N.Y. Comp. Codes R. & Regs. tit. 9 § 7410.9

Current through Register Vol. 46, No. 45, November 2, 2024

Section 7410.9 - Health appraisal

(a) OCFS shall develop and implement an admission health appraisal process for each resident which includes, but is not limited to:

(1) a health screening which consists of a visual assessment and interview which shall be performed as soon as possible after each resident's admission into a secure facility, but in no event later than 24 hours after admission;

(2) a complete written medical history which shall be obtained from each resident within seven days following initial admission to a secure facility and shall include assessments of chemical dependency and risk behaviors for HIV infection and blood-borne viruses such as hepatitis B and C. If a resident has a documented complete written medical history within the previous 12 months, an update of the medical history is required, except as determined by a licensed health care professional; and

(3) a complete physical examination which shall be provided to each resident within seven days of initial admission to a secure facility and at yearly intervals thereafter. If a resident has documented evidence of a physical examination within the previous 12 months, a new physical examination is not required, except as determined by a licensed health care professional.

(b) Each resident's physical examination shall be conducted by a physician, registered physician's assistant, nurse practitioner or dentist, as appropriate, and shall include, but is not limited to:

(1) an examination of major body systems;

(2) Mantoux tuberculin skin test;

(3) sexually-transmitted infections screening;

(4) a dental examination provided by a licensed dentist within 14 days of initial admission;

(5) where clinically indicated, screening tests including, but not limited to:

(i) a urinalysis;

(ii) blood chemistry analysis to include lipid screen;

(iii) a chest radiograph;

(iv) a complete blood count with white blood cell differential count;

(v) a pregnancy test for female residents; and

(6) a cervical cytology (PAP test) for female residents when, in the medical judgment of the examining physician, registered physician's assistant or nurse practitioner, such a screening is medically necessary and appropriate.

(c) The medical history document and/or medical problem list of each resident transferred between secure facilities shall be reviewed within 24 hours of the resident's arrival at the receiving secure facility.

(d) All findings made by a health professional pursuant to subdivision (a) of this section shall be recorded and included in each resident's permanent medical record. Such findings shall be legibly signed and dated by a physician, physician's assistant or nurse practitioner, together with identification of professional title.

(e) OCFS shall require that all residents are orientated to the health care services available at each facility and to the correct procedures for using such services.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 7410.9

Renumbered from subtitle AA of chapter III New York State Register April 11, 2018/Volume XL, Issue 15, eff. 4/11/2018