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Perform a ppD on each inmate when ,medicaily appropriate, unress medicailycontraindicated. The TB test wit be rga-d by ;;;p;,[priately trained eHcp andrecorded in the inmate's medical record. 4nyinmate-iliffiositive skin-test reactionsor with a history of positive reactions or who is rvrpio*iic will be given a chest x-ray withln g6-hours of skin test reading or identifilation ot nistory or ofsymptoms. <br />Perform TB testing for each staff member working in the Kittitas county Jail once ayear. <br />complete health appraisal physical examinations of all newly arriving inmates within <br />;i TI:XHi,ffilJo"li'rivarat KCJ Heartn appraisaipnvritli"*aminaiions wiu incrude <br />' Review of the screening/intake forms by medical and mental health staff;. Recording of vitalsigns, height, weight, etc.;. Complete medical history and physital examination;. Mental Health screening;. Dental screening;. Vision and Hearing screening;. plgod sampling for screening and urine sampling as needed;r lnitiation of therapeutic measures when appropriaie;o Other tests and examinations as indicated;. Proper signatures, co-signatures, dates and times. <br />*T||H?::Hl:fi:H::ar examinations of femare inmates wilt inctude the folowins <br />' lnquiry about menstrualcycle and menstrual bleeding including abnormalities,current use of contraceptives, presence of an ruD, b-reast il;*. anj'nipptedischarge, and possible pregnancy. <br />Any abnormal results of the health appraisal examination will be reviewed by thephysician for appropriate disposition, <br />Perform an annual examination for all inmates remaining at the Kittitas county Jailfor over a one-year period. This eximination *irr occuiis close as possible to the365th day of detention. <br />Perform a physicalexamination on each.inmate working in the kitchen before he/shecan begin work for food service or in an inmate tiurt"""po*ition. <br />Provide procedural guidance, initial direction and periodic inspection and evaluationof the administration of medication activities dfiil;;y non-medicar personner <br />Professional Services Aoreement (Form rev. 0gt24ll01g)Page 15 of21