health Provider should be contacted with this information. Med Passer conducting preliminary screening of Inmate i.e.; blood pressures, vital signs, urine dips, accu checks, etc. shall be written on the medical request form. When completed the results of each vital sign taken of any inmate shall be written on the inmates medical request form and be returned to the Nurse Prectkioner (medical professional) file in the med room paper clipped to the front of existing or new inmate folder, The Jail Health Provider shall lie contacted about above information obtained if the Med Passer feels information needs to be reviewed prior to next scheduled clinic day. 10. Clinic Preparation Clinic scheduled during the Afternoon Med Passer shift shall be prepared by the Moming Med Passer. Inmate Medical requests and Medical Intake sheets should be reviewed daily as already described. The Moming Med Passer should be responsible for review only of those that were received after the Night Med Passer shift and prior to the beginning of the Clinic. • All Inmate Medical requests and medical records shall be prepared by the Moming Med Passer prior to the arrival of the Jail Heath Provider. • Med passer shall attach Medical Request form, Clinic Documentation Form, laboratory results, and Inmate records obtained to the Inmate chart and place in Clinic box.