Designation of staff who have the authority to make health care decisions, including emergency medical and dental care.
Non-emergency health care, including use of an inmate's personal physician.
Schedule of inmate access to routine medical care.
Provision for inmates with chronic medical conditions.
Procedure for processing inmate medical requests on a daily basis.
Documentation in an inmate's confidential medical file of any referral and identification of the services provided, including emergency services.
Provision of special diet if ordered by a qualified health care professional.
Maintenance of agreements between the jail and providers of health care services.
Communicable disease and infection control. Policies and procedures relating to communicable disease and infection control shall contain all of the following components:
Provision of laboratory screening for inmates who may have been exposed to a communicable disease if ordered by medical personnel.
Provision for handling bio-hazardous waste and decontaminating medical and dental equipment in accordance with regulations.
Detoxification and management of intoxicated inmates.
DOC 350.15 History
History: CR 13-038: cr. Register August 2014 No. 704, eff. 9-1-14. DOC 350.16
DOC 350.16 Control and administration of medications.
The jail shall have policies and procedures relating to the control, delivery, and administration of prescription and nonprescription medications, including the following components:
A qualified health care professional shall prescribe medications and order treatments.
Designated trained staff may administer or deliver prescribed doses of medication at prescribed times. Annual documented training shall be provided to jail staff that deliver medications.
Determination by appropriate personnel that all medications brought in by inmates or other persons for an inmate are necessary.
All medications brought into the jail shall be inventoried and placed in secure storage.
Any medications kept at the jail shall be stored in a locked drug cabinet that is not accessible to inmates.
Administration or delivery of prescription and nonprescription medications to inmates.
Medication administered or delivered to an inmate shall be documented, including who prescribed the medication, who administered or delivered the medication, and the date and time of administration or delivery.
All refusals of recommended or prescribed medications by an inmate shall be documented. A health care professional shall monitor the inmate in accordance with requirements of s. 302.384
Return of an inmate's medications inventoried at admission.
Inventory or disposal of unused medications upon the inmate's release or transfer.
DOC 350.16 History
History: CR 13-038: cr. Register August 2014 No. 704, eff. 9-1-14. DOC 350.17
DOC 350.17 Suicide prevention.
The jail shall have policies and procedures relating to the supervision and housing of inmates who may be at risk of seriously injuring themselves, including the following components:
Obtaining documented information from the arresting or transporting agency to assess an inmate's potential for suicide or self-harm.
Intake screening of inmates that includes interview items and staff observation related to potential suicide risk.
Procedure for placement of an inmate on suicide watch. Policies and procedures relating to the procedure for placing an inmate on suicide watch shall include all of the following components:
Immediate notification to designated supervisory staff if an inmate is identified as a suicide risk.
Designation of housing areas and security precautions for inmates who are placed on suicide watch.
Description of monitoring procedures for inmates on suicide watch, including frequency and documentation of wellness checks.
Identification of trained persons who may assess an inmate's level of suicide risk.
Notification to qualified mental health professionals within 12 hours of placement of a potentially suicidal inmate on suicide watch. Assessment by a qualified mental health professional shall be completed as soon as practicable.
Identification of qualified mental health professionals who are authorized to remove an inmate from a suicide watch status after an on-site face-to-face assessment.
Frequency of communication between health care and jail personnel regarding the status of an inmate who is on suicide watch.
Intervention protocol during an apparent suicide attempt, including life-sustaining measures.
Identification of persons to be notified in case of attempted or completed suicides.
Documentation of actions and decisions regarding inmates who are suicide risks, including all of the following:
Name, date, and time of referral to mental health professional.
Written documentation from the mental health professional removing an inmate from a suicide watch including name, date, and time.
Implementation of 2 hours of annual documented staff training regarding suicide prevention and identification of risk factors.
Access by staff to debriefing and support services.
Implementation of an operational review following a suicide or significant suicide attempt.
DOC 350.17 History
History: CR 13-038: cr. Register August 2014 No. 704, eff. 9-1-14. DOC 350.18
DOC 350.18 Security.
The jail shall have policies and procedures relating to jail security, including all of the following components:
(1) Inmate supervision.
The jail shall have a system providing for well-being checks of inmates. Policies and procedures shall provide that all inmates are personally observed by jail security staff at staggered intervals not to exceed the following:
(2) Supplemental observation.
A video monitoring system may be used to supplement but not replace personal observations.
Each observation shall be documented.
(4) Inmate counts.
Description of the system for physically counting inmates. Formal counts shall be completed and documented at least three times per day, with a minimum of one count per shift.
(5) Security inspections.
Description of procedures for conducting and documenting facility and area searches.
(6) Inmate searches.
Description of procedures for conducting and documenting inmate pat down, strip, and body cavity searches.
(7) Door and lock inspections.
Monthly inspections shall be made to determine if all jail doors and locks within and to the secure perimeter of the facility are in good working order. Each inspection shall be documented.
(8) Key control.
Control and use of jail keys, including all of the following:
All issued keys shall be inventoried and accounted for at shift change.
All keys shall be stored in a secure area and accessible in the event of an emergency.
(9) Weapons control.
Introduction, availability, control, inventory, storage, and use of firearms, chemical agents, electronic control devices, or other related security devices and specification of the level of authority required for their access and use.
(10) Tool and sharps control.
Introduction, availability, control, inventory, storage, and use of tools and sharps within the facility.
DOC 350.18 History
History: CR 13-038: cr. Register August 2014 No. 704, eff. 9-1-14. DOC 350.19
DOC 350.19 Fire safety.
The jail shall have policies and procedures relating to fire safety, including the following components:
The facility conforms to applicable federal, state, and local fire safety codes.
Each jail shall develop a fire safety policy in accordance with local fire department recommendations that addresses all of the following:
Fire protection equipment location and maintenance. Each jail shall have and shall properly maintain fire alarms, smoke and thermal detectors, fire extinguishers, and self-contained breathing apparatuses which operate for at least 30 minutes.
Training of staff in equipment use and the evacuation of inmates.
The evacuation route developed as part of the evacuation plan under sub. (2) (d)
shall be posted in a conspicuous place for staff in the jail.
Fire safety evacuation and other procedures shall be practiced or simulated by all jail staff at least once every 12 months. Each practice or simulation shall be documented.
The facility shall be inspected by the local fire department at least once every 12 months and a record thereof shall be maintained.
There shall be monthly inspections of the facility to ensure compliance with safety and fire prevention standards. Inspections shall be documented.
After September 1, 2014, sprinkler heads accessible to inmates not under direct supervision must be tamper and suicide resistant.
DOC 350.19 History
History: CR 13-038: cr. Register August 2014 No. 704, eff. 9-1-14. DOC 350.20
DOC 350.20 Double celling.
If approved by the department, the jail shall have policies and procedures relating to double celling, including the following components:
The county board and sheriff shall determine jointly the adequate staffing needs, including support staff and services that are required to ensure the health, safety, and security of the jail staff and inmates when using cells for double occupancy. The joint determinations shall be in writing and signed by the representatives of the county board and the sheriff and shall be filed with the department. The written joint determination shall remain in effect until rescinded or amended by mutual written agreement of the county board and sheriff. Unless there is adequate staff as agreed upon by the county board and sheriff, double celling may not occur.
Inmates housed in the same cell shall have the same custody classification and be properly segregated as required under s. 302.36
For male and female housing areas, at least one cell or 15% of the jail's total number of cells, whichever is greater, shall be maintained for single occupancy.
Receiving cells may not be used for double occupancy.