Infirmary Care. For Medical Inmates, the City shall pay an Infirmary Care Surcharge of $316.35 for each Surcharge Day.
Infirmary Care. The Department operates institutional infirmaries. The infirmaries shall be under the supervision of a registered nurse twenty-four (24) hours a day. These units are not hospital units and cannot substitute for hospitals, but will meet ACA and/or NCCHC standards. The Contractor is expected to manage these units and ensure that infirmary care is available for all inmates. The Contractor is responsible for maintaining all infirmary equipment that will ensure the healthcare delivery to the inmates. The Contractor will work with the Department to arrange transfers among the secure care institutions when that will improve inpatient unit utilization. In general, infirmaries shall provide convalescent care, skilled nursing care, pre- and post-surgical management, and limited acute care. When existing infirmaries cannot provide necessary care (whether because of program characteristics, bed availability, or other reason) but outpatient care is not appropriate, the Contractor shall comply with established policy. The Contractor shall assure that the following characteristics are maintained or implemented in all infirmaries: • A physician is on call or available 24 hours a day, with a telephone response time of 15 minutes or less. • Admission and discharge shall be upon the order of a physician, dentist, nurse practitioner, or physician assistant. • Clinicians will make daily rounds in the infirmary on all inmates requiring overnight stays (patients who require more intensive care than can be provided by the existing coverage must be hospitalized and not maintained in infirmaries). • When inpatient services are provided, the infirmary will be staffed twenty-four (24) hours per day by health care personnel. • The infirmary shall maintain a current policy and procedures manual and clinical protocols approved by the Department’s Office of Health Services for use in the institutions. • All patients will be within sight or sound of staff at all times. • The infirmary space and equipment shall be adequate and appropriately cleaned and maintained for the intended purposes. The Contractor must maintain a preventive maintenance program. • Each admitted patient shall have: ○ A separate and complete inpatient record with chief complaint, history of present illness, past history and review of systems (physical examination that includes a review of systems, xxxxx xxxxx, initial impression, medical care plan, nursing assessments and clinician progress notes, discharge summary, ne...
Infirmary Care. For Medical Inmates, the Port shall pay an Infirmary Care Surcharge of $193.87 for each Surcharge Day.
Infirmary Care. Under the guidance of the MONITOR, DEFENDANTS/STATE OF NEVADA will ensure that ESP provides adequate infirmary care for Patients requiring close medical monitoring and/or nursing assistance. At a minimum, DEFENDANTS/STATE OF NEVADA will ensure that all infirmary Patients must be within sight or sound of nursing or QUALIFIED HEALTH CARE PROFESSIONALS at all times. Physician and/or mid-level practitioner rounds shall be conducted on a daily basis or as specified by the categories of care being provided, and a RN or higher level medical provider shall be present at the infirmary each day with a minimum of eight (8) hours of RN care and sixteen (16) hours of LPN care per day. Custody staff will not provide any routine medical care or medical observation in the infirmary. Patients admitted in the infirmary will not have to “kite” (submit a medