Section 79637 - Nursing Service-Patient Care(a) No patient shall be admitted or accepted for care by a correctional treatment center except on the order of a licensed healthcare practitioner acting within the scope of his or her professional licensure.(b) Each patient shall be treated as an individual with dignity and respect, and shall not be subjected to verbal or physical abuse of any kind from employees or independent contractors of the licensee.(c) Each patient, upon admission, shall be given orientation to the unit, emergency call system, patients' rights and rules of behavior.(d) Each patient shall be provided care which shows evidence of good personal hygiene, except where staff safety may be compromised, including care of the skin, shampooing and grooming of hair, oral hygiene, shaving or beard trimming (except where contraindicated due to criminal identification purposes), cleaning and cutting of fingernails and toenails. The patient shall be kept free of offensive odors.(e) Patients, when indicated, shall be given care to prevent formation and progression of decubiti, contractures, and deformities. Such care shall include:(1) Changing position of bedfast and chairfast patients with preventive skin care in accordance with the needs of the patient.(2) Encouraging, assisting and training in self-care and activities of daily living.(3) Maintaining proper body alignment and joint movement to prevent contractures and deformities.(4) Using pressure-reducing devices where indicated.(5) Providing care to maintain clean, dry skin free from feces and urine.(6) Changing of linens and other items in contact with the patient, as necessary, to maintain a clean, dry skin free from feces and urine.(7) Carrying out of physician's orders for treatment of decubitus ulcers. The facility shall notify the physician when a decubitus ulcer first occurs, as well as when treatment is not effective, and shall document such notification.(f) Each inmate-patient who requires help in eating shall be provided with assistance when served, and shall be provided with training or adaptive equipment in accordance with identified needs, based upon patient assessment, to encourage independence in eating.(g) Each inmate-patient shall be provided with good nutrition and with necessary fluids for hydration.(h) Fluid intake and output shall be recorded for each inmate-patient as follows: (1) If ordered by the licensed healthcare practitioner acting within the scope of his or her professional licensure.(2) For each inmate-patient with an indwelling catheter or receiving intravenous or tube feedings.(i) The weight and length of each inmate-patient shall be taken and recorded in the inmate-patient's health record upon admission. The weight shall be taken and recorded once a month thereafter.(j) Each inmate-patient shall be provided visual privacy during medical treatments and personal care, unless contraindicated due to security considerations.(k) Inmate-patient call signals shall be answered promptly.(l) The following shall be easily accessible at each nurse's station: (1) The correctional treatment center's infection control policies and procedures.(2) Names, addresses and telephone numbers of local health officers.(3) The correctional treatment center's current diet manual.(4) The correctional treatment center's current drug formulary.(5) The correctional treatment center's current nursing policy and procedure manual.Cal. Code Regs. Tit. 22, § 79637
1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23).
2. Amendment of subsections (a), (e)(6) and (h)(1)-(2) and NOTE filed 3-3-2010; operative 4-2-2010 (Register 2010, No. 10). Note: Authority cited: Sections 1267.10(a), 100275 and 131200, Health and Safety Code. Reference: Sections 1250(j), 1254, 1316.5, 131050, 131051 and 131052, Health and Safety Code.
1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23).
2. Amendment of subsections (a), (e)(6) and (h)(1)-(2) and Note filed 3-3-2010; operative 4-2-2010 (Register 2010, No. 10).