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NCCHC Standards: A Summary Guide to the Revisions

2004 Standards for Health Services in Juvenile Detention and Confinement Facilities

Section A: Governance and Administration
Section B: Managing a Safe and Healthy Environment
Section C: Personnel and Training
Section D: Health Care Services and Support
Section E: Inmate Care and Treatment
Section F: Health Promotion and Disease Prevention
Section G: Special Needs and Services
Section H: Health Records
Section I: Medical-Legal Issues

Section B: Managing a Safe and Healthy Environment
Y-B-01
Infection Control Program
(Essential)

(Name change from Infection Control Program and Medical Isolation)
Formerly Y-13
This essential standard promotes public health hygiene in the correctional environment. This standard remains basically the same and addresses issues relating to infection control under eight compliance indicators. Reference is made to standard precautions, which have replaced the former universal precautions in the field. Recommendations beyond basic compliance include
interface of the infection control program with the person responsible for the facility’s sanitation program regarding animals housed in the facility.
Deleted: Former Y-14 Sexually Transmitted Disease and Bloodborne Disease Detection (Issues are addressed in Y-B-01.)
Y-B-02
Environmental Health and Safety
(Essential)
Formerly Y-15
An intent of this essential standard is that the health of juveniles, staff and visitors is protected through the maintenance of a clean and orderly facility. Requirements of the standard remain basically the same. Clarification is given, however, that while the environmental program must include ongoing attention and focus on the areas noted (juvenile housing, laundry, housekeeping, pest control, risk exposure, inspections and staff safety), specifics of how to achieve compliance in each as given are recommendations.
Deleted: Former Y-16 First Aid Kits (Facility decides if they need kits given the level of health services available on site.)
Y-B-03
Kitchen Sanitation and Food Handlers
(Important)

Formerly Y-17
The intent of this important standard is to ensure that a sanitary kitchen and proper food storage, handling and preparation contribute to a healthy juvenile population. The elements of this standard remain basically the same as in previous versions. Clarification is given that both medical clearance to work in the kitchen and a daily check of all kitchen workers for illnesses transmissible by food or utensils is required.

 
Y-B-04
Ectoparasite Control
(Important)
Formerly Y-18
This important standard promotes proper ectoparasite control. NCCHC continues to recommend that only infected juveniles be treated. It is, however, acceptable, should that be the decision of the responsible physician, to use OTC preparations on all incoming juveniles provided that contraindications are considered.

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Summary Guide Introduction
General Changes in Format

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