Health Care Policy Manual
Table of Contents
Policy Number | Policy Name | Review Date | Revised Date |
AD - Administrative | |||
I. Organization |
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AD I-1 | Health Services Mission, Vision, Goals and Objective - Rescinded 12/22/20 - Refer to AD I - 8 Health and Wellness Organization | ||
AD I-2 | Health Care Treatment Philosophy - Rescinded 12/22/20 - Refer to AD I - 8 Health and Wellness Organization | ||
AD I-3 | Overall Responsibilities - Rescinded 12/22/20 - Refer to AD I - 8 Health and Wellness Organization | ||
AD I-4 | Rescinded April 24, 2020 | ||
AD I-5 | Definitions of Medical Missions - Rescinded 12/22/20 - Refer to AD I - 8 Health and Wellness Organization | ||
AD I-6 | Rescinded July 16, 2020 | ||
AD I-7 | Behavioral Health Services | 11-2020 | 11-2020 |
AD I-8 | Health and Wellness Organization | 12-2020 | 12-2020 |
II. Performance Improvement and Risk Management | |||
AD II-1 | Performance Improvement Plan | 11-2020 | 11-2020 |
AD II-2 | Peer Review Program | 11-2020 | 11-2020 |
AD II-3 | Rescinded April 24, 2020 | ||
AD II-4 | Inmate Injuries (workman's comp) | 4-2010 | 5-2002 |
AD II-5 | Rescinded | ||
AD II-6 | Rescinded | ||
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AD II-10 | Rescinded July 16, 2020 | 3-2013 | 3-2013 |
AD II-11 | Rescinded July 16, 2020 Refer to DOP Policies Chapter F .2400 key and lock control and F .2700 tool control | ||
AD II-12 | Identification of Patients | 9-2020 | 9-2020 |
AD II-13 | Cardiopulmonary Resuscitation | N/A | 12-2013 |
AD II-14 | Rescinded April 24, 2020 | ||
III. Managed Care | |||
AD III-1 | 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 | 11-2020 | 11-2020 |
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 | 6-2017 | 6-2017 |
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 |
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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 | Rescinded - 08/10/2020 | ||
AD VI-2 | Deleted | ||
AD VI-3 | Release of Confidential Information | 5-2014 | 5-2014 |
AD VI-4 | Rescinded - 08/10/2020 | ||
AD VI-5 | Mental Health Records/Tracking System - Rescinded November 2, 2020 | ||
AD VI-6 | Photographs and Videotapes | 5-2014 | 5-2014 |
AD VI-7 | Rescinded - 08/10/2020 | ||
AD VI-8 | Rescinded - 08/10/2020 | ||
AD VI-9 | Deleted | ||
AD VI-10 | Deleted | ||
AD VI-11 | Deleted | ||
AD VI-12 | Rescinded April 24, 2020 | ||
AD VI-13 | Rescinded April 24, 2020 | ||
AD VI-14 | Rescinded April 24, 2020 | ||
AD VI-15 | Rescinded April 24, 2020 | ||
AD VI-16 | Rescinded April 24, 2020 | ||
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 | Rescinded | ||
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 | 11-2020 | 11-2020 |
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 - Rescinded November 2, 2020 Refer to AD I-7 Behavioral Health Services | ||
II. Employee Health | |||
P II-1 | Moved to IC-11 | ||
P II-2 | Moved to IC-12 | ||
P II-3 | Moved to IC-13 | ||
P II-4 | Moved to IC-14 | ||
P II-5 | BBP Exposure to DOP Employees | 7-2014 | 7-2014 |
P II-6 | Moved to IC-10 | ||
A - Assessment of Patient | |||
A-1 | Receiving Screening | 1-2014 | 1-2014 |
A-2 | Intake Physical Exam and PULHEAT System | 7-2017 | 7-2017 |
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 | Deleted March 19, 2018 | ||
A-7 | Court Ordered STD Testing | 01-2021 | 01-2021 |
A-8 | Paternity Testing | 9-2020 | 9-2020 |
