In terms of care, clinical encounters should be conducted
In private
Who approves health record contents
RHA
If health records are being stored separately between disciplines, what is the minimum data that
needs to be included and accessible to all health staff
-Current problems
-Allergies
-Medications
Health records should be stored where?
Separate from correctional records and in secure conditions
A health record is initiated
when someone receives any type of health screening
A clinical mortality review needs to be conducted within what time frame
30 days
A psychological autopsy is preformed on all deaths by suicide, in what time frame?
30 days
What is a clinical mortality review
Assessment of the clinical care provided and the circumstances leading up to a death
What is an administrative review
Assessment of correctional and emergency response actions surrounding an inmates death
, Who conducts a psychological autopsy
Psychologist or other qualified mental health professional
All deaths are reviewed to determine, what...
1. Appropriateness of clinical care - did we do what we could?
2. Determine need for changes to policies, procedures and practices- does something need to be
changed
3. Identify issues - are there trends, what went wrong
What is a psychological autopsy
A written reconstruction of an individual's life with an emphasis on FACTORS that led up to and may
have contributed to death
If an inmate dies and they are off-site, is a death review completed
Yes- they are still inmates and the facility is still responsible for them
What is a grievance?
The patients right to disagree or question healthcare system
Grievances should be reviewed how frequently
At least annually or sooner if a trend is noted
RDN stands for
Registered dietitian nutritionist
Who reviews the regular diet for nutritional adequacy
RDN or Licensed qualified nutrition professional
How often is the regular diet reviewed