|
|
| |
| |
Medical
Services Bureau consists of the following support Units/Sections:
|
|
|
| |
|
|
|
|
|
| |
|
|
| |
AutoMed
Los
Angeles County Sheriffs Department Custody System has between
18,000 -20,000 inmates incarcerated daily. More than 6,000
of these inmates have medical problems and need medications.
It is the largest mental health institution in the nation
with more than 3,000 inmates with mental health problems.
Each of 6,000 inmates takes an average of 5 medications a
day.
The
pharmacy services in Sheriff’s Department purchases nearly
1 million dollars worth of drugs each month. AutoMed will
eventually provide service to those inmate patients that require
medications. The AutoMed system will enable the medical staff
to deliver healthcare services in a more efficient manner
by eliminating the need to prepare medications from bulk supplies
before dispensing them to the patients.
AutoMed
is a high speed, high volume automated drug packaging system.
The Los Angeles County Sheriffs Department, Medical Services
Bureau Pharmacy Services unit has three machines that hold
330 different tablets and capsules in drug-specific cassettes.
The machines also have a detachable tablet adapter that can
accommodate non formulary drugs and for specialized dosing
of half tablets. Each of the three AutoMed machines is capable
of packaging up to 60 bags per minute with a single dose of
a medication and up to 40 bags per minute with multiple medications.
This translates to 10,800 bags per hour of optimal productivity
with three machines.
AutoMed
packs medications by inmate’s name, facility, module
/ room, bed, and dosage time. It also can produce specific
medications in single or multiple medication packs. Multiple
medication packaging can be up 8 tablets or capsules in combination
of three medications or eight units of one medication. The
batch files generated by the system are designed to be dispensed
by facility, location , and administration time. This enables
medical staff to have medications ready to dispense at the
time of administration since the medications are sorted by
the parameters above. The end result of this is more efficient
and timely medicating of inmate patients.
AutoMed
equipment responds to the inmate specific medical information
received through an interface with the Jail Health Information
System (JHIS) pharmacy module . JHIS receives patient specific
demographic information from the Automated Justice Information
System(AJIS). After doctors enter medication orders into the
JHIS system, the pharmacy module lists the orders for verification.
Pharmacists verify the orders for proper dosage and possible
drug interactions that could be harmful to the inmate patient.
|
| |
|
|
| |
|
|
|
|
|
| |
|
|
| |
Training
The
Education Unit of Medical Services provides classes for all
of the staff assigned to Medical Services Bureau. Additionally
we provide training for sworn personnel assigned to Custody
Division regarding the operations of our Bureau. We are a
unique organization, and as such, we have decided to prepare
our newly hired nurses by giving them a full two weeks of
Orientation. A comprehensive introduction to the specialty
of Correctional Nursing is a vital part of the program for
our staff. An important part of our educational program is
that every nurse participates in the latest techniques of
CPR as mandated by the American Heart Association. All licensed
personnel are certified in the utilization of our Automated
External Defibrillators. In 2001 we trained all of the licensed
persons in Medical Services Bureau to the newly changed methods
for instituting CPR. We have a newly developed preceptor program
in order that each person will have a mentor when he/she is
assigned to their work unit. The preceptors have attended
workshops and are well prepared to assist the new individual.
Most people
are now computer literate, and to support this, we provide
two full days of computer training in order to familiarize
the new employees with our basic system as well as introduce
them to our computerized medical record system/ JHIS. Part
of the two weeks of orientation covers issues of security,
training with our equipment, and our new Emergency Response
class which prepares the newly hired individual to deal with
inmates that need extra attention. We are now offering numerous
Continuing Education classes on site, with the subject material
pertinent to our population. We also schedule lectures by
our staff physicians, dental director, and psychiatrist staff,
as well as having guest speakers from the community. Our recent
lectures included the subject material of: hypertension, diabetes,
HIV, trauma, asthma and suicide prevention. Since we have
a California provider number, it is possible for our staff
to obtain all of their required CEU's on site, at no cost
to them. We also offer twenty-four hours of classes for our
CNA's to maintain their annual credential.
We review
our programs and make revisions twice yearly in order that
we continue to meet the needs of our staff and maintain the
standard of care at community level in our system.
We encourage
all of our staff to upgrade their educational level from LVN
to RN and eventually to an undergraduate degree, thus, one
of our goals is to have an on-site BSN program.
|
|
|
|
| |
|
|
|
|
| |
|
|
| |
Professional
Staff Association
The
Professional Staff Association (PSA) became a legal entity
in October 1991, when the Los Angeles County Board of Supervisors
approved the Bylaws. This marked the beginning of the process
necessary to license the Correctional Treatment Center,
in order to provide health care services in a licensed inpatient
setting.
