Section 2603.90  Medical and Health Care

a)         Introduction

Health services should reflect the desire of the community to provide health care equivalent to that accorded its citizens.  The facility should ensure that a comprehensive program of medical and health care appropriate for children is planned and implemented.

b)         Minimum Standards

1)         Medical and Health Services

All facilities shall provide a competent medical authority to ensure the following medical services are available:

A)        Diagnosis of complaints.

B)        Treatment of ailments.

C)        Prescription of medications and special diets.

D)        Arrangements for hospitalization.

E)        Liaison with community medical facilities and resources.

F)         Environmental health inspections and procedures.

G)        Supervision of special treatment programs, as for alcohol and other drug dependent children.

H)        Administration of medications.

I)         Maintenance of accurate medical records.

J)         Maintenance of detailed records of medical supplies, particularly of narcotics, barbiturates, amphetamines, and other dangerous drugs.

2)         Physician and Dental Services

A medical doctor shall be available to attend the medical needs of the children.  Arrangements shall be made for a dentist to provide dental care.

A)        General medical physician services shall be provided by one or more of the following procedures:

i)          On salary, in accordance with locally established personnel pay plan.

ii)         A contract with a local private physician, clinic, county physician or county health department for full time coverage at specific hours and for emergencies.

iii)        A contract with a local physician to conduct sick call, be on call for emergencies, and to examine newly admitted youth.

iv)        Arrangements with a nearby hospital to provide all needed medical services.

B)        Access to psychiatric and/or psychological services must be provided in individual cases as needed.

3)         Medical Examination Room

A room shall be provided for medical examinations and shall be located close to the area used for processing new admissions.

4)         Medical Examination

All children admitted to shelter care shall undergo a medical screening as prescribed in Section 2603.50(b)(8).

A)        Newly admitted children suspected of having any type of communicable disease shall be isolated and an immediate referral shall be made to the facility physician for a possible transfer to a medical facility, unless the admitting facility can safely and effectively segregate and maintain a medically prescribed course of treatment.

B)        All children admitted to shelter care shall be given a medical examination by a physician or his/her designated qualified medical person within 14 days after admission, unless there is documentation the youth has had an examination within six months prior to admission.

5)         Sick Call

Procedures shall be established for daily sick call.

A)        The names of children reporting to sick call shall be recorded in the medical log.

B)        Children with emergency complaints shall receive attention as quickly as possible regardless of the sick call schedule.

C)        Non-medical shelter care staff may issue any form of over-the-counter medication, providing the facility physician gives prior written approval to the facility for such issue.

6)         Written Record or Log

A written record, in ink, shall be maintained, as part of the child's personal file, of all treatment and medication prescribed, including the date and hour such treatment and medication is administered.

A)        A written record shall be maintained of over-the-counter medication, e.g., aspirin, cough medicine, etc., issued by shelter care staff.

B)        A written record shall be kept of all special diets.

C)        A child's treatment and medication program shall be a part of the summary to the assigned social worker.

7)         Medical Security

Security of medical supplies must be maintained at all times.

A)        Prescribed medication, including over-the-counter medication and other abusable medical supplies, shall be secured and accessible only to designated staff.

B)        Children shall receive one dose of medication at a time and shall be required to ingest medication in the presence of a medical staff member or shelter care staff member.

C)        A perpetual inventory of all prescribed drugs, including over-the-counter medication, and other abusable medical supplies shall be maintained.

D)        Shelter care facilities shall not stock prescription drugs.

8)         First Aid Training

One person on duty per shift shall have completed a basic course of first aid training and cardiopulmonary resuscitation training (CPR).

9)         First Aid Supplies

Each facility shall maintain a stock of first aid supplies for the treatment of cuts, bruises, sprains, and other minor injuries. First aid supplies and all medication must be stored in a locked cabinet not accessible to children.

10)         Notification of Illness

Illness and treatment shall be reported to parents or guardians. Parents or guardian, the assigned social worker, and the court shall be immediately notified of a child's serious illness or injury.

11)         Medical or Pharmaceutical Experimentation

Medical or pharmaceutical experimentation of any type is prohibited.

(Source:  Amended at 12 Ill. Reg. 12405, effective October 1, 1988)