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POLICY #: 4.16 PAGE 1 OF 4 POLICY TITLE: MEDICAL CART PROCEDURES g~ DATE: MARCH 16, 2004 RELATED N.C. STANDARDS: .15A-266:1 POLICY STATEMENT: In order to comply with North Carolina Generai Statutes, members of the Orange County Sheriffs Office assigned the duty of administering medicines prescribed by our contracted medical professional shall be trained in achninistering medicines and record keeping of medicines administered to inmates housed in the Orange County Jail. Our med passers shall be responsible for preparing the med cart, which is used to store and transport medicines to inmates in cellblocks. Med passers assigned to the medical office to assist our contracted medical professional are solely responsible for preparation and maintenance of the med cart. SPECIFIC PROCEDURES: Preparation and maintenance for the medical cart: The first duty and responsibility of everyone that administers medicine from the med cart is to keep the cart organized for distribution, neat and clean. By doing so the med cart will at all times remain in order for everyone that has to administer medicines. Anyone who fails to comply with this directive is subject to disciplinary action. Before organizing the med cart, it is imperative that the jail log is reviewed to insure that all _, inmates who are to be administered medicines are: (1) in the jail and have not been released or transferred to another jail or (2) are not in court. Preparing the lbled Cart: 1. When preparing the med cart or when receiving medication for an inmate to be placed in the cart, a. The med passer will check the medicine label and compare the name with the MAR book (it is important to know we have the correct name) b. The med passer shall check the inmates M.AR record to insure the medicine received is the medicine to be administered. (it is important to know we have the correct medicine) 2. The med passer shall place a computer copy of the inmates' photo and name on each medicine card or medicine container. (per directive for this duty) THE MED CART IS ORGANIZED AS FOLLOWS: I. On the top left side of the cart there is a small trash bin attached to the cart FOR'I'RASH. As meds are administered, all wrappings or any litter shall be deposited in the trash bin. Upon rehuning the med cart to the med office the med passer shall empty the trash bin for the next round of meds. 2. Below the trash bin there is a SHARPS CONTAINER. It is most important that all needles and other sharp instnrments used by med passers or inmates, after injectio:rs, aze placed in the SHARPS container No med passer shall ever place any needle on the cart in any manner whereby another med passer might accidentally get cut or scratched by a needle or sharp instrument,