(a) The Department shall ensure appropriate specialized health care housing is available to meet the level of care needed for each patient. These services shall include access to both community and institution-based specialized health care housing.
(b) Nursing, medical, and mental health services shall be:
(1) Available 24 hours per day, 7 days per week.
(c) Medical and mental health services shall be provided in person, telephonically, or via telehealth, provided by the Department or a Department contractor.
(d) Dental services shall be available at least eight hours per day, Monday through Friday, excluding holidays.
(1) Emergency dental services shall be available 24 hours per day, 7 days per week.
(2) Services shall be provided in person or telephonically.
(e) Pharmacy services shall be available 24 hours per day, 7 days per week.
(f) Ancillary and allied health services shall be available to patients within the specialized health care housing units.
(g) Patients shall be admitted to a specialized health care housing unit only upon the order of a health care provider granted admitting privileges for the admitting facility. The admitting health care provider shall be responsible for ensuring that all admission orders are written within 24 hours.
(1) Patients admitted to a specialized health care housing unit shall have an initial assessment at the time of admission performed by a Registered Nurse (RN).
(2) Patients admitted to a specialized health care housing unit shall have an admitting history and physical performed by a medical provider within 24 hours of admission.
(3) An interdisciplinary care plan shall be completed within 72 hours of the patient's admission and updated as the patient's condition changes, treatments change, and interventions change.
(4) The RN shall provide and document patient education that includes, at a minimum:
(A) Frequency of provider visits.
(B) Frequency of nursing rounds.
(C) How to use the call light, if applicable.
(D) How to request care.
(5) Patients being admitted to a specialized health care housing unit for urgent mental health treatment shall be evaluated by a mental health clinician within 24 hours.
(6) Patients being admitted to a specialized health care housing unit for dental treatment shall be examined by a dental provider pursuant to section 3999.367.
(h) Patient stay.
(1) Patients admitted to a specialized health care housing unit shall be assessed by a member of their care team through rounds at least daily.
(2) Specialized health care housing units that utilize the CDCR 7362, Health Care Services Request Form, shall provide the form to patients upon request.
(3) For specialized health care housing units that do not utilize the CDCR 7362, daily nursing documentation shall include:
(A) Patient's requests for care.
(B) Patient's concerns or complaints.
(C) Nursing interventions provided.
(i) Transfers.
(1) Patients shall only be transferred between specialized health care housing units upon the written order of a privileged health care provider.
(2) Verbal transfer orders shall not be given except in emergencies.
(j) Patients shall only be discharged from a specialized health care housing unit upon the written order of a privileged health care provider.
Credits
Note: Authority cited: Section 5058, Penal Code. Reference: Section 5054, Penal Code; and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of California.
History
1. New section filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019, No. 49). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency language will be repealed by operation of law on the following day.
3. New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020, No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 3-9-2020 order, including amendment of subsection (g)(4), transmitted to OAL 6-8-2020 and filed 7-20-2020; amendments operative 7-20-2020 pursuant to Government Code section 11343.4(b)(3) (Register 2020, No. 30).
This database is current through 5/10/24 Register 2024, No. 19.
