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inside correctional health

Self-Assessment for  How do they know if an  Handle or administer
Identifying Potential inmate worker has been medications.
Challenges in your Facility enrolled in the reentry  Handle surgical
health care training equipment or sharps.
Review Policy and Procedures program?  By working with the health
 Do facility policies and  How do they know what services administrator,
procedures address all an inmate worker is verify that inmate workers
aspects of the NCCHC permitted to do in clinical are not utilized as adjunct
standard including when, areas and what they are health care staff. This
not permitted to do?
where, and what an inmate practice is not supported by
worker can do?  Ask the healthcare staff if the standards.
they know the following:
 Are there specific policies  Ask the healthcare staff if
related to the assignment of  How do they differentiate inmate workers enrolled
inmate workers in clinical an inmate worker from in the health care training
those enrolled in a health
areas?
care training program? program are limiting their
 Are there specific policies  How do they know what work to the following:
related to the assignment of the inmate worker is  Assist patients in
inmates who are enrolled permitted to do? activities of daily living
in reentry health training  How do they know what (expect of infirmary care-
programs? the inmate enrolled in level care).
 Do the policies state what a health care training  Participate in a buddy
the health care training program is permitted to system for non-acutely
enrollee is permitted to do do? suicidal inmates after
and not permitted to do? documented training.
 Do the policies protect Assess the Environment  Participate in hospice
programs after
the rights of patients by  Verify that inmates who documented training (see
allowing them the right are not enrolled in a health standards related to Care
to refuse care delivered care training program do for the Terminally Ill).
by inmates enrolled in the not provide direct patient
reentry health care training care or make any treatment Key Takeaways
program? decisions.  Any issues that come up
 Is there a process to  Ask the health services during your discussions
continually monitor/ administrator to show you might include opportunities
provide supervision of the policies and procedures to enhance policy,
all inmate workers in the on inmate workers and procedures, or training
clinical areas? verify how they are utilized curriculum.
in clinical areas.
 CQI process studies are a
Talk with Custody and the  Ask the healthcare staff if great way to understand
Healthcare Team inmate workers participate specific root causes and can
 Ask custody staff the in any of following items help to focus improvement
following: which are not permitted by efforts where needed.
 How do they know an the standards: Share what you learned with
inmate has been cleared  Distribute or collect sick- your custody staff and the
to participate in the call slips. healthcare team.
inmate worker program?  Schedule appointments.
How are they notified?  ransport or view health
T
records.

60 | JANUARY | FEBRUARY 2022 AMERICANJails