OAR 291-124-0020: Facilities and Equipment for Provision of Health Care

(1) Space, Equipment and Supplies: (a) Sufficient space, equipment, and supplies will be available to provide the level of healthcare designated at each state operated correctional facility. (b) Health Services administrators are responsible for evaluation of the adequacy of space allocated, review of major equipment purchases, and the system for distribution of healthcare services and supplies within their individual scope of authority. (2) Level of Service at Each Facility: (a) The assigned Medical Service Manager is responsible for coordinating AIC access to healthcare services either at the site, in the community, or at another correctional facility. (b) Healthcare services at correctional facilities shall at a minimum include instruction and supervision of self-care, ambulatory care, emergency care, and referrals for specialty services. (c) Inpatient infirmary beds, on site dental clinics, optometry clinics and mental health treatment are not available at each correctional facility. AICs needing these services may be transferred to the most appropriate correctional facility to receive the needed service. (d) AICs with complex medical conditions who cannot be referred to providers in the immediate community may be transported to a correctional facility in another geographic area to receive medically necessary care and treatment. (e) At correctional facilities with patients occupying inpatient infirmary beds, healthcare staff shall be on duty 24 hours per day with a physician on call 24 hours per day. At correctional facilities without 24 hour on duty coverage, a registered nurse and a treating provider shall be designated and on call to provide 24 hours per day coverage. (f) Health Services staff will make provisions for hospital access and specialty care as necessary for the healthcare of the AIC. (g) Each health services program shall have a written plan and maintain readiness to provide basic emergency healthcare services to anyone in emergency situations. This plan shall be in accordance with the emergency response plan for the facility.