| Policy Number |
Policy Name |
Review Date |
Revised Date |
| AD - Administrative |
|
I. Organization
|
| AD I-1 |
Health Services Mission, Vision, Goals and Objective |
2-2012 |
2-2012 |
| AD I-2 |
Health Care Treatment Philosophy |
2-2012 |
2-2012 |
| AD I-3 |
Overall Responsibilities |
7-2010 |
10-2008 |
| AD I-4 |
Facility Procedures |
8-2010 |
8-2010 |
| AD I-5 |
Definitions of Medical Mission |
1-2012 |
4-2008 |
| AD I-6 |
Nursing Procedure Manual |
1-2012 |
6-2007 |
| II. Performance Improvement and Risk Management |
| AD II-1 |
Performance Improvement Plan |
7-2017 |
7-2017 |
| AD II-2 |
Health Services Peer Review |
4-2010 |
9-2008 |
| AD II-3 |
Medical Statistics and Reports |
4-2010 |
10-2007 |
| AD II-4 |
Inmate Injuries (workman's comp) |
4-2010 |
5-2002 |
| AD II-5 |
Medication Variances and Incidents Reports |
4-2010 |
4-2009 |
| AD II-6 |
Medical Incidents & Adverse Events |
4-2016 |
4-2016 |
| AD II-7 |
Internal Medical Review |
4-2010 |
4-2009 |
| AD II-8 |
Forensic Investigation |
4-2010 |
4-2009 |
| AD II-9 |
Nursing Quality Control Monitoring |
1-2012 |
4-2011 |
| AD II-10 |
Health Services Comprehensive Audits |
3-2013 |
3-2013 |
| AD II-11 |
Instruments, Sharps, Key Control |
4-2010 |
3-2009 |
| AD II-12 |
Identification of Patients |
N/A |
9-2013 |
| AD II-13 |
Cardiopulmonary Resuscitation |
N/A |
12-2013 |
| III. Managed Care |
| AD III-1 |
Inmate Co-Pay
|
1-2016 |
1-2016 |
| AD III-2 |
Processing Disability Claims |
5-2010 |
5-2002 |
| AD III-3 |
Utilization Review Plan |
6-2014 |
6-2014 |
| AD III-4 |
Cosmetic Surgery |
11-2010 |
5-2002 |
| AD III-5 |
Medical Claims Receipt |
1-2012 |
10-2007 |
| AD III-6 |
Pended UR Requests |
9-2016 |
9-2016 |
| AD III-7 |
Utilization Review Policies |
4-2010 |
12-2010 |
| IV. Patient's Rights |
| AD IV-1 |
Informed Consent |
2-2014 |
2-2014 |
| AD IV-2 |
Involuntary Commitment |
4-2010 |
9-2007 |
| AD IV-3 |
Confidentiality |
4-2014 |
4-2014 |
| AD IV-4 |
Medical Research |
5-2014 |
5-2014 |
| AD IV-5 |
Inmate Right to Refuse Medical Treatment |
5-2014 |
5-2014 |
| AD IV-6 |
Access to Foreign Language Translation |
1-2012 |
1-2012 |
|
V. Death and Dying
|
| AD V-1 |
Rights to a Natural Death |
1-2012 |
2-2002 |
| AD V-2 |
Procedures in Case of Death of an Inmate |
6-2012 |
6-2012 |
| AD V-3 |
Organ Donations |
1-2010 |
1-2009 |
| AD V-4 |
Transporting Bodies |
5-2010 |
5-2010 |
| AD V-5 |
Revocation of DNR Orders |
4-2010 |
4-2009 |
| AD V-6 |
Right to Healthcare Decisions |
5-2011 |
5-2011 |
| AD V-7 |
Recognition of DNR Status |
N/A |
1-2012 |
| VI. Medical Records |
| AD VI-1 |
Purpose and Composition of Medical Record |
5-2014 |
5-2014 |
| AD VI-2 |
Medical Record Committee |
6-2010 |
4-2000 |
| AD VI-3 |
Release of Confidential Information |
5-2014 |
5-2014 |
| AD VI-4 |
Combining Records & Creating Additional Volumes |
8-2014 |
8-2014 |
| AD VI-5 |
Mental Health Records/Tracking System |
6-2010 |
1-2006 |
| AD VI-6 |
Photographs and Videotapes |
5-2014 |
5-2014 |
| AD VI-7 |
Transfer of Medical Records |
5-2014 |
5-2014 |
| AD VI-8 |
Record Retention |
8-2010 |
8-2010 |
| AD VI-9 |
Retrieval of Parole/Release Records |
4-2011 |
4-2011 |
| AD VI-10 |
Coding and Indexing |
8-2010 |
8-2009 |