A-9 | Patient Acuity Rating System | 4-2016 | 4-2016 |
A-10 | Falls Screening Alert | 4-2010 | 8-2004 |
A-11 | Vision Screening | 3-2017 | 3-2017 |
A-12 | 4-2018 | 4-2018 | |
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 | Rescinded April 24, 2020 | ||
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 Outpatient Services - Rescinded November 2, 2020 Refer to AD I - 7 Behavioral Health Services | ||
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 | 04-2018 | 04-2018 |
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 | 04-2018 | 4-2018 |
TX I-13 | Evaluation and Management of Transgender Offenders - Moved to Prison Manual; E.2700 | 08-2018 | 08-2018 |
TX I-14 | Adult Residential Treatment Services | N/A | 10-2013 |
TX I-15 | Therapeutic Diversion Units (TDU) | 07-2020 | 07-2020 |
TX I-16 | Alcoholism and Chemical Dependency Programs | 11-2020 | 11-2020 |
II. Medication Administration | |||
TX II-1 | Drug Formulary | 2-2017 | 2-2017 |
TX II-2 | Deleted and Combined into TX II-4 | ||
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 | 2-2017 | 2-2017 |
TX II-7 | Methods of Medication Administration | 08-2017 | 08-2017 |
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 | Refer to TX-7 | N/A | N/A |
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 | 9-2020 | 9-2020 |
TX II-15 | Recall of a Drug, Product, or Device | 12-2020 | 12-2020 |
TX II-16 | Inmate Release with Medications | 7-2017 | 7-2017 |
TX II-17 | Deleted and Combined into TX II-1 | ||
TX II-18 | Offender Medication Refill Request System | 12-2020 | 12-2020 |
TX II-19 | Deleted | ||
TX II-20 | Transcription of Orders | 1-2012 | 6-2011 |
TX II-21 | Deleted | ||
TX II-22 | Mental Health Preferred Drug List | N/A | 11-2010 |
TX II-23 | Automated Dispensing Cabinets | 1-2018 | 1-2018 |
TX II-24 | USP-800 Hazardous Drugs-Handling in Healthcare Settings | 09/22/20 | 09/22/20 |
TX II-25 | Use of Clozapine | 12/03/20 | 12/03/20 |
TX II-26 | 340B Drug Pricing Program | 12/18/20 | 12/18/20 |
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 | 12-2020 | 12-2020 | |
TX III-8 | Rescinded July 16, 2020 Refer to DOP Policy Chapter F .1500 Use of Force | ||
TX III-9 | Suicide Prevention Program | 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 | 7-2020 | 7-2020 |
TX V-2 | Dental Clinic Infection Control and Workplace Safety | 11-2020 | 11-2020 |
TX V-3 | Dental Exams and Assessment | 7-2020 | 7-2020 |
TX V-4 | Access to Dental Care and Dental Priorities | 7-2020 | 7-2020 |
TX V-5 | Preventive Dentistry | 11-2020 | 11-2020 |
TX V-6 | Types of Dental Treatments Provided | 8-2020 | 8-2020 |
TX V-7 | Rescinded April 24, 2020 | ||
TX V-8 | Rescinded April 24, 2020 | ||
TX V-9 | Rescinded April 24, 2020 | ||
TX V-10 | Rescinded April 24, 2020 | ||
TX V-11 | Rescinded April 24, 2020 | ||
TX V-12 | Dental Specialty Services | 9-2020 | 9-2020 |
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 | Pregnancy Management | 12-2020 | 12-2020 |
CC-5 | Rescinded April 24, 2020 | ||
CC-6 | Behavioral Health Services - Case Finding and Patient Flow - Rescinded November 2, 2020 Refer to AD I - 7 Behavioral Health Services | ||
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 | 8-2017 | 8-2017 |
CC-12 | Medical Release8 | 8-2017 | 8-2017 |
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 | 9-2016 | 9-2016 |
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 |