Response & Identification of Medical Issues. Training Objectives 1.Comprehend the term communicable...

Response & Identification of Medical Issues

Training Objectives

1. Comprehend the term “communicable disease.”

2. Identify the seven (7) communicable diseases which are of greatest concern to detention officers and how each is transmitted.

Training Objectives

3. Analyze the procedures and precautions that must be taken to protect staff and inmates from infection by communicable diseases in reference to:

a. Glovesb. Eye maskc. Gownd. Equipmente. Handling of contaminated clothing/itemsf. Hand washing

Training Objectives

4. Determine North Carolina statute requirement reference disclosure of sensitive medical information.

5. Explain the procedures to follow or implement to address mental health needs of inmates in a detention facility.

6. Identify the procedures that must be followed when distributing prescribed medication to an inmate.

Training Objectives

7. Discover the reasons for inmates to be granted an opportunity to communicate health complaints.

8. Determine the important elements of supervision that must be followed when supervising sick call.

9. Compare and contrast the proper procedures to be followed when distributing over-the-counter medication versus prescribed medication to inmates in a detention facility.

10. Recognize the dangers of a gynecological emergency that might occur within a detention setting.

G.S. 153A-225(a)(3)In regards to

communicable diseases, a medical plan must “provide for the detection, examination and

treatment of prisoners who are

infected with tuberculosis or

venereal diseases.”

Communicable Disease

indirectly to a person from an infected person or animal through the agency of an intermediate animal, host or vector, or through the inanimate environment.

An illness due to an infectious agent or its toxic products which is transmitted directly or

TuberculosisHepatitis

PediculosisAIDS

GonorrheaSyphilisMRSA

Communicable Diseases Communicable Diseases Common in Detention FacilitiesCommon in Detention Facilities

Tuberculosis

Tuberculosis is a communicable disease caused by the tubercle bracilli. The probability that TB will be transmitted depends on three factors:

2. The environment in which exposure occurred

3. The duration of exposure

1. The infectiousness of the person with TB

Hepatitis

Hepatitis A

Hepatitis B

Hepatitis C

Hepatitis D

Hepatitis E

Pediculosis (lice)

Head Lice

Pubic (crab) lice

Body lice

(Acquired Immune Deficiency Syndrome)

AIDS

Maurina.files.wordpress.com/2007/05/red_ribbon.jpg

HIV – Positive Groups

a) Homosexual or bisexual menb) Heterosexual IV drug usersc) Persons with hemophilia or others who

received transfusions prior to 1985d) Female heterosexual contacts of men with

HIV-Positivee) Children from HIV-Positive mothers during

birth

Approximately 95% of AIDS cases in the U.S. have occurred among the following groups of people:

a. Extreme tiredness, with headache or dizziness

b. Continued fever or night sweats

c. Weight loss of more than 10 pounds

d. Swollen glands in the neck

e. Purple or discolored growths on the skin

HIV – Positive Symptoms

f. Heavy, continued dry cough

g. Continuing bouts of diarrhea

h. Thrush, a thick whitish coating on the tongue

i. Unexplained bleeding from any body opening

j. Progressive shortness of breath

HIV – Positive Symptoms

Gonorrhea is the most commonly reported communicable disease after the common cold.

In 2000, there were 15,072 reported cases of gonorrhea in North Carolina. With 15,072 reported cases of gonorrhea, North Carolina ranks 9th in the nation.

Gonorrhea

Syphilis

Syphilis is caused by the “treponema pallidum,” a microscopic organism usually transmitted by sexual contact, but the organisms can also spread by skin contact (where skin is broken or cut).

MRSA

MRSA is a type of Staphylococcus aureus. Staphylococcus aureus, often referred to simply as “staph” are bacteria commonly

carried on the skin or in the nose of healthy people. Some staphylococcus aureus are resistant to the class of antibiotics that are

frequently used to treat staph such as methicillin and thus are called

Methicillin-Resistant Staphylococcus Aureus.

www.envisioninc.net/catalog/images/TB_Mask.jpg

Tuberculosis – Precautions and Protections

1. Use universal precautions

2. Isolate from other inmates so the infections will not spread

3. Place inmate in a cell with good ventilation

4. Have inmate wear a mask when speaking or having contact with detention personnel


Hepatitis A – Precautions and Protections

1. Universal precautions

2. Vaccine available

3. A single dose of immune globulin given within one week of exposure


Hepatitis B – Precautions and Protections

1. Universal precautions

2. Vaccine available

3. Hepatitis B immune globulin


Hepatitis C – Precautions and Protections

1. Universal precautions indicated

2. No vaccine available


Hepatitis D – Precautions and Protections


2. Vaccine and hepatitis B immune globulin therapy


Hepatitis E – Precautions and Protections


2. Vaccine and hepatitis B immune globulin therapy

3. No post exposure prophylaxis available

Pediculosis (lice) Precautions and Protections

Head LiceInmates should not be allowed to share combs, caps or other similar personal items. Staff and inmates need to use a pediculicidal shampoo or lotion for the removal of the lice and/or their eggs.

Pediculosis (lice) Precautions and Protections

Crab LicePersons discovered to be infected should be isolated and any skin to skin contact should be avoided. Strict personal hygiene practices should be mandatory.

Scabies Precautions and Protections

Usually, the treatment is a cream, lotion or shampoo. Skin to skin contact should be avoided. Disinfecting of personal articles should occur together with treatment.

Universal Precautions

Universal precautions shall be observed to prevent

contact with blood or other potentially infectious

materials. Officers need to consider all bodily fluids as

potentially infectious.

