049-11 Wyo. Code R. § 11-13

Current through April 27, 2019

Section 11-13 - Juvenile Health and Safety (in addition to Chapter 3, Section 13)

(a) Health Care Services. The JDC shall provide comprehensive health care services by qualified personnel to protect the health and well being of juveniles. Except for regulations necessary to ensure the safety and order of the JDC, all matters of medical, mental health, substance use and dental judgment shall be the sole province of the responsible clinicians.

(b) Requests for Treatment. Juveniles' requests for treatment shall be collected daily. Requests for treatment shall be reviewed by health care professionals or the trained employees to determine appropriate disposition or referred directly to the JDC physician, physician's assistant, advanced practitioner of nursing, registered nurse, licensed practical nurse (LPN), or licensed mental health professional.

(c) Access to Care. The JDC shall develop, adopt, follow and maintain on file written policies and procedures for providing access to care and a system for processing complaints regarding health care, at no cost to the juvenile and/or family. These shall be communicated orally and in writing to juveniles upon intake.

(d) Administration of Treatment. The JDC shall develop, adopt, follow and maintain on file written policies and procedures to ensure the availability of medical treatment space, equipment, supplies, and materials necessary for those services provided at the JDC.

(e) Direct and/or Standing Orders. All treatment provided by medical personnel other than physicians and dentists shall be performed pursuant to standing or direct orders. Physician's assistants and nurse practitioners may practice within the limits of state law.

(f) Emergency Medical Services. Emergency medical and dental care shall be available at all times at no cost to the juvenile and/or family. Written plans for emergency services shall include arrangements for the following:

(i) Emergency evacuation of juveniles from the JDC;

(ii) Use of an emergency vehicle;

(iii) Use of one (1) or more hospital emergency rooms or other appropriate health care facility;

(iv) Emergency on-call physician and dental services when the emergency health care facility is not located nearby; and

(v) The caseworker staff and other personnel are trained to respond to health-related situations within a four (4) minute response time.

(g) Informed Consent. All examinations, treatments, and procedures affected by informed consent requirements shall be observed for juveniles' care.

(h) Serious illness, injury or death.

(i) The JDC shall have a procedure for the notification of those individuals so designated by the juvenile in the case of serious illness, injury, or death.

(i) In the event of a juvenile's death, the coroner, prosecuting attorney, and appropriate law enforcement agency shall be notified immediately.

(ii) The JDC medical personnel shall have access to information in the juvenile's confinement records, when needed and follow any requirements regarding confidentiality of juvenile records.

(iii) JDC employees shall be apprised of the juvenile's medical conditions when they have a need to know to ensure the safety and well being of the juvenile or others.

(j) Dental Services. Reasonable dental care shall be available and provided to juveniles when the health of the juvenile during the confinement would otherwise be adversely affected.

(k) Detoxification. Arrangements shall be made for providing detoxification programs under medical supervision that are certified by the Substance Abuse Division of the Wyoming Department of Health of alcohol and drug-dependent juveniles with the JDC or through transfer to other facilities.

(l) Suicide Prevention and Intervention. The suicide prevention and intervention policy must include specific procedures for intake/admission screening, identification, and intensive supervision of suicide-prone juveniles.

049-11 Wyo. Code R. § 11-13

Amended, Eff. 11/8/2017.