Specifications include, but are not limited to: a. Initial Health Assessmentsand Physical Examinations. The Contractor shall perform an initial health assessment and physical examination, performed by a Qualified Health Professional, on all inmates immediately upon their arrival at State Facilities in accordance with TDOC Policy #113.20, as may be amended. A health assessment shall be completed for each new inmate that is not an intra-system transfer, within seven (7) calendar days after arrival and a physical examination shall be completed within ten (10) calendar days after arrival at State Facilities. Exceptions shall be documented with detailed and specific justification to the TDOC Chief Medical Officer and warden or designee within seven (7) calendar days and be approved in writing by the same. Any health assessments or physical exminations that are not completed within the timeframes, shall be subject to liquidated damages in accordance with Attachment Three. The examination shall be comprehensive and clinically indicated including diagnostic studies based upon the age and sex of the inmate and include the following: 1. Medical history and clinical exam. 2. Clinical profile and medical classification. 3. Rapid Plasma Reagin (Syphilis) (RPR). 4. Purified Protein Derivative (PPD) Skin tests and any appropriate further testing or other tuberculin testing as designated by TDOC policies or the TDOC Chief Medical Officer. 5. Mouth swabs for DNA testing and finger printing. 6. Complete blood count with differential. 7. Automated blood chemistry profile. 8. Screening for Gonorrhea and Chlamydia. 9. Urinalysis (dip stick). 10. For juveniles, a clinician shall obtain the vaccination history and refer to guidelines published by the Advisory Committee on Immunization Practices (ACIP) to determine which, if any, immunizations are needed to complete the series. Human Immunodeficiency Virus (HIV) testing shall be provided unless refused for inmates under the age of 21. 11. HIV testing shall be provided unless refused by the inmate. 12. Hepatitis C testing. 13. Chest X-ray and electrocardiogram, when indicated. 14. For female inmates: a. Pap Smear; b. Pelvic Exam; c. Breast Exam; and d. HIV testing shall be mandatory for pregnant inmates or when requested and clinically indicated. 15. Inmates aged forty-five (45) and older: a. Fecal Occult Blood Test (FOBT); b. Chest X-Ray, if indicated; c. EKG, if indicated; and d. Prostatic Specific Antigen (PSA) – Male Inmates per TDOC Policy #113.20, as may be amended. 16. Females aged forty (40) and older: base line mammogram and HIV testing shall be mandatory for pregnant inmates or when requested and medically necessary. 17. Digital rectal exam must be offered as a routine part of physical exams as supported by evidence medicine. Consent for Treatment, CR-1897, shall be filled out in accordance with TDOC Policy #113.51, as may be amended.
