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Perform a PPD on each inmate when medically appropriate, unless medically <br />contraindicated. The TB test will be read by an appropriately trained QHCP and <br />recorded in the inmate's medical record. Any inmate with positive skin -test reactions <br />or with a history of positive reactions or who is symptomatic will be given a chest x- <br />ray within 96-hours of skin test reading or identification of history or ofsymptoms <br />Perform TB testing for each staff member working in the Kittitas County Ja°1 once a <br />year. <br />Complete health appraisal physical examinations of all newly arriving inmates within <br />14 calendar days of arrival at KCJ. Health appraisal physical examinations will include <br />but are not limited to: <br />Review of the screening/intake forms b <br />• y medical and mental health staff; <br />• Recording of vital signs, height, weight, etc.; <br />• Complete medical history and physical examination; <br />• Mental Health screening; <br />• Dental screening; <br />• Vision and Hearing screening; <br />• Blood sampling for screening and urine sampling as needed, <br />+ Initiation of therapeutic measures when appropriate; <br />• Other tests and examinations as indicated; <br />• Proper signatures, co -signatures, dates and times. <br />Health appraisal physical examinations of female inmates will include the following <br />additional assessments: <br />• Inquiry about menstrual cycle and menstrual bleeding including abnormalities, <br />current use of contraceptives, presence of an IUD, breast masses and nipple <br />discharge, and possible pregnancy. <br />Any abnormal results of the health appraisal examination will be reviewed by the <br />physician for appropriate disposition. <br />Perform an annual examination for all inmates remaining at the Kittitas County Jail <br />for over a one-year period. This examination will occur as close as possible to the <br />365th day of detention. <br />Perform a physical examination on each inmate working in the kitchen before he/she <br />can begin work for food service or in an inmate trustee position. <br />Provide procedural guidance, initial direction and periodic inspection and evaluation <br />of the administration of medication activities performed by non -medical personnel <br />Professional services Agreement (Form rev. 09124/2018) <br />Page 15 of 21 <br />