Advance directives are written protocols that specify end-of-life decisions and that: ensure that such patient decisions are voluntary, uncoerced, and based on medical information that is complete and comprehensible to the patient; specify how competency to make the decisions is evaluated; and include the process to follow when the inmate is judged incompetent to make end of life decisions. The National Commision on Correctional Health Care (NCCHC) offers the CCHP exam and certification. The CCHP credential shows your mastery of NCCHC standards and your ability to apply them to support the quality of patient care. 3. deterring Learn more. Sufficient and suitable space, supplies, and equipment are available for the facility's medical, dental, and mental health care services, On-site diagnostic services are registered, accredited, or otherwise meet applicable state and federal law. In order to pass the exam, you must score at least 70%. What is the best response by the nurse? The facility maintains a list of chronic care patients. After the phyhsical exam, there is an evaluation by a qualified mental health professional for crisis intervention counseling and long-term follow up. All qualified health care professionals participate annually in continuing education appropriate for their positions. Mental health services are provided in an area with private interview space for both individual and group treatment, as well as desks, chairs, lockable file space, and relevant testing materials. Sick call and clinicians' clinics are conducted on a timely basis and in a clinical setting by qualified health care professionals. Wendy Habert, MBA, CCHP, is NCCHC's director of accreditation. Which action should the nurse take as a safety measure? Schedule for routine nurse sick call on Monday b. Health Promotion, Safety, and Disease Prevention Although some related certifications have experience and educational requirements, CCHP certification doesnt require any experience. Where the use of specific aids to impairment are contraindicated for security reasons, alternatives are considered so the health needs of the inmate are met. Results are sent in writing within two weeks. c. I know but I wont tell you. An officer comes to the nurse and asks if Inmate Smith has HIV. Call (773) 880-1460 or email info@ncchc.org. I completely missed the part where you had to have the CCHP first. Documentation in the medical record confirms that clinicians are following chronic disease protocols: determining the frequency of follow up for medical evaluation, adjusting treatment modality as clincially indicated, indicating the type and frequency of diagnostic testing and therapeutic regimens, writing appropriate instructions for diet, exercise, adaptation to the correctional environment, and medication. MSN, MPH, MHA, FACHE, CCHP) is capable of assuming responsibility for arranging all levels of health care and ensuring quality and accessible health services for inmates. Based on experiences from across the country, this expert panel will provide an overview of essential MAT program components and explore in-depth strategies to securing buy-in from medical and custody staff, minimizing medication diversion, conducting program evaluation, and overcoming common challenges to becoming an accredited OTP. Patients are not restrained in a manner that would jeopardize their health. Within 24 hours of their arrival, inmates are given written information about: how to access emergency and routine health services, the fee-for-service program (if one exists), and the grievance process for health-related complaints. Within 90 days of employment, all full-time staff complete an in-depth orientation. At the bow of a ship on a stormy sea, a crewman conducts an experiment by standing on a bathroom scale. A history is taken and qualified health care professionals conduct an exam to document the extent of physical injury and to determine whether referral to another medical facility is indicated. Preparations are being made for an off-site eye surgery consultation. Applicants must have a current CCHP. RHA's responsibilities are documented in a written agreement, contract, or job description. Medications are prescribed only when clinically indicated. The responsible health authority approves the facility's suicide prevention plan; training curriculum for staff, including development of intake screening for suicide potential and referral protocols; and training for staff conducting suicide screening at intake. Find the maximum downward acceleration experienced by the crewman. There is no smoking inside the facility. Please check Prometrics policies for cancelling and rescheduling exams at test centers or online. Examples: Access to care, the intake process, continuity of care, emergency care and hospitalizations, adverse patient occurrences including all deaths. When a physician orders psychotropic medication to be forced, he or she documents in the inmate's record: Health services staff are prohibited from participating in the collection of forensic information. Personnel who administer or deliver prescription medication are appropriately trained. Adequate method for notifying practitioners of the impending expiration of a drug order. CCHP-RN certification