103 CMR 932.04
Health Care Treatment (Required)
Written policy and procedure shall provide for health care treatment, and shall include, but
not be limited to, the following:
Treatment by health care personnel other than a physician, dentist, psychologist or
independent provider shall be performed pursuant to written standing or direct orders of such
person authorized by law to give such orders;
Nurse practitioners and physician assistants shall provide services under the clinical
supervision of a licensed physician;
(3) If students or interns are used to supplement health care personnel, that their work shall be
performed under direct staff supervision;
(4) Inmates shall not be used for the following duties:
(a) performing direct patient care services;
(b) scheduling health care appointments;
(c) determining access of other inmates to health care services;
(d)
handling or having access to: surgical instruments, dental instruments, syringes,
medications, health records; and
(e) operating equipment for which they are not trained.
(5) Medical, dental and mental health matters including clinical judgments shall be the sole
province of the responsible physician, dentist, qualified psychologist, or psychiatrist. Security
regulations applicable to county correctional facility personnel shall apply to health personnel.