| AD VI-11 |
Medical Alert Labels |
4-2014 |
4-2014 |
| AD VI-12 |
Basic Medical Record Documentation |
4-2014 |
4-2014 |
| AD VI-13 |
Forms Management |
5-2014 |
5-2014 |
| AD VI-14 |
Problem List |
9-2014 |
9-2014 |
| AD VI-15 |
Dialysis Records |
9-2016 |
9-2016 |
| AD VI-16 |
Recording Data in OPUS |
9-2016 |
9-2016 |
| AD VI -17 |
HERO Downtime Policy and Procedure |
9-2016 |
9-2016 |
| VII. Facilities |
| AD VII-1 |
Facilities, Equipment, Supplies |
1-2012 |
4-2011 |
| AD VII-2 |
First Aid Kits |
7-2010 |
9-2005 |
| AD VII-5 |
Emergency Medical Response |
6-2012 |
6-2012 |
| VIII. Reporting |
| AD VIII-2 |
Notification of Serious Illness, Injury or Death of Hospitalized Patient |
8-2010 |
3-2004 |
| AD VIII-3 |
Duty to Warn |
1-2014 |
1-2014 |
| AD VIII-4 |
Deleted refer to CP 18 |
Deleted |
Deleted |
| AD VIII-5 |
Reporting Positive Drug Finding During Dx. Work-up |
3-2014 |
3-2014 |
| AD VIII-6 |
Medical Notification to Excuse from Work |
11-2014 |
11-2014 |
| P - Personnel |
| P-1 |
Nursing Staffing Standards |
1-2012 |
1-2012 |
| P-2 |
Professional Licensure and Credentials Verification |
4-2011 |
4-2011 |
| P-3 |
Continuing Education |
5-2010 |
5-2008 |
| P-4 |
Use of Physician Extenders |
8-2010 |
8-2009 |
| P-5 |
Use of Inmates in Delivery of Health Care |
1-2012 |
10-2007 |
| P-6 |
Nursing: Verification of Valid Professional Licenses/Listings |
1-2012 |
4-2011 |
| P-7 |
Medication Technicians |
1-2016 |
1-2016 |
| P-8 |
Nursing Coverage |
1-2012 |
3-2010 |
| P-9 |
Nursing Orientation, Mandatory Training and Competency Evaluation |
1-2012 |
5-2010 |
| P-10 |
Requesting Flexible Schedule |
1-2012 |
1-2012 |
| P-11 |
Social Work Staffing |
5-2012 |
5-2012 |
| II. Employee Health |
| P II-1 |
Employee Vaccinations and TB Screening |
4-2014 |
4-2014 |
| P II-2 |
Moved to IC-12 |
|
|
| P II-3 |
Treatment of Injured or Sick Staff |
6-2014 |
6-2014 |
| P II-4 |
Moved to IC-14 |
|
|
| P II-5 |
BBP Exposure to DOP Employees |
7-2014 |
7-2014 |
| P II-6 |
BBP Exposure to Employees of Other Agencies |
7-2014 |
7-2014 |
| A - Assessment of Patient |
| A-1 |
Receiving Screening |
1-2014 |
1-2014 |
| A-2 |
Intake Physical Exam and PULHEAT System |
3-2013 |
3-2013 |
| A-3 |
Lab Services |
5-2014 |
5-2014 |
| A-4 |
Radiology Services |
5-2014 |
5-2014 |
| A-5 |
Offenders in Segregation |
11-2014 |
11-2014 |
| A-6 |
Disciplinary Actions for Mental Health Patients |
6-2010 |
12-2008 |
| A-7 |
Court Ordered STD Testing |
2-2014 |
2-2014 |
| A-8 |
Paternity Testing |
11-2014 |
11-2014 |
| A-9 |
Patient Acuity Rating System |
4-2016 |
4-2016 |
| A-10 |
Falls Screening Alert |
4-2010 |
8-2004 |
| A-11 |
Vision Screening |
6-2014 |
6-2014 |
| A-12 |
Intersystem and Intrasystem Mental Health Services Screening, Appraisal and Evaluation |
4-2012 |
4-2012 |
| A-13 |
Infusion Therapy and Blood |
N/A |
1-2016 |
| PL - Planning Patient Care |
| PL-1 |
Procedures for Chronic Disease |
6-2013 |
6-2013 |
| PL-2 |
Initial Nursing Care Plan for Mental Health |
1-2012 |
3-2002 |
| PE - Patient Education |
| PE-1 |
Health Orientation |
1-2014 |
1-2014 |
| PE-2 |
Inmate Health Education/Health Promotion |
10-2014 |
10-2014 |
| PE-3 |
Refer to Policy N-1 Deleted |
Policy Deleted |
