PSA Amendment Family Healthcare (2)

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. Review initial medical and mental health screenings conducted in the Booking/Intake area by health trained KCCC staff, including Mental Health Questionnaire (including suicidal assessment) and the Health History Screening. Appropriate action will be taken to verify prescription medications, consult with the inmate's private healthcare provider and address immediate problems of newly admitted inmates to the KCCC. Contractor staff will be available on a 24/7 on : call basis for review of screenings in the event that an inmate presents with a med ical problem , to determine if the inmate should be accepted into KCCC or referred to another appropriate health care service provider. The receiving screening will include inquiries into, but is not limited to : • Medical history of current and prior illness and health problems including mental health, dental, communicable and chronic diseases; • Drug/alcohol use; including types, methods , amounts, frequency, date/time of last use , and history of problems related to stoppage ; • Current medications; • Body deformities including scars, marks and tattoos, and assessment of the ability to perform activities of daily living and status of ambulation: • Condition of skin including trauma markings, bruises, lesions, jaundice, rashes, infestations, discharge, needle marks or other indications of drug abuse; • Behavior, including state of consciousness, mental status, appearance, conduct, tremors , and sweating, • History of suicidal ideation, tendency or attempts; Based on the information gathered , Contractor will make recommendations that include, but are not limited to: • Referral to an emergency health care facility; • Placement in the general inmate population and referral to the normally scheduled health care services at the KCCC facility • Placement in the general inmate population; • Placement in isolation • Placement in observation area (awaiting psychiatric evaluation) -Perform a PPD on each inmate when medically appropriate, unless medically contraindicated . The TB test will be read by an appropriately trained QHCP and recorded in the inmate's medical record. Any inmate with positive skin-test reactions or with a history of positive reactions or who is symptomatic will be given a chest x- ray within 96-hours of skin test reading or identification of history or of symptoms. -Perform TB testing for each staff member working in the Corrections Facility once a year. Professional Services Agreement Page 14