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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 ofsymptoms. Perform TB testing for each statf member working in the Kittitas County Jail once a year. Complete health appraisal physical examinations of all newly arriving inmates within 14 calendar days of arrival at KCJ. Health appraisal physical examinations will include but are not limited to: . Review of the screening/intake forms by medical and mental health staff;r Recording of vital signs, height, weight, etc.;. Complete medical history and physical examination;o Mental Health screening;r Dental screening;r Vision and Hearing screening;r Blood sampling for screening and urine sampling as needed;. lnitiation of therapeutic measures when appropriate;. Other tests and examinations as indicated;r Proper signatures, co-signatures, dates and times. Health appraisal physical examinations of female inmates will include the following additional assessments: . lnquiry about menstrual cycle and menstrual bleeding including abnormalities, current use of contraceptives, presence of an lUD, breast masses and nipple discharge, and possible pregnancy. Any abnormal results of the health appraisal examination will be reviewed by the physician for appropriate disposition. Perform an annual examination for all inmates remaining at the Kittitas County Jail for over a one-year period. This examination will occur as close as possible to the 365th day of detention. Perform a physical examination on each inmate working in the kitchen before he/she can begin work for food service or in an inmate trustee position. Provide procedural guidance, initial direction and periodic inspection and evaluation of the administration of medication activities performed by non-medical personnel Professional Services Agreement (Form rev. 0912412019) Page 15 of21