welcome to corrections healthcare in a correctional environment
TRANSCRIPT
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Welcome to Corrections
Healthcare in a correctional
environment
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Performance Objectives
Review the philosophies and institutions of the Oregon Department of Corrections.
Review of relevant Rules and Policies that effect the new employee, volunteer, or student.
Review special security, safety and confidentiality concerns that face corrections healthcare professionals.
Identify how to respond to inappropriate or suggestive inmate comments or compliments.
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Healthcare in a Correctional Environment
Security concerns are fundamental to every activity in the institution.
Unique social and cultural structures form within the institutional ‘community’.
The patients in our ‘community’ are a challenging sub-set within the general population.
Specific recent court finding are impacting the ways care is organized and delivered.
Correctional Health Care is a growing subspecialty.
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Facilities Throughout Oregon SRCI - Ontario
– Snake River Corr. Inst. • 2,791 Medium Male
• 163 Minimum Male
PRCF - Baker City– Powder River Corr. Fac.
• 175 A&D Alternative Male
• 84 Work Male
EOCI - Pendleton– Eastern Oregon Corr. Inst.
• 1617 Medium Male
TRCI - Umatilla– Two Rivers Corr. Inst.
• 1,557 Medium Male
• 127 Minimum Male
CCCF - Wilsonville – Coffee Creek Corr. Fac.
• 600 Medium Female• 600 Minimum Female• 432 Male Intake
OSP – Salem– Oregon State Penitentiary
• 2,039 Maximum Male
OSPM – Salem– Oregon State Penitentiary
Minimum• 172 Minimum Male
OSCI – Salem– Oregon State Corr. Inst.
• 882 Medium Male
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State Facilities SCI - Salem
– Santiam Corr. Inst.• 387 Minimum Male
MCCF – Salem– Mill Creek Corr. Fac.
• 217 Minimum Work Male
CRCI – Portland– Columbia River Corr. Inst.
• 530 Minimum Male
SCCI – North Bend– Sutter Creek Corr. Inst.
• 213 Alternative Incarceration– Male and Female
• 29 Minimum Work Male
WCCF – Lakeview– Warner Creek Corr. Fac.
• 378 Minimum Work Male
SFFC – Tillamook– South Fork Forest Camp
• 188 Minimum Male work camp
DRCI - Madras – Deer Ridge Corr. Inst.
• XX Medium Male• XX Minimum Male
Future Facilities– Junction City– White City
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Oregon Department Of Corrections
Mission
Vision
Values
Oregon Accountability Model (OAM)
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Mission
Holding offenders accountable for
their actions
Reducing the risk of future criminal
behavior.
&
Maintain security while preparing
inmates for successful re-entry
into the community
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Health Services Mission
To promote public safety by holding
offenders accountable for their actions and reducing the risk of
future criminal behavior.
To deliver professional, quality, constitutionally mandated health care using an efficient, managed care system in support of the mission of the DOC
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Oregon Department Of Corrections
Vision– We take a proactive role in the development of
the criminal justice policy.– We create partnerships with Oregon
communities to hold offenders accountable, engage victims, and enhance the quality of life for the citizens of Oregon.
– We are a committed, creative, and productive organization which recognizes safety and security as an essential business practice.
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Oregon Department Of Corrections
Vision– We require sound fiscal management of public
resources using outcome-oriented strategies.– We provide offender programs and resources
which support the department's mission.– We are a diverse, skilled work force which
shares the responsibility for outcomes across organizational boundaries.
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Oregon Department Of Corrections
Values
We ValueOur responsibilities
IntegrityTeamwork
Respecting othersConstructive change
The participation of all
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Oregon Department Of Corrections
Oregon Accountability Model
Role Model
Reinforce
Redirect
Create a Pro-socialLearning Environment
Reinforce Pro-social Behavior
Intervene and RedirectAnti-social Behavior
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Relevant Policy
Code of Ethics…. Policy 20.1.2
Code of Conduct…. Policy 20.1.3
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CAN’T• Blue Denim or Look Like It• Bright Orange or Lime Green• Insignias, Writing & Pictures• Sheer or Tight Fitting
Clothing • Bare Midriff, Thighs, Back• Jewelry • Cell phones, electronics• Hair on the shoulders
CAN• Black Denim• Scrubs• Lab Coat• Stethoscope
Be sensitive to the prison environment
Dress Code …Policy 20.1.6
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Relevant Policy
Identification Cards …Policy 20.5.15
– Identification must be worn at all times while in the facility.
– Use only for access to the facility.• It is not used as a secondary identification.• It is not used for personal favors.• Use only during work time.
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Relevant Policy
Smoke Free Workplace…. Policy 20.6.3
– Designated smoking areas.
– No smoking on the premises.
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Relevant Policy
Keys and Locks…Policy 40.1.2– No personal locks– Keys kept on person at all times.
Inmate Counts ….Policy40.1.3
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Relevant Rules From Oregon Administrative
Rules (OAR’s)
Rules of Prohibited Conduct …Rule#105– Many rules are in place within the corrections
environment that prohibit things that are allowable within the outside community.
Visiting ….Rule#127– If you need to visit a friend or relative, you
must follow the regular visiting rules.
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Relevant OAR’s (continued)
Health Services ….Rule #124– Health Services rule outlines our program and
the Policies and Procedures for the care provided for the patients within the facilities.
• Medical
• Dental
• Mental Health
• Pharmacy
• Radiology – Laboratory
• Health Care Records
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Relevant OAR’s (continued)
SMU .…Rule # 048
Mental Health Tx Program….Rule #047
Suicide Prevention ….Rule #076
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National Commission on Correctional Health Care The NCCHC is the organization we are
certified by The commission establishes standards of
care similar to JCAHO does in the community
Our policy/procedure manual is coded and taken directly from the NCCHC Standards
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Relevant Rules / Policies
Health Services Policy and Procedure Manual
Pay particular attention to the institution’s:– Sick Call– Emergency Response– Bloodborne Pathogens– Confidentiality
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Relevant Rules / Policies
Health Services Nursing Protocols
– Allows the properly trained nurse to provide more independent initial treatment for the patients.
• Medical - Routine• Dental - Routine• Medical - Emergency
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Prison Rape Elimination Act
Unanimously passed by Senate and House Signed into law in 2003 Establishes a “Zero Tolerance” standard Makes PREVENTION a top priority and
establishes a National Commission to develop national standards.
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Personal Interaction
The inmate population is a unique community, with special characteristics.
Security is a primary concern, always. Practicing Health Care in a Non-Health
Care Environment. Special challenges to the ‘normal’ Patient-
Provider relationship.
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Professional Boundaries
Don’t look to work to meet your personal needs
Maintain balance in your life
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Staff Protection
Learn the proper procedure for inmates to obtain things.
Let someone know if you think you are being cultivated
Misconduct Reports
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Know what to do in a crisis
Security Emergency
Fire Emergency
Hostage Situation
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Security and Teamwork Adhere to all facility security procedures. Remember that
security is the responsibility of all employees, volunteers and contractors.
Demonstrate respect in all interactions. Strive for an environment of mutual respect.
Be proactive when observing and intervening in offender behavior.
Role model pro-social behavior in a professional, firm, fair and consistent manner.
Identify, process and control contraband. Report all incidents immediately… honestly and
accurately.
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So, in summary;
Remember where you are. The rules and restrictions exist for good reason,
don’t bend or break them. Problems arise when information isn’t shared…
know when and how to do it. If you don’t know or don’t understand, just ask.
WELCOME TO CORRECTIONS !!!!!