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within KCJ. Provide designated members of the KCJ staff with training for administering medications, including recognition of response to drug reactions and unanticipated side effects. Contractor will be on premises at the KCJ on a periodic schedule and will be available by telephone if circumstances require such response. Conduct Sick Call Clinic on a rcgular basis for inmates desiring or needing medical attention. Clinic will be conducted as directed by the doctor that is hired and in accordance with State of Washington standards. All inmates requesting care will receive a response on the next scheduled QHCP visit. Physician or Mid-level provider (PA/NP) sick callwill be conducted weekly on a regularly scheduled basis. Respond immediately to healthcare emergencies that occur in the KCJ when requested by KCJ staff. A Physician/PA/NP will be on-call to the KCJ on a twenty-four (24) hour, seven (7) day a week basis to aid in the determination of whether or not an inmate requires transfer to the nearest hospital facility. Coordinate with a local hospital for routine outpatienVinpatient services to meet the healthcare requirements of inmates at the KCJ that cannot be provided within the facility but will not be financially responsible for the cost of such care. Contractor will work closely with the KCJ staff to keep off-premises inmate healthcare visits at as low a level as possible. ln every case possible Contractor will utilize telephone consultations, in- house evaluations, and other available methods to identify and address health issues before they become critical. ln critical care situations, the Contractor, when on-site, will triage the patient whenever possible before activating emergency medical transport. In the event that an inmate must be hospitalized, Contractor will follow the course of the admitted inmate, communicate with the attending physician and nurses and return the inmate to the KCJ as soon as practical. Make referral arrangements with other medical specialists for treatment of those inmates with medical problems that extend beyond the scope of services provided onsite, including special laboratory tests, x-rays and other ancillary services. Develop and implement a program for the care of chronic-care inmates. The chronic care provided will entail the development of an individual treatment plan by the responsible physician specifying instructions on diet, medication, and diagnostic testing. Chronic care inmates will be provided a review by a physician minimally every three (3) monlhs and at greater frequency when medically indicated, Professional Services Agreement (Form rev. 0912412A18) Page 16 of 21