|Medication Administration Training|
|Transgender Health Care|
|Use of Tobacco|
The Latest Column
Questions are from the latest Standards Q&A column, posted in December 2016.
Policy on Electronic Cigarettes
Our jail’s policy is that tobacco products are not allowed in the building, and smoking outside of the building is allowed only in designated areas. There has been a proposal to allow electronic cigarettes. Our chief of corrections is against the idea for multiple reasons. Does NCCHC have a policy on vaping?
NCCHC does not have a policy on e-cigarettes. We do have accredited facilities that allow them, and the accreditation committee has determined that they do not violate our standard F-03 Use of Tobacco.
Clinical Performance Review for Optometrists
Our facility has an optometrist that comes on site on a regular basis for patient care. Does standard C-02 Clinical Performance Enhancement require that the optometrist receive a clinical performance review?
Although it is good practice to have a clinical performance review for all providers with direct patient care, the standard does not require that an optometrist be part of this review.
Defining Levels of Segregation
Standard J-E-09 Segregated Inmates defines the level of monitoring based on three degrees of isolation. We believe our segregated population fits into the category described in compliance indicator #2c: “Inmates who are allowed periods of recreation or other routine social contact among themselves while being segregated from the general population are checked weekly by medical or mental health staff.”
For example, our segregated inmates have daily access to the dayroom for social contact, exercise and showers. Inmates in administrative segregation are authorized access to fresh-air recreation a minimum of three individual hours per week, and some receive four or five hours per week. Segregated inmates generally aren’t allowed to attend programming in groups as programming is provided on an individualized basis. However, they are granted one-to-one religious access with approved clergy and are able to attend group worship services.
Can you confirm that we are categorizing our segregated inmates correctly?
It seems as if there are varying degrees of isolation in the facility. For example, some inmates have daily access to the dayroom. You don’t specify if these inmates are allowed out in groups or individually, but if they are in groups this may fall into category c. However, recreation for ad-seg inmates is described as “individual hours,” and it seems as if these inmates may fall into category b (limited contact with staff or other inmates) or even category a (little or no contact with other individuals).
It isn’t uncommon for large facilities to have varying degrees of segregation that span all of the categories described in the standard. Ultimately, it is up to facility staff to determine the degree of isolation, then develop a system to monitor the inmates based on the standard’s requirements for each category.