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

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POLICY #: 4.15 PAGE 2 OF 6 Duties and responsibilities of the night shift Med Passer: Narcotic Drug Count contd; 2. When an inmate is being transferred out to DOC, or FEDERAL inmate is transported AND his/her narcotic medication needs to go wfth him/her. The med 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 ft should be counted and documented by 2 Med Passers or a Med Passer and Shift Supervisor, If it is approved by the Jaii Mealth Provider to be administered it should be documented on the narcotic count sheet and counted as listed above.. If it is not approved for administration ft should be counted, count documented and sealed with tamper proof seal. Daily count of that medication should continue until destroyed or inmate releasedl transferred out, 4. When narcotic medication is designated for destruction..,. 5. When destroying narcotic drugs. (They shall be destroyed only under supervision of the Jaii Administrator or Detention Supervisor and will be documented on the back of the MAR.) 6. Glucose Monitoring insulin administration. • In the front of the MAR Logbook the list of inmates requiring glucose monitoring 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 med passer for proper disposal. The med passer will document administration of the insulin on the MAR. • The med passer will ensure ail used supplies are removed from the cell and properly 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 orcJer by Inmate name and have Inmate photo/identification sticker attached. • Med Pesser 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 Old .tail. Each drawer shall have all drug cards filed by Celi Block Dearly marked with each inmate's name in alphabetical order. • Medication cards should follow in orrier as listed on the MAR and shall have each inmate's photo/identification attached. • Night Med Passer will ensure Med cart and MAR are accurate Friday evening to facilitate weekend Med Passer medication administration. 8. Bed-time 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 onlered 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.