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10.07.12.00.htm 10.07.12.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 07 HOSPITALS Chapter 12 Health Care Facilities Within Correctional Institutions Authority: Health-General Article, ยง19-307, 19-308, 19-320, and 19-323, Annotated Code of MarylandPreface. The nature of health care delivery within the correctional system is based upon referral procedures for handling inmate complaints. It is the purpose of these regulations to ensure that men and women confined in correctional
10.07.12.01.htm 10.07.12.01. 01 Scope.. These regulations are applicable to all health care facilities within correctional institutions and include those services provided inmates who report to the health care facility on an out-patient basis. These regulations do not include infirmaries which do not house patients overnight.
10.07.12.02.htm 10.07.12.02. 02 Definitions.. A. "Communicable disease programs" means the provision of services that will assist in the prevention of communicable disease.B. "Department" means the Department of Health and Mental Hygiene.. C. "Health care facility" means a specified area within the correctional institution in which general and clinical health care services are provided to inmates in the custody of the Division of Corrections.D. "Health care program" means a document prepared
10.07.12.03.htm 10.07.12.03. 03 Compliance with State and Local Laws, Ordinances, Regulations, or Orders.. A. Each correctional facility shall demonstrate to the Department its compliance with applicable State and local ordinances, laws, regulations, and orders as they apply to the use of facilities for health, welfare and safety.B. Fire code requirements shall be:. 1) In accordance with the NFPA 101 Life Safety Code as adopted as part of the State Fire Prevention Code of Maryland;
10.07.12.04.htm 10.07.12.04. 04 License Procedure.. Applicants for licensure shall conform to the following:. A. Any person desiring to open and operate a health care facility within a correctional institution or to continue the operation of an existing health care facility, shall file a written or electronic application with the Department giving the information required by the Office of Health Care Quality;B. The applicant shall submit a synopsis of the health care program to be offered with the applicati
10.07.12.05.htm 10.07.12.05. 05 Transfer or Assignment of License.. A. Transfer or assignment of the license is prohibited.. B. A separate license shall be required for each health care facility operated within the correctional institution.
10.07.12.06.htm 10.07.12.06. 06 Inspections.. A. Health Care Facility to be Open for Inspection. Health care facilities, and any premise proposed to be operated by an applicant for a license, shall be open at all reasonable times to inspection by the Secretary of Health and Mental Hygiene and by any agency designated by the Secretary of Health and Mental Hygiene.B. Frequency of Inspection. Health care facilities shall be inspected by the Secretary of Health and Mental Hygiene at least once during each 1-year p
10.07.12.07.htm 10.07.12.07. 07 Policies and Procedures.. Written policies and procedures shall be established for the following services:. A. Physician services;. B. Health care services;. C. Staffing;. D. Emergency care;. E. Medical research;. F. Communicable diseases;. G. Medical examinations and evaluation process;. H. Pharmacy services;. I. Dietary services;. J. Nursing Services..
10.07.12.08.htm 10.07.12.08. 08 Communication.. There shall be a telephone in the health unit and additional telephones or extensions or communication systems as required by the Department to summon help in case of fire or other emergency.
10.07.12.09.htm 10.07.12.09. 09 Physician Services.. A. Medical Examination. Each newly received inmate to the health facility shall be examined within 2 working days after his admission as to his medical condition. A record of each examination shall be kept as part of the permanent medical record.B. Availability. A licensed physician shall be readily available to take care of the medical needs of the inmates. Physician services may be provided through the following arrangements:
10.07.12.10.htm 10.07.12.10. 10 Psychiatric Services.. Psychiatric services shall be provided according to the needs of the patients..
10.07.12.11.htm 10.07.12.11. 11 Surgical Services.. Each health care facility desiring to perform surgical procedures shall first obtain approval from the Department.
10.07.12.12.htm 10.07.12.12. 12 Health Care Services.. A. Health care services shall be provided according to the needs of the inmates and shall be designed to maintain the highest possible degree of function, self-care, and independence.B. A health care program shall be developed to insure prompt treatment of injury or illness.. C. The health care facility shall provide equipment necessary for medical care according to the needs of the patients.D. An individual medical record shall be maintaine
10.07.12.13.htm 10.07.12.13. 13 Staffing.. A. The health facility shall provide the number and level of personnel sufficient to meet the total needs of the patient.B. Health facilities shall employ licensed personnel to provide medical services when applicable.. C. The facility shall provide personnel who are qualified by both training and experience in the handling of health emergencies.
10.07.12.14.htm 10.07.12.14. 14 Emergency Care.. Each health facility in cooperation with the facility physician shall set forth in writing, to all personnel, the routine procedure for summoning appropriate medical care personnel.
10.07.12.15.htm 10.07.12.15. 15 Medical Research.. Each health facility involved in medical research shall follow standards developed by the American Correctional Association for the safety and well-being of the inmate population.
10.07.12.16.htm 10.07.12.16. 16 Communicable Disease.. A. Cross-infection shall be guarded against by prompt isolation of diagnosed and suspected cases of communicable disease. Room furnishings, equipment, and supplies shall be kept clean at all times, properly cleaned after use, and disinfected.B. Reports of Disease. The occurrence of an infectious disease, food poisoning, or dysentery, shall be reported immediately by the examining physician to the local health department and to the Divisio
10.07.12.17.htm 10.07.12.17. 17 Medical Examination and Evaluation Process.. A. Written policies and procedures shall be developed and maintained in consultation with representatives of the medical staff, nursing service, and administration governing the provisions for the control of the sick call process and referral services. They shall address the following:1) Screening Procedures.. a) Routine handling of patient complaints;. b) Non-routine handling of patient complaints.. 2) Reporting Procedure. A
10.07.12.18.htm 10.07.12.18. 18 Staff Development.. A. There shall be a combined orientation and continuing education program at least every 2 months for all personnel. Documentation shall be available to include date, time, topic discussed, speaker, and members present. A coordinated training program with a local hospital is encouraged.B. There shall be health care orientation and training for correctional officers assigned to medical facilities. Assignments and activities of correctional officers in medical
10.07.12.19.htm 10.07.12.19. 19 Pharmacy Services.. A. Procedures for Administration of Pharmaceutical Services. Each facility shall comply with all federal, State, and local laws, ordinances, standards and codes regulating the purchasing, storage, dispensing, administration, and recording of drugs. Each health care facility shall:1) Ensure that pharmaceutical services are provided;. 2) Make provision for prompt and convenient acquisition of prescribed drugs;.
10.07.12.20.htm 10.07.12.20. 20 Dietary Services.. A. Adequacy of Diet. The food and nutritional needs of patients shall be met according to physician's orders.B. Therapeutic Diets.. 1) The therapeutic diet prescribed by the attending physician shall be prepared and served as part of the course of treatment of the patient. If the dietary requirement is beyond the capability of the facility, other arrangements for the nutritional needs shall be made by the health care facility physician.
10.07.12.21.htm 10.07.12.21. 21 Housekeeping Services and Pest Control.. The following shall be observed:. A. The building and all its parts shall be kept in good repair, neat, clean, attractive, and safe. Housekeeping shall meet the highest possible standards of hygiene and cleanliness.B. All walls, floors, ceilings, windows, and fixtures shall be kept clean. Interior walls and floors shall be of a character to permit frequent and easy cleaning.C. The facility shall be kept free of unnecessary
10.07.12.9999.htm 10.07.12.9999. Administrative History Effective date: June 16, 1978 (5:12 Md. R. 967). Regulation .04A amended effective March 13, 2017 (44:5 Md. R. 292). Regulation .20A amended effective March 13, 2017 (44:5 Md. R. 292).
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