Policy Deleted |
| PE-4 |
Refer to Policy TX-7 Deleted |
Policy Deleted |
Policy Deleted |
| TX - Care and Treatment of Patient |
| I. Access to Services |
| TX I-1 |
Sick Call |
1-2016 |
1-2016 |
| TX I-2 |
Specialty Medical Clinics |
9-2016 |
9-2016 |
| TX I-3 |
Mental Health Clinics |
6-2011 |
6-2011 |
| TX I-4 |
Medical Treatment Services Outside DOP |
7-2012 |
7-2012 |
| TX I-5 |
Mental Health Services Outside DOP |
Policy Deleted |
Policy Deleted |
| TX I-6 |
Mental Health Day Treatment |
11-2010 |
12-2008 |
| TX I-8 |
Telephone Triage |
1-2017 |
1-2017 |
| TX I-9 |
Detoxification and Drug Withdrawal |
1-2012 |
1-2012 |
| TX I-10 |
Oxygen |
6-2014 |
6-2014 |
| TX I-11 |
Mass Casualties |
9-2016 |
9-2016 |
| TX I-12 |
Mental Health Outpatient Services - Telepsychiatry Clinics |
|
4-2012 |
| TX I-13 |
Evaluation and Management of Disorders of Gender Identity |
10-2014 |
10-2014 |
| TX I-14 |
Adult Residential Treatment Services |
N/A |
10-2013 |
| II. Medication Administration |
| TX II-1 |
Drug Formulary |
4-2012 |
4-2012 |
| TX II-2 |
Inmate Initially Received into the System with Medication |
1-2012 |
1-2012 |
| TX II-3 |
Valid Orders and Treatment Protocols |
1-2017 |
1-2017 |
| TX II-4 |
Medication Procurement and Returns |
1-2017 |
1-2017 |
| TX II-5 |
Starter Dose Program |
1-2017 |
1-2017 |
| TX II-6 |
Inmate Transferred on Medication |
1-2012 |
2-2012 |
| TX II-7 |
Methods of Medication Administration |
1-2012 |
2-2012 |
| TX II-8 |
Involuntary Administration of Psychotropic Medication |
6-2012 |
6-2012 |
| TX II-9 |
Medication Duration for Outpatient Services |
1-2017 |
1-2017 |
| TX II-10 |
Documentation of Medication Administration |
3-2013 |
3-2013 |
| TX II-11 |
Psychotropic Medication Review |
12-2016 |
12-2016 |
| TX II-12 |
Controlled Substances |
1-2017 |
1-2017 |
| TX II-13 |
Non-Prescription Medication in Canteen |
1-2017 |
1-2017 |
| TX II-14 |
Drug Storage |
1-2017 |
1-2017 |
| TX II-15 |
Drug Recall |
1-2017 |
1-2017 |
| TX II-16 |
Inmate Release with Medications |
12-2015 |
12-2015 |
| TX II-17 |
Pharmacy and Therapeutics Committee |
1-2012 |
1-2012 |
| TX II-18 |
Inmate Medication Refill Request System |
4-2012 |
4-2012 |
| TX II-19 |
PRN (as needed) Medication, administration of |
4-2010 |
6-2007 |
| TX II-20 |
Transcription of Orders |
1-2012 |
6-2011 |
| TX II-21 |
Procuring Medications for Inmate Workman's Comp Cases |
1-2012 |
10-2007 |
| TX II-22 |
Mental Health Preferred Drug List |
N/A |
11-2010 |
| III. Restrictive Procedures |
| TX III-1 |
Therapeutic Seclusion |
7-2010 |
9-2007 |
| TX III-2 |
Therapeutic Restraint |
7-2010 |
10-2008 |
| TX III-3 |
Use of Restraints for Medical Purposes |
10-2014 |
10-2014 |
| TX III-4 |
Use of Administrative Segregation for Behavioral Observation |
7-2010 |
10-2008 |
| TX III-5 |
Assessment and Care of Patient on Special Management Meals |
10-2014 |
10-2014 |
| TX III-6 |
Assessment and Care for Patient on Finger Food Diet |
10-2010 |
10-2008 |
| TX III-7 |
Self Injurious Behavior Intervention
|
6-2016 |
6-2016 |
| TX III-8 |
Medical Care After Use of Force and/or Incidents Involving Trauma to an Inmate |
10-2014 |
10-2014 |
| TX III-9 |
Suicide Prevention Program (Effective 09/01/2016) |
