340:75-10-8.2. Medical services in Oklahoma Department of Human Services (OKDHS) managed and operated shelters
OKDHS managed and operated shelters have an operational plan to meet the individual medical needs of each resident based on information obtained from the admission assessment, physical examination by a health care professional, and observation during placement in accordance with OAC 340:110-3-154.3.
INSTRUCTIONS TO STAFF
1.Health and medical services to residents.The Oklahoma Department of Human Services (OKDHS) shelters employ and contract with licensed medical professionals to provide health and medical services to children in residence.Shelter direct care staff are trained in basic first aid and cardio-pulmonary resuscitation (CPR).
2.Resident medical information documented in KIDS.When a petition is filed related to the child in shelter care, all medical information obtained during the child's shelter stay is entered into the KIDS system by the shelter child welfare specialist (CWS), nurse, or medical searcher.
3.Resident health screening examination.Each resident remaining in a shelter more than seven days receives a health screening examination by a licensed health professional.The examination is documented in the resident's shelter record and in the KIDS system by the shelter CWS.The shelter CWS or medical staff inform the child's Child Welfare (CW) worker of any medical problems discovered by the screening and of needed follow up medical care.
4.Ongoing medical care.The shelter nurse examines residents who present a medical complaint and provides treatment or referral for any follow up examination or treatment.The shelter nurse assists shelter staff or the child's CW worker in obtaining the necessary medical care for the child.
5.Obtaining consent for medical care.When a child in a shelter requires medical treatment, the shelter CWS or CW worker arranges for informed consent for treatment.Refer to OAC 340:75-6-88 Instructions To Staff (ITS).
6.Emergency medical care.The OKDHS shelters have a plan to address medical emergencies.Shelter staff obtain necessary emergency medical care for residents.Shelter CWS staff notify the child's CW worker when emergency medical care is required.The CW worker keeps the child's parents or other applicable persons informed.
7.Resident health record.A record of examinations, serious accidents, or illnesses that occur to a resident in a shelter is maintained.The record contains the details of the examination or incident and the actions taken by the shelter staff.The original record is placed in the child's file at the shelter.
8.External health care.The child's CW worker facilitates and obtains external medical care.When shelter staff initiate external medical care for a resident, shelter staff obtains the care and completes the follow up appointments when the child remains in residency.
9.Resident medications.OKDHS managed and operated shelters have a current written medication policy per OAC 340:110-3-154.3.Medications are administered and stored in accordance with shelter procedures.
10.Use of universal precautions.Shelter staff utilize universal precautions when caring for residents to minimize exposure to and transmission of communicable disease in accordance with OKDHS:2-15-32.