Specifications include, but are not limited to: Receiving/Screening A preliminary health screening form shall be prepared by the Vendor in conjunction with the Sheriff or the designee of the Sheriff for use immediately upon each inmate’s arrival, and the form shall be approved by the Vendor and the Chief Jailer or Jail Administrator. At a minimum, the screening must include: • Current illnesses and health problems including tuberculosis as well as conditions, illnesses, or issues specific to females • Medications taken and special health requirements, including medications for Opioid Use Disorder • Screening of other health problems designated by the responsible physician • Behavioral observation, including state of consciousness and mental status • Notation of body deformities, trauma markings, bruises, lesions, eye movement/jaundice • Condition of skin, including rashes and infestations • Disposition, affects, or demeanor, if applicable • Document referral of prisoners to qualified medical personnel for emergency treatment • Notation, of personal physician, if any, and any medical needs • Assessment of suicidal risk • Assessment of need or potential need for other health services, including mental health and substance abuse Health Appraisal Vendor shall perform a comprehensive Health Assessment on any inmate within fourteen (14) calendar days, or such other stricter time limit as required by statute or controlling authority of the arrival of the inmate at the Jail or, if possible, sooner. Such assessment shall be performed by a qualified medical professional. The extent of the health appraisal, including the physical examination, is defined by the responsible health authority, however, will include at a minimum: • Review of intake screening forms • Collection of additional data regarding complete medical, dental, psychiatric and immunization histories • Appropriate laboratory and diagnostic tests to detect communicable diseases such as, but not limited to, Venereal Disease and Tuberculosis, Hepatitis (https://epi.dph.ncdhhs.gov/cd/diseases/hepatitis.html), COVID-19, and Monkeypox • Recording vital signs (height, weight, pulse, blood pressure, temperature) • Physical examination (including a gynecological assessment must be included for females) with comments about mental and dental status • Review of physical examination and test results by a physician for problem identification must take place • Review of need or potential need for other health services, including mental health and substance abuse • Initiation of therapy when appropriate • Other tests, studies, and examinations as appropriate, including but not limited to, pregnancy tests, voluntary HIV screening and chest x-rays