Licensure
under Title XXII of the CCR requires an organized medical
staff and a governing body. In this regard, the preamble
to the PSA Bylaws succinctly states the following:
“Recognizing
that the attending staff is responsible for the quality
of health care in the LASD facilities and must accept and
assume this responsibility, subject to the ultimate authority
of the governing body, and that the best interests of the
patients are protected by concerted effort, the attending
staff practicing in the LASD Medical Services Bureau facilities
hereby organize themselves in conformity with these Bylaws.
All
the physician responsibilities and duties defined in the
PSA Bylaws and Rules and Regulations will be adhered to
by each PSA member. In addition, each of the committees
mandated by the PSA Bylaws will carry out its responsibility
as described in the Bylaws.
The
Chief Physician shall be responsible for the functioning
of the clinical organization of the facility and shall keep
or cause to be kept a careful supervision over all the clinical
work done in the facility.
The
Association is organized into services.
All members of the Association are assigned to a service,
Assignments are made based on medical training, experience
and practice.
|
|
|
|
| |
|
|
|
|
|
| |
|
|
| |
Communicable
Disease Unit
The management
of Communicable Diseases in the Los Angeles County Jail has
always been facilitated through a collaborative effort on
the part of the county Health Department and Sheriff’s
Department.
Infection
Control deals with identifying measures for the prevention,
control and investigation of infections within a facility.
In controlling infections, one may be required to conduct
studies, evaluate situations and revise sanitation programs.
Such as:
Prevention
of transmission of infectious diseases
Using Universal Precautions
Limiting contamination
Sterilization and disinfection
Disposal of waste materials
The Medical Services Bureau has an Infections Control Committee
that consist of members of the Laboratory Services, Nursing
Services, medical staff, administration, Staff Development,
Radiology, Employee Health Services, Pharmacy Services, Clinical
Support Services, Communicable Disease Unit, Dietary Services
and Dental Services.
This committee
has the responsibility of identifying measures for the prevention,
control and investigation of infections within the facility.
|
| |
|
|
| |
|
|
|
|
|
| |
|
|
| |
Jail
Health Information System (JHIS)
The Jail
Health Information System (JHIS) is a computer program that
links the functionality of the various ancillary services
to create a single medical record or electronic chart. JHIS
allows multiple clinicians to view a single medical record
from any JHIS computer terminal within Custody Division. This
is extremely beneficial due to the large amount of inmate
movement that occurs daily. JHIS will eliminate the need for
medical charts to be FAXed and/or transported from facility
to facility.
Training
Initial
training for JHIS is a comprehensive two day training session
that is usually conducted in conjunction new employee orientation.
Computer training is conducted in the Twin Towers Computer
Lab. In-service classes are also held at the facilities work
site when needed. Additional training is provided as system
upgrades are installed.
|
| |
|
|
| |
|
|
|
|
|
| |
|
|
| |
Medical
Services Bureau Training
The Education
Unit of Medical Services provides classes for all of the staff
assigned to Medical Services Bureau. Additionally we provide
training for sworn personnel assigned to Custody Division
regarding the operations of our Bureau. We are a unique organization,
and as such, we have decided to prepare our newly hired nurses
by giving them a full two weeks of Orientation. A comprehensive
introduction to the specialty of Correctional Nursing is a
vital part of the program for our staff. An important part
of our educational program is that every nurse participates
in the latest techniques of CPR as mandated by the American
Heart Association. All licensed personnel are certified in
the utilization of our Automated External Defibrillators.
In 2001 we trained all of the licensed persons in Medical
Services Bureau to the newly changed methods for instituting
CPR. We have a newly developed preceptor program in order
that each person will have a mentor when he/she is assigned
to their work unit. The preceptors have attended workshops
and are well prepared to assist the new individual.
Most people
are now computer literate, and to support this, we provide
two full days of computer training in order to familiarize
the new employees with our basic system as well as introduce
them to our computerized medical record system/ JHIS. Part
of the two weeks of orientation covers issues of security,
training with our equipment, and our new Emergency Response
class which prepares the newly hired individual to deal with
inmates that need extra attention. We are now offering numerous
Continuing Education classes on site, with the subject material
pertinent to our population. We also schedule lectures by
our staff physicians, dental director, and psychiatrist staff,
as well as having guest speakers from the community. Our recent
lectures included the subject material of: hypertension, diabetes,
HIV, trauma, asthma and suicide prevention. Since we have
a California provider number, it is possible for our staff
to obtain all of their required CEU's on site, at no cost
to them. We also offer twenty-four hours of classes for our
CNA's to maintain their annual credential.
We review
our programs and make revisions twice yearly in order that
we continue to meet the needs of our staff and maintain the
standard of care at community level in our system.
We encourage
all of our staff to upgrade their educational level from LVN
to RN and eventually to an undergraduate degree, thus, one
of our goals is to have an on-site BSN program.
|
| |
|
|
| |
|
|
|