Personal Protective Equipment

a. Agencies should provide appropriate personal protective equipment such as gloves, gowns, face shields or masks, eye protection, and pocket masks.

b. The agency should ensure that personal protective equipment in the appropriate sizes is accessible to all employees.

c. If garment is penetrated by blood or other potentially infectious material, the garment shall be removed immediately.


d. All personal protective equipment shall be removed prior to leaving the work area.

e. When personal protective equipment is removed, it shall be placed in an appropriately designated area.

f. Gloves shall be worn when officers think they may come into contact with blood or other potentially infectious materials.


g. Masks, in combination with eye protection, shall be worn whenever splashes or spray spatter to the officer’s eyes, nose, or mouth is anticipated.

h. Appropriate protective clothing such as gowns, aprons, lab coats, clinic jackets shall be worn in occupational exposure situations.


i. All equipment and environmental and working surfaces shall be cleaned and decontaminated after contact with blood or other potentially infectious materials.

j. Regulated waste

1. Contaminated sharps

2. Laundry

IMPORTANT PROTECTIVE IMPORTANT PROTECTIVE GUIDELINESGUIDELINES

1.Staff should wear protective gloves

2.Staff should change protective gloves and wash hands

3.Hand washing is very important4.Appropriate protective clothing

should be worn at all times5.Hidden needles – use extreme

caution6.When searching, carry puncture-

proof containers7.Practice proper waste disposal

Privacy of Privacy of InformationInformation

The U. S. Constitution included a right to privacy that requires deputies and detention officers to avoid

the unnecessary disclosure of highly

sensitive information about a person.

www.deathpenaltyinfo.org/php/uploads/scales_of_justice.jpg

www.middletonlawgroup.com/Scale_of_Justice.gif

1. Actual threats to commit suicide

2. Previous attempts to commit suicide

3. Depression, which might be revealed by crying, withdrawal, insomnia

4. Giving away personal property

5. Signs of serious mental health problems

7. History of mental illness

8. Severe aggressiveness and difficulty relating to others

9. Speaking unrealistically about the future

6. Drug or alcohol intoxication or withdrawal

HIGH RISK PERIODS

1. First 24 hours of confinement

2. After receiving bad news

3. Before and after court

4. Weekends and holidays

5. Before anticipated release

6. During intoxication or withdrawal

7. During poor physical health

8. After being assaulted by another inmate

Prescribed Medication

Prescribed medication that is provided for a specific inmate by a pharmacist or other

qualified person from the outside the facility must

be accompanied with specific information.

Prescribed Medication Information1. Name, address and telephone number

or the pharmacy that provided the medication

2. Name of the prescriber

3. Date the medication was provided

4. Name of the inmate

5. Instructions for administering

6. Name, strength, and dosage form of the medication

Detention officers will not administer medication to one inmate from another inmate’s prescription.

The remainder of any prescribed medication that is provided for a specific inmate by a pharmacist or other qualified person from outside the detention facility may be sent with the inmate at his time of release.

Important Information

Every medication label must give instructions as to the dosage.

The timing of the dosage could also be more specific than “four times a day.”

The label might specify that the medication be taken at certain intervals “as needed.”

It is very important to follow the label directions regarding the timing of the dosage very carefully.

Be aware of and follow any special orders on the medication label.

Opportunity to Communicate Health Complaints

Inmates are to be provided an opportunity to

communicate their health complaints by submitting sick call slips. This applies to all health complaints, including

dental needs and mental health problems.

Emergency Medical Problems

• Unconsciousness or semi-consciousness

• Serious alcohol or drug-induced intoxication

• Severe bleeding• Serious breathing difficulties• Serious head injury• Severe burns• Severe pain• Other symptoms or complaints which

indicate that an inmate might need immediate medical attention

Dental Medical Emergencies

Severe painSevere facial swelling

Broken teethOther symptoms or

complaints which indicate that an inmate might need

immediate dental treatment

Non-Prescription Medication

It is very important to accurately record the

administration of non-prescription

medications, such as aspirin, laxatives, cold tablets, etc.

Female Gynecological and

Obstetrical Emergencies

1. Gynecological emergencies

2. Genital trauma

3. Obstetrical emergencies

Diabetes

Diabetes mellitus

Diabetic coma and insulin shock

Care for diabetic emergencies

Training Objectives

1. Comprehend the term “communicable disease.”

2. Identify the seven (7) communicable diseases which are of greatest concern to detention officers and how each is transmitted.

Training Objectives

3. Analyze the procedures and precautions that must be taken to protect staff and inmates from infection by communicable diseases in reference to:

a. Glovesb. Eye maskc. Gownd. Equipmente. Handling of contaminated clothing/itemsf. Hand washing

Training Objectives

4. Determine North Carolina statute requirement reference disclosure of sensitive medical information.

5. Explain the procedures to follow or implement to address mental health needs of inmates in a detention facility.

6. Identify the procedures that must be followed when distributing prescribed medication to an inmate.

Training Objectives

7. Discover the reasons for inmates to be granted an opportunity to communicate health complaints.

8. Determine the important elements of supervision that must be followed when supervising sick call.

9. Compare and contrast the proper procedures to be followed when distributing over-the-counter medication versus prescribed medication to inmates in a detention facility.

10. Recognize the dangers of a gynecological emergency that might occur within a detention setting.

Response & Identification of Medical Issues. Training Objectives 1.Comprehend the term communicable...

Documents

Transcript of Response & Identification of Medical Issues. Training Objectives 1.Comprehend the term communicable...