Section 801.740  Health and Dental Screening and Examinations

a)         Medical, dental, and mental health screening shall be performed by health-trained or licensed health care personnel on all youth upon arrival at the facility if such examinations have not been completed immediately prior to placement and indicated in the intake documentation.  All findings shall be recorded on a form approved by the health authority.  The screening form shall include at least the following:

1)         Observation of:

A)        Behavior, which includes state of consciousness, mental status, appearance, conduct, tremor, and sweating.

B)        Body deformities, ease of movement, etc.

C)        Condition of skin, including trauma markings, bruises, lesions, jaundice, rashes and infestations, and needle marks or other indications of substance abuse.

2)         Inquiry into:

A)        Chronic medical problems requiring supervision.

B)        Current illness and health problems, including sexually transmitted diseases (STD) and other infectious diseases.

C)        Dental problems.

D)        Mental health problems.

E)         Use of alcohol and other substances, including types of substances 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.

F)         Past and present treatment or hospitalization for mental disturbance or suicide attempts.

G)        Other health problems designated by the responsible physician.

H)        Pregnancy.

3)         The medical follow-up of the youth to be placed in general population, including:

A)        Appropriate referral to health care services;

B)        Referral to appropriate health care services for emergency treatment;

C)        Restrictions of activity or program participation; or

D)        Additional services or activity required.

b)         At the time a youth is admitted, program and youth direct care staff may be informed of special medical and mental health concerns on a need-to-know basis.

c)         Health appraisal including:

1)         Health history and vital signs collected by health-trained or licensed health care personnel.

2)         Collection of all other health appraisal data by licensed health care personnel.

3)         Review by licensed health care personnel of the results of the medical examination and tests performed and identification of any problems.

d)         Dental care shall be provided to each youth under the direction and supervision of a licensed dentist.  This care shall include:

1)         Dental examination immediately prior to placement or upon admission.

2)         Dental hygiene service immediately prior to placement or within 14 days after admission.

3)         Dental follow-up within seven days after admission as indicated.

4)         Dental treatment.

e)         Emergency medical, dental, and mental health care shall be available to youth on a 24-hour basis.  Availability of these services shall be outlined in a written plan that includes arrangements for the following:

1)         On-site emergency first aid and crisis intervention.

2)         Emergency evacuation of the youth from the facility.

3)         Use of an emergency medical vehicle.

4)         Use of one or more designated hospital emergency rooms or other appropriate health facilities.

5)         Emergency on-call physician, dentist, and mental health professional services when the emergency health facility is not located in a nearby community.

6)         Security procedures when transportation is required for youth.

7)         Process to notify the Licensing Administrator, parents, and guardians.