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CCHP EXAM-with 100% verified solutions- 2024 - 2025
In terms of care, clinical encounters should be conducted In private Who approves health record contents RHA If health records are being stored separately between disciplines, what is the minimum data that needs to be included and accessible to all health staff
- Current problems
- Allergies
- Medications Health records should be stored where? Separate from correctional records and in secure conditions A health record is initiated when someone receives any type of health screening A clinical mortality review needs to be conducted within what time frame 30 days A psychological autopsy is preformed on all deaths by suicide, in what time frame? 30 days What is a clinical mortality review Assessment of the clinical care provided and the circumstances leading up to a death What is an administrative review Assessment of correctional and emergency response actions surrounding an inmates death
Who conducts a psychological autopsy Psychologist or other qualified mental health professional All deaths are reviewed to determine, what...
- Appropriateness of clinical care - did we do what we could?
- Determine need for changes to policies, procedures and practices- does something need to be changed
- Identify issues - are there trends, what went wrong What is a psychological autopsy A written reconstruction of an individual's life with an emphasis on FACTORS that led up to and may have contributed to death If an inmate dies and they are off-site, is a death review completed Yes- they are still inmates and the facility is still responsible for them What is a grievance? The patients right to disagree or question healthcare system Grievances should be reviewed how frequently At least annually or sooner if a trend is noted RDN stands for Registered dietitian nutritionist Who reviews the regular diet for nutritional adequacy RDN or Licensed qualified nutrition professional How often is the regular diet reviewed
High-risk periods for suicide are
- Upon admission 2.Following new legal problems 3.Admittance to segregation or single cell 4.Suffering a humiliation 5.After receipt of bad news 6.Pending release after a long period of incarceration All staff attend suicide training how frequently Annually What is the monitoring procedure for non-acutely suicidal inmates Irregular intervals no more than 15 minutes When do women have access to emergency contraception At intake, after sexual assault and any time it is deemed necessary When can arrangements be made to initiate contraception Upon inmate request for planned release What is a patient safety system Practice interventions designed to prevent adverse and near-miss clinical events What is an adverse clinical event Injury or death caused by medical management What are the common methods of communication Radios and panic buttons How often is the clinical performance enhancement review conducted Annually
Staff need how many hours of continuing education per year 12 hours Correctional officers receive healthcare training how often Every two years For any inmate to provide care to another inmate they must be in rolled in what Peer health related programs or reentry healthcare training programs Are inmates allowed to refuse help from inmates in rolled in reentry programs Yes What is something to be aware of in terms of inmates receiving care from an inmate in a re-entry program Gives the inmate working unwarranted power over their peers Who is the healthcare liaison A correctional officer or other person without a healthcare license What is the healthcare liaison responsible for? (Four main things)
- Reviews screening forms
- reviews non emergent healthcare requests
- Helps carry out prescriber orders (diet,housing, work)
What does KOP stand for Keep on-person What is the KOP program Self medication programs that permit responsible inmates to carry and administer their own medication If an inmate is identified with a clinically significant finding, as the results of a comprehensive screening, they should receive an initial health assessment by when? As soon as possible but no later than two working days after admission If a health assessment is deferred due to a previous (documented) health assessment being done within the last 12 months. New documentation must confirm what? The new receiving screening shows no change in health status If an inmate has recently completed a health screening but the new screening shows change in health status what needs to be repeated And initial health assessment And initial health assessment is performed when Within 2 days of arrival Violent behavior is defined as Expressive violence
Oral screenings are performed when As soon as possible but no later than 14 calendar days And initial oral examination is performed by a dentist when Within 12 months of admission What is an oral screening Visual observation of teeth and gums notation of any obvious or gross abnormalities requiring immediate referral to a dentist Oral and dental care is based on? And generally focuses on? Patient need urgent or emergent needs Discharge planning should include
- Formal linkages between facility and community based organizations
- List of community health professionals
- Discussions of follow up care
- Appointments and medications
- Timely exchange of health information For discharge- Patients with communicable diseases or other serious medical conditions are given Referrals to specialists or if appropriate direct admission to a community hospital At discharge, patients with an opioid addiction history are at a higher risk for
Inmates whose health needs require more protective environments than that in general housing would be placed where Sheltered housing The primary method of infection control is Standard precautions The immediate objective of mental health treatment is to... Alleviate symptoms of mental disorders and to prevent relapse is in order to sustain patient's ability to function safely in their environment Treatment goals include
- Self understanding
- self-improvement
- development of skills to cope with and overcome mental health issues Acute mental health residential units are for who Patients who are psychotic, mentally unstable or suicidal Acute mental health residential units should have continuous what
- Coverage by mental health staff
- Orientation and training for correctional officers assigned to the unit
- Daily evaluation by mental health staff 4.Programming or appropriate therapies Factors for the amount and type of qualified healthcare professionals in a facility
- Size of facility
- Types and scope of services delivered
- Needs of inmate population
- Organizational structure Treatment plans may include what to reinforce positive behavior Behavior contracts Overdose risks can be reduced by continuing or initiating what MAT Encouraging and/or facilitating engagement in treatment post release can reduce what Recidivism and mortality If a pregnant inmate is released prior to delivery Effort should be made to ensure what Community prenatal care All pregnant women should be vaccinated for what Flu shot during flu season and during the third trimester - Tetanus diphtheria and pertussis Are pregnant inmates who are vaccinated outside of pregnancy supposed to be revaccinated Yes
If a sexual assault occurs evidence is collected in house under what guidelines A collection of history and documentation of the extent of physical injury Examiner will not have a therapeutic relationship with individuals involved Personnel must be trained Victim must give consent After sexual assault follow up activities occur Prophylactic treatment and follow up care for any potential STI's Evaluation for mental health Report is made to correction authorities to get the victim and abuser separated PREA addresses what? Actions to be taken by correctional admins Inmate victims of sexual abuse should be offered Timely information Counseling Emergency contraception
Prophylactic treatment to prevent transmission of STI's In the event of sexual abuse what is of the upmost importance Immediate response After an incident of sexual assault or abuse what is needed to prevent further violence Separation of victim and alleged abuser When is the only time qualified healthcare professionals are allowed to gather forensic evidence When they are specifically trained in sexual abuse and have the victims consent Is early release available to inmates with a terminal illness Yes What are the names of the early release programs Medical parole and compassionate release
