Texas Register, Volume 28, Number 6, Pages 1015-1288, February 7, 2003 Page: 1,061
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(iv) Use of one or more designated hospital emer-
gency rooms or other appropriate health facilities;
(v) Emergency on-call physician, dentist, and men-
tal health professional services when the emergency health facility is
not located in a nearby community; and
(vi) Security procedures providing for the immedi-
ate transfer of offenders, when appropriate.
(B) A training program for Direct Care personnel is es-
tablished by a recognized health authority in cooperation with the Fa-
cility director that includes the following:
(i) Signs, symptoms, and action required in potential
emergency situations;
(ii) Administration of first aid and cardiopulmonary
resuscitation (CPR);
(iii) Methods of obtaining assistance;
(iv) Signs and symptoms of mental illness, retarda-
tion, and chemical dependency; and
(v) Procedures for patient transfers to appropriate
medical facilities or health-care providers.
(C) First aid kits are available in designated areas of the
facility. Contents and locations are approved by the health authority.
(3) Health Screening and Medical Examinations. Medical,
dental and mental health screening exam is performed by health-trained
or qualified health-care personnel on all offenders prior to placement
or within 10 days of placement. The screening includes the following:
(A) Inquiry into:
(i) Current illness and health problems, including
venereal diseases and other infectious diseases;
(ii) Dental problems;
(iii) Mental health problems, including suicide at-
tempts or ideation;
(iv) Use of alcohol and other drugs, which includes
types of drugs used, mode of use, amounts used, frequency of use, date
or time of last use, and a history of problems that may have occurred
after ceasing use (for example, convulsions); and
(v) Other health problems designated by the respon-
sible physician.
(vi) tuberculosis screening of offenders shall be
completed within seven (7) calendar days of admission into the
residential facility and repeated annually thereafter.
(B) Observation of:
(i) Behavior, which includes state of consciousness,
mental status, appearance, conduct, tremor and sweating;
(ii) Body deformities, ease of movement, and so
forth; and
(iii) Conditions of skin, including trauma markings,
bruises, lesions, jaundice, rashes and infestations, and needle marks or
other indications of drug abuse.
(C) Medical examinations are conducted for any em-
ployee or offender suspected of having a communicable disease.
(4) Serious and Infectious Diseases.(A) The facility provides for the management of serious
and infectious diseases.
(B) CCF's and CCC's shall have policies and proce-
dures to direct actions to be taken by employees concerning offenders
who have been diagnosed with HIV, including, at a minimum, the fol-
lowing:
(i) When and where offenders are to be tested;
(ii) Appropriate safeguards for staff and offenders;
(iii) Staff and offender training;
(iv) Issues of confidentiality; and
(v) Counseling and support services.
(5) Dental Care. Access to dental care is made available to
each offender.
(6) Medications.
(A) Policy and procedure direct the possession and use
of controlled substances, prescribed medications, supplies, and over-
the-counter drugs. Prescribed medications are administered according
to the directions of the prescribing physician.
(B) If medications are distributed by facility staff,
records are maintained and audited monthly, and include the date,
time, and name of the offender [resident] receiving the medication,
and the name of the staff distributing it.
(7) Female Offenders. If female offenders are housed, ac-
cess to pregnancy management services is made available.
(8) Mental Health. Access to mental health services is
made available to offenders.
(9) Suicide Prevention. There is a written suicide preven-
tion and intervention program that is reviewed and approved by a qual-
ified medical or mental health professional. All staff with offender su-
pervision responsibilities are trained in the implementation of the sui-
cide prevention program.
(10) Personnel.
(A) If treatment is provided to offenders by health-care
personnel other than a physician, dentist, psychologist, optometrist,
podiatrist, or other independent provider, such treatment is performed
pursuant to written standing or direct orders by personnel authorized
by law to give such orders.
(B) If the facility provides medical treatment, personnel
who provide health-care services to offenders are qualified and appro-
priately licensed. Verification of current credentials and job descrip-
tions are on file in the facility. Appropriate state and federal licensure,
certification, or registration requirements, and restrictions apply.
(11) Informed Consent. If the facility provides medical
treatment, offenders make medical decisions with informed consent.
All informed consent standards in the jurisdiction are observed and
documented for offender care.
(12) Participation in Research. Offenders do not partici-
pate in medical, pharmaceutical, or cosmetic experiments. This does
not preclude individual treatment of an offender based on his or her
need for a specific medical procedure that is not generally available.
(13) Notification. Individuals designated by the offender
are notified in case of serious illness or injury.
(14) Health Records.PROPOSED RULES February 7, 2003 28 TexReg 1061
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Texas. Secretary of State. Texas Register, Volume 28, Number 6, Pages 1015-1288, February 7, 2003, periodical, February 7, 2003; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth101017/m1/45/: accessed May 7, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.