Health Services – The Partner Provider must have and follow a written plan for

Health Services – The Partner Provider must have and follow a written plan for providing medical and dental services to all children in care, to include the following: 1. General Requirements a. All MDCPS Nurses must have access to children in the care of a Partner Provider at all times without exception. All medical records must be made accessible to MDCPS nurses at all times. b. MDCPS must refer all children in custody ages three (3) and under to the Statewide Early Intervention Program for a comprehensive evaluation and screening. This recommendation can also be made by the Partner Provider or in conjunction with the parent or legal guardian. 2. Pre-Admission Medical Exams a. The Partner Provider must require a pre-admission medical examination for all children in care except for Intake and Assessment Centers/Emergency Shelters. b. Documentation of a tuberculosis (TB) screen and medical examination must be included in the child’s file and if not previously conducted must be performed within seven (7) days after admission. A copy of the written report should be submitted to MDCPS. c. The Partner Provider must arrange for each child to have follow-up medical treatment or examinations as recommended by the medical examination. 3. Annual Medical Exams a. The Partner Provider must ensure that each child has a medical examination annually. All findings must be sent to MDCPS upon request. b. The Partner Provider must arrange for each child to have follow-up medical treatment or examinations as recommended by the medical examination. c. The Partner Provider must ensure that each child has a dental examination annually and cleaning every six (6) months and all findings should be sent to MDCPS. d. The Partner Provider must ensure that each child has annual vision and hearing examinations or as often as medically necessary. All findings must be sent to MDCPS. 4. Mental Health Assessment. MDCPS will ensure that a child’s/family’s mental health needs and strengths are assessed within thirty (30) days of child’s placement by an independent assessor and provide the Partner Provider with a copy of the final assessment. 5. Routine Medical Care a. The Partner Provider must make arrangements with a licensed physician(s) or licensed nurse practitioner to provide ongoing medical treatment for children in care. b. The Partner Provider must make arrangements with a licensed hospital for the admission and treatment of children in care. c. The Partner Provider must make arrangements with a licensed dentist(s) to provide dental care and all findings should be sent to MDCPS. 6. First Aid Kit a. The Partner Provider must have a first aid kit in each living unit consistent with the guidelines of the American Red Cross. b. The staff must know the location of the box and ensure its contents are checked every thirty (30) calendar days and restocked accordingly. c. The first aid kit must be kept locked and inaccessible to children in care. 7. Medical Records. The Partner Provider must maintain medical, dental and mental health records for children in care. The records must include the dates of all immunizations, examinations and any treatment for specific illnesses or medical emergencies. 8. Administration of Medication. The Partner Provider must have and follow written procedures for the prescription, administration of medication, and the disposal of outdated and unused medication. This procedure must be given to all Partner Provider staff members responsible for prescribing and administering medication and include the following: a. The administration of all prescription drugs and other medical procedures must be directed and supervised by a licensed physician or licensed nurse in accordance with the Mississippi Nursing Practice Law and Rules and Regulations. b. The facility must keep all medication in a locked cabinet within a separate room with a locked door. A log must be maintained on all medication administered as well as a youth’s refusal to take medications. MDCPS should be notified, within 24 hours, of all refusals via Serious Incident Report (SIR). c. The facility must not permit medication prescribed for one child to be given to another. 9. Disposal of Medication a. Per the Mississippi Board of Pharmacy, the best practice for medication disposal is to turn the medication in to an appropriate Medical Disposal Bin found at most pharmacies or any Mississippi Highway Patrol Office. b. If disposal in a Medical Disposal Bin is unfeasible, medication must be rendered inactive meaning it is unusable for use. Controlled substances such as narcotics require witnessed disposal. c. Quantity of medication disposed of and method of disposal of medication must be documented on the medication documentation form.