Specifications include, but are not limited to: 5.1 GENERAL A. MEDICAL PROVIDER (Physician Assistant or Nurse Practitioner) SHALL: Provide primary health care and function as medical authority for the Youth Development Center and the Detention Center to include, but not limited to, physical examinations as required, prescribing and renewing medication, referring juveniles to specialists as appropriate, emergency medical services, arranging for hospitalizations and physician services when necessary, reviewing the results’ of juveniles’ medical examinations, tests and medical diagnosis, reviewing and approving annually and, as needed, all health care services requirements and procedures, medication administration curriculum training, emergency medical response guidelines, Medical Treatment Guidelines for Juveniles’ Physical Complaints, creating appropriate standing orders for center nurses, reviewing and updating standing orders as needed. Working with the administration of the facility to assure compliance with health care standards and safe medical care for juvenile population located in the facility. Reporting to Director of Health Care Services any issues that impact the provision of safe and evidence based medical care to the juvenile population within the designated facility. B. PROFESSIONAL NURSE SHALL: a. Perform the juveniles’ admission health screening review, required immunizations and TB skin test (if applicable). Assess chronic disease status and specialized health care needs, create individual health plan, training juveniles and direct care staff for self-care or care based on nursing assessment/diagnosis and medical diagnosis. b. Provide referral to the health department is to be made for juveniles who test positive for TB. North Carolina Tuberculosis Policy guidelines are to be followed for making referrals. c. Screen, if applicable, all juveniles for TB by asking juveniles the tuberculosis screening questions of the NC Department of Health and Human Services, Division of Public Health, Epidemiology Section, Tuberculosis Control from DHHS 3405. d. Verify all medications transported with the juvenile upon entering the center, assessing its validity and necessity, i.e., contacting prescribing healthcare provider, pharmacist as needed. e. Administer medication as prescribed by a practitioner who is licensed in North Carolina to administer or prescribe medication in the course of his/her professional practice. f. Administer non-prescribed medications per provider standing orders.