6-2016 |
6-2016 |
| IV. Infection Control |
| TX-VI |
Moved to IC Section of Manual |
Policy Moved |
Policy Moved |
| V. Dental Services |
| TX V-1 |
Dental Responsibilities |
5-2014 |
5-2014 |
| TX V-2 |
Asepsis Dental Procedures |
5-2014 |
5-2014 |
| TX V-3 |
Dental Exams and Assessment |
3-2016 |
3-2016 |
| TX V-4 |
Access to Dental Care and Dental Priorities |
5-2014 |
5-2014 |
| TX V-5 |
Preventive Dentistry |
5-2014 |
5-2014 |
| TX V-6 |
Types of Dental Treatments Provided |
3-2016 |
3-2016 |
| TX V-7 |
Periodontal Treatment |
3-2016 |
3-2016 |
| TX V-8 |
Orthodontics |
5-2014 |
5-2014 |
| TX V-9 |
Dental Records and Reports |
5-2014 |
5-2014 |
| TX V-10 |
Dental Hygiene Under Direction |
5-2014 |
5-2014 |
| TX V-11 |
Dental Holds |
3-2016 |
3-2016 |
| VI. Activities of Daily Living |
| TX VI-1 |
Inmate Personal Hygiene |
1-2012 |
2-2002 |
| TX VI-2 |
Therapeutic Diets & Supplemental Nourishment |
8-2010 |
8-2009 |
| TX VI-3 |
Refer to Policy N-5 Deleted |
Policy Deleted |
Policy Deleted |
| TX VI-4 |
Grinding of Toe Nails & Calluses |
11-2010 |
2-2002 |
| VII. Disabilities |
| TX VII-1 |
Development Disabilities |
8-2010 |
8-2007 |
| TX VII-2 |
Physical, Mental, or Cognitive Disabilities |
8-2010 |
8-2009 |
| TX VII-3 |
Medical Prosthesis and Appliances Including Footwear |
10-2014 |
10-2014 |
| CC - Continuity Patient Care |
| CC-1 |
Continuity of Care |
4-2014 |
4-2014 |
| CC-2 |
Hospitalization & In-Patient Medical Services |
4-2014 |
4-2014 |
| CC-3 |
Transfers, Appropriate Medical Placements & Medical Holds |
5-2014 |
5-2014 |
| CC-4 |
Pregnant Inmates |
3-2014 |
3-2014 |
| CC-5 |
Aged and Infirmed Inmate |
5-2014 |
5-2014 |
| CC-6 |
Mental Health Services - Case Finding and Patient Flow |
8-2010 |
10-2008 |
| CC-7 |
Transfer Procedures for Referral to Mental Health |
8-2010 |
10-2008 |
| CC-8 |
Aftercare Planning for Inmate Health Services |
1-2012 |
11-2007 |
| CC-9 |
Social History |
5-2010 |
5-2003 |
| CC-11 |
Extending the Limits of Confinement |
4-2010 |
9-2007 |
| CC-12 |
Medical Release |
12-2014 |
12-2014 |
| CC-13 |
Inmate and Family Correspondence and Calls |
3-2014 |
3-2014 |
| CC-14 |
Medicaid Application Process |
N/A |
12-2012 |
| N - Nutrition |
| N-1 |
Therapeutic Diet Orientation |
03-2016 |
03-2016 |
| N-5 |
Management of Offenders Refusing to Eat |
10-2014 |
10-2014 |
| IC - Infection Control |
| IC-1 |
Sterilization & Disinfection |
1-2016 |
1-2016 |
| IC-2 |
Sanitation of Medical Areas & Equipment |
9-2016 |
9-2016 |
| IC-3 |
Communicable Disease |
1-2016 |
2-2016 |
| IC-4 |
Standard Precautions |
1-2015 |
1-2015 |
| IC-5 |
Inmate Exposure to BBP |
9-2016 |
9-2016 |
| IC-6 |
Tuberculosis Control Plan |
3-2011 |
3-2011 |
| IC-7 |
Management of HIV Infection/Acquired |
1-2012 |
9-2010 |
| IC-8 |
Immunizations |
5-2016 |
5-2016 |
| IC-10 |
BBP Exposure/Employees of Other Agencies |
9-2016 |
9-2016 |
| IC-11 |
Employee Vaccinations and TB Screening |
9-2016 |
9-2016 |
| IC-12 |
Injuries to Staff and Occupational Exposure to DPS Staff and Staff from other Agencies |
1-2016 |
1-2016 |
| IC-13 |
Treatment of Injured or Sick Staff |
9-2016 |
9-2016 |
| IC-14 |
Health Care Worker's Infected with HIV and/or HBV |
1-2016 |
1-2016 |