IC-017 Sample Clauses

IC-017. Scheduled Medical Transfers: The Contractor shall complete Form DC4-702, Consultation Request/Consultant’s Report, when sending an inmate to a local hospital for a scheduled appointment or procedure or when sending to a community-based provider for a consult. The Contractor will send the hospital/consult the original form and copies of any relevant patient information and place a copy of the Form DC4-702 in the inmate’s health record. Upon the inmate’s return, a Licensed Nurse shall make a DC4-701 chronological note reflecting the inmate’s medical condition upon return. The institutional Clinician will then review the original Form DC4-702 and the inmate’s health record for further action, including documenting any resulting orders per the established process for Physician Orders. After the Clinician reviews the plan with the inmate, Form DC4- 702 will be filed in the inmate’s medical record in chronological order under the yellow “consultation” tab (or in the EMR).
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