requires the completion of an application and a passing score on a two-hour, proctored, multiple-choice examination. Physicians' clinical chart reviews are of sufficient number and frequency to assure that clinically appropriate care is ordered and idmplemented by attending health staff. The health record documents that patients receive individual health education and instruction in self-care for their health condition. For on-site specialty services used regularly for medical and mental health care, there are appropriate licenses and certifications. List at least five types of qualified health care professionals who by virtue of their education, credentials, and experience are permitted by law to evaluate and care for patients. Nursing assessment protocols do not include the use of prescription medications except for those covering emergency, life-threatening situations. If you have a problem, tell the manager. Each policy and procedure in the health care manual is reviewed at least annually. Post the patient name and appointment date on the medical unit transportation bulletin board c. Instruct the patient on the date and location of the appointment d. Prepare a sealed package of necessary medical records, 6. The facility provides sufficient escorting staff so that patients can meet scheduled health care appointments. The facility provides 24-hour emergency medical, mental health, and dental services. c. Why dont you want to take the medicine? Examples of interference with medical autonomy includes cancellation of community consultants' appointments without qualified health care professional approval. Traditional paper testing with Scantron score sheets offered at NCCHC conferences and by regional partners or computerized testing offered at over 900 ProMetric locations. Cant you see I am busy? This specialty certification for registered nurses recognizes CCHPs who have demonstrated the knowledge necessary to deliver specialized nursing care in corrections. Responsible physician determines prescriptive practices. Any suggestions would be greatly appreciated. The man down drill is practiced once a year on each shift. b. Ill mark that you refused it. This is an additional option to the current opportunity to take the exam at an in-person testing center. 1 Article; Evidence exists that the health record is available and used. the steps to be taken to preserve the subject's rights. The staffing plan lays out the FTE staff coverage required, lists current incumbents and vacancies, and addresses how full coverage will be accomplished if all positions are not filled. Learn more. The CCXP exam is used to provide professional certification to those working in the field of customer service and experience. The CCHP Certification exam is based on the National Occupational Standard for a HACCP Professional. Maintains maximum security storage of DEA controlled substances. Facilities with an average daily population of greater than 500 inmates have a comprehensive CQI. a. Two years of full-time practice or equivalent as a registered nurse, 2,000 practice hours completed in a correctional facility within the last three years, 54 hours (18 specific to correctional health) of continuing education credits approved for nursing within the last three years, Completion Time: Candidates have 2 hours to complete the CCHP-RN exam, $15 surcharge for mailing or faxing paper applications. 178.63.35.81 Orders for medical diets include the type of diet, the duration for which it is to be provided, and special instructions. Part of the renewal process requires 18 contact hours. Schedule for routine nurse sick call on Monday b. List 5 unreasonable barriers to inmates' access to health services. Exam PreparationSet yourself up for success. The clincial performance of the facility's primary care clinicians is reviewed at least annually. Was it easy? Inmates who are released with communicable diseases are given community referrals. Online testing requires candidates to have a webcam, either built in or added on. There are prevention and abatement activities regarding the use of all tobacco products. Exam: Certified Corporate Housing Professional Certification Examination (CCHP) Sponsor: Corporate Housing Providers Association (CHPA) Candidates interested in taking the examination must be pre-registered with the Professional Testing Corporation: PTC. The 15 unscored questions are used by the test administrators to validate questions for future versions of the exam. The facility has a written exposure control plan that is reviewed and updated annually. For planned discharges, health staff: arrange for a sufficient supply of current medications to last until the inmate can be seen by a community health professional, and for inmates wiht critical medical or mental health needs, arrangements or referrals are made for follow-up services with the community. I took it, and passed, at the NCCHC conference this past October. In the event the patient does not sign the refusal form, it is to be noted on the form by a health services staff witness. How is "designated dental clinician" defined in the RHA standard? The health record contains the results of the evaluation with documentation of referral or initiation of treatment. Check by direct differentiation. 