| Section
C: Personnel and Training |
Y-C-01
Credentialing
(Essential) |
Formerly Y-19
An intent of this standard is that the facility’s
health staff are legally qualified to provide the
services for which they have been hired. Changes to this
standard include explicit clarifications that while
state licensure is generally required, for federal
facilities, licensure in any state is acceptable.
Individual DEA licensure is required. License holders
whose practice is restricted, regardless of the reason,
to practice only in correctional settings are not in
compliance. Student participation guidelines are
defined. |
Y-C-02
Clinical Performance Enhancement
(Important) |
New
This important standard intends to enhance patient care
through peer review of the clinician’s practice. It
requires an annual clinical performance review for all
licensed primary care providers including physicians,
psychiatrists, dentists, mid-level practitioners and
PhD-level psychologists. |
Y-C-03
Continuing Education for Qualified Health Care
Professionals (Essential) |
Formerly Y-20
This essential standard intends that the facility’s
health care professionals are kept current in clinical
knowledge and skills. It now clarifies that the
“annual” 12 hours required is for each 12-month
period as defined by the facility. Part-time staff may
have CEUs pro rated. All health staff with patient contact are to be current
in CPR. |
Y-C-04
Training for Child Care Workers
(Essential) |
Formerly Y-21
This essential standard intends to promote the training
of child care workers who work with the juveniles to
recognize when the juvenile requires referral to a
health care professional, or to provide emergency care
until a health care professional arrives.
This standard remains basically the same. 100% of child
care workers who work directly with the juveniles are
current in CPR. |
Y-C-05
Medication Administration Training
(Essential) |
Formerly Y-22
The intent of this essential standard is to ensure that
there is proper administration of prescription
medications. Explicit clarification that the standard
refers to prescription medications, and that there are
differences in the requirements for training health
staff and non-health staff is provided. Two conditions
must be present in order for a correctional facility to
use non-health staff to deliver medications to
juveniles: it is legal in the particular state, and
staff have been trained. |
Y-C-06
Juvenile Workers
(Essential) |
Formerly Y-23
An intent of this essential standard is that juveniles
are not placed in a position of power over peers
regarding health services. The standard remains the
same: While juveniles may not be used as health care
staff, they may participate in appropriate peer
health-related programs or support groups with proper
training and supervision. |
| Deleted: Former Y-25 Position Descriptions |
(Although good management practice, this is not a health
service issue per se.) |
Y-C-07
Staffing Plan
(Important)
(Name change from Staffing Levels) |
Formerly Y-26
An intent of this important standard is that the health
care delivery system has sufficient numbers and types of
health staff to care for the juvenile population.
Compliance indicator #3 makes explicit how NCCHC has
always interpreted compliance for this standard as
outcome: “The adequacy and effectiveness of the
staffing plan is assessed by the facility’s ability to
meet the health needs of the juvenile population.”
Clarification has been included that where permitted by
state law, mid-level practitioners may substitute for
part of the physician’s time. |
Y-C-08
Health Care Liaison
(Important) |
New
An intent of this important standard is that when health
care staff are not on site juveniles continue to access
essential health services. This standard requires that a
trained child care worker coordinates health services on
days when health staff are not on site. Supervision and
training are to be provided by both the facility
administrator (or designee) and RMD (or designee) and is
to be considered a “post” position (usually on the
day shift). |
Y-C-09
Orientation for Health Staff
(Important)
(Name change from Orientation Training for Health
Services Staff) |
Formerly Y-27
This important standard intends that health staff are
properly acclimated to work in the correctional
environment. It explicitly addresses two separate
processes. All health staff, including part-time and PRN
staff, receive a Basic Orientation on the first day of
employment. Topics included are essential to being able
to function within the facility and include: security
regulations, emergency responses, relevant health
services P&P, functional job description and
inmate-staff relationships. In addition, all full-time
health staff, within the first 90 days of employment,
complete an In-depth Orientation consisting of a review
of health services P&P not covered in the initial
orientation, age- and health-specific needs of the
population, infection control issues and other topics
pertinent to the roles and responsibilities of the
staff. |
| Deleted: Former Y-28 Continuing Education for Health
Services Administrative and Support Staff |
(Focus of the standards is on health staff essentially.) |
