Specifications include, but are not limited to: Specific Requirements: 1. Nursing Services a. Nursing Duties/Functions : 1. Daily Sick Call 2. Medication Administration 3. Providing nursing assistance and services to physician, psychiatrist, optometrist, and mid level nurse practitioner clinics 4. Managing referrals to community providers and providing follow up nursing services 5. Providing infirmary/inpatient care to Culpeper Juvenile Correctional Center residents 6. Providing emergent medical care to Culpeper Juvenile Correctional Center, visitors and staff 7. Providing nursing assessment and triage of residents as required by DJJ procedures 8. Following protocols for clinical care approved by the DJJ Chief Physician 9. Providing medical education to patients as well as to residents and staff of the facility 10. Any other nursing services and documentation generally associated with the provision of nursing services in a correctional environment b. Registered nurses provided by the Contractor must perform the following functions: 1. Provide accurate and timely health status assessments for patients under the registered nurses care, which includes collecting objective and subjective data. Document the patients status changes in the medical record. The frequency of nursing assessments shall be based upon the registered nurses clinical judgment and patients status. 2. Analyze the assessment data collected for the patient under the registered nurses care and establish, accept, or modify a nursing diagnosis to be used as a basis for nursing interventions. 3. Develop, maintain or modify, and communicate in an accurate and timely manner, the nursing component of the plan of care for the patient under the registered nurses care. As necessary, the registered nurse shall revise the nursing component of the patients plan of care. 4. Evaluate, in an accurate and timely manner, the responses to a nursing intervention of the patient under the registered nurses care. Evaluation data shall be documented and communicated to appropriate members of the health care team, the Culpepers Superintendent and DJJ Health Authority and Chief Nurse. c. Health Education As part of primary health care, health education services will be an important and required component of the total health care delivery system. Health education shall include youth and staff education. 1. Staff education must include routine in-service education for: a. First aid training, cardio pulmonary resuscitation (CPR) certification training b. AED Training for selected staff c. Sprains d. Psychotic Behavior e. Casts f. Seizures g. Minor burns h. Dependency drugs i. Health seminar j. Lifts and carries k. Suicide Prevention and Emergency Response Training l. Mandatory annual in-service for all institutional staff on communicable diseases m. Universal Precautions These programs shall be offered at least quarterly and as needed. This training shall not be designed to take the place of any medical services offered by the Contractor, but shall augment the medical services provided by the Contractor. 2. Youth education must include topics such as: a. Care of minor skin wounds b. Diabetes c. Personal hygiene d. Exercise e. Heart disease f. Hypertension g. Infection control for kitchen workers h. Adolescent development i. Sexually transmitted diseases, including Chlamydia, genital herpes, genital warts, gonorrhea and syphilis j. Smoking and your lungs k. Stress management l. Universal precautions These trainings are to be provided during individual clinical encounters and weekly in group settings. The contractor shall also provide health educational materials to residents. d. Infirmary 1. DJJ currently operates an inpatient infirmary at Culpeper. The infirmary shall be under the supervision of a contractor-provided registered nurse twenty-four (24) hours a day. These units are not hospital units and cannot substitute for hospitals, but will meet ACA standards. The Contractor shall manage these units and ensure that infirmary care is available for all youth. The Contractor will work with DJJ to arrange transfers among the secure care facilities when that will improve inpatient unit utilization. When existing infirmaries cannot provide necessary care (whether because of program characteristics, bed availability, or other reason) but outpatient care is not appropriate, the Contractor shall utilize off-site inpatient facilities. 2. The infirmaries shall provide: a. Convalescent care b. Skilled nursing care c. Pre and post surgical management d. Limited acute care 3. The Contractor shall be responsible for maintaining and replacing all medical equipment. Any equipment purchased by the contractor will become property of the Department of Juvenile Justice. 4. The Contractor shall assure that the following practices are maintained or implemented: a. Clinicians shall make rounds in the infirmary on all youth requiring overnight stays, (patients who require more intensive care than can be provided by the existing coverage must be hospitalized and not maintained in infirmaries). b. The infirmary shall maintain a current policy and procedures manual and clinical protocols approved by DJJ Heath Care Services for use in the facilities. c. All patients will be within sight or sound of staff at all times. d. The infirmary space and equipment shall be adequate and appropriately cleaned and maintained for the intended purposes. The Contractor must submit a preventative maintenance program in compliance with health care service directives. e. Each admitted patient shall have: - A separate inpatient record with new orders, problem list, and treatment plan - An initial nursing assessment completed during the shift of admission - A formal /complete nursing assessment completed within 4 hours of admission - An initial admission note by the nurse reflecting a summary of the patients status - An initial admission note by the admitting practitioner reflecting the purpose for admission and anticipated treatment process, completed within 24 hours of admission - An admission history and physical examination completed within one business day of admission. A problem list and treatment plan prepared by the responsible practitioner specifically for the inpatient stay initiated within one business day of admission - Diagnostic studies appropriate to the patients needs - Progress notes from nursing, and other staff, reflecting ongoing care and progress - Discharge planning initiated as soon as possible after admission - Discharge summaries including general patient education and care provided, completed within two weeks of discharge or death e. Health Call 1. The DJJ utilizes a written health care request form to permit youth to request health care services. These forms shall be collected daily and triaged by the Contractors professional registered nursing staff within 24 hours.