3. 3. deterring inmates by holding sick call at 2 a.m., etc. In approximately one week candidates receive an email with further directions. Review the standards on your own, set up a study group, watch an on-demand online webinar or ask NCCHC about a customized on-site standards review course. Health care policies are site specific. Since 1997, allnurses is trusted by nurses around the globe. Request a meeting to learn how NCCHC can help you. Health services staff do not assist, supervise, or contribute to the ability of another individual to directly cause the death of an inmate. Do nothing; the nurse might need the scissors to provide treatments to inmates b. Security personnel are present only if the patient poses a probable risk to the safety of the health care professional or others. C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient. The following individuals, in the absence of any written authorization from the adult inmate-patient, may have access to that patient's medical records: 5. Be aware of your medical responsibilities b. On Tuesday the registered nurse reviews written request dated Monday: Refill my Lactulose. Inmates have access to care to meet their serious medical, dental, and mental health needs. a. The Certified Healthcare CPD Professional (CHCP) credential provides an educational self-assessment experience to those within the healthcare continuing professional development (CPD) community and defines a standard of minimal competence for the healthcare education profession. CCHP-RN Certification Program Sample Test Questions 1. Below are a list of frequently asked questions. Key components of suicide prevention program include: training, identification, referral, evaluation, treatmetn, housing and monitoring, communication, intervention, notification, review, and debriefing. After achieving the CCHP, correctional registered nurses may chose to continue their certification journey and sit for the CCHP-RN certification, which, as the name implies, validates nursing knowledge, critical thinking and patient advocacy as related to nursing practice in a correctional environment. 3. Inmates experiencing severe, life-threatening intoxication or withdrawal are transferred immediately to a licensed acute care facility. If it does not, proof of name change (e.g., marriage certificate) must be submitted. CCHPs also may opt to pursue Advanced certication (CCHP-A) as well as specialty certification for mental health professionals (CCHP-MH), clinical providers: physicians, NP, PA (CCHP-CP) and registered nurses (CCHP-RN). Basic on-site outpatient services include: identification and referral of inmates with MH needs, crisis intervention services, psychotropic medication management, individual counseling, group counseling, psychosocial/educational programs, and treatment documetnation. What is the basic principle established by the U.S. Supreme Court landmark case in 1976 Estelle v. Gamble? In addition to CCHP-RN, the NCCHC offers specialty certification to physicians (CCHP-P) and mental health professionals (CCHP-MH). Inmates have access to care for their serious medical, dental, and mental health needs. Responsible Health Authority (RHA) 3. b. A. Oral screening is performed within 14 days of admission. New York, NY 10018. The use of other inmates in any way is not a substitute for staff supervision, Treatment plans addressing suicidal ideation and its reoccurrence are developed, and patient follow-up occurs as indicated. The RHA implements an independent review when there is seious concern about the clinician's competence. This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble. 2. reviewed as part of the continuous quality improvement program, Emergency Department Rotation - June 2015, Emergency Medicine - Spring 2015 Final Exam, Julie S Snyder, Linda Lilley, Shelly Collins, Pagliarulo Chapter 05: Laws, Regulations, and. Clinical judgments rest with a single, designated, licensed, responsible physician. Drug storage and medication areas are devoid of outdated or recalled medications. Patients are always within sight or hearing of a qualified health care professional. When there is a separate organizational structure for mental health services, what else must there be? It's a signal to the field that you are committed to correctional health care as a career. Immediate health needs are identified and addressed. CCHP credentials are valid for one year. Its a signal to the field that you are committed to correctional health care as a career. Specific protocols exist for inmates under the influence of alcohol or other drugs or those undergoing withdrawal. in the case of sexual assault, gathering evidence from the inmate victim with his or her consent. Applicants may self-register for the exam after receiving their Authorization to Test from NCCHC. Standing orders may be used only for preventative medicine practices. Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting? an individual at the local level who is on-site at least weekly to ensure that policies are carried out. Special needs are listed on the master problem list. In addition, health staff meetings are held to review administrative issues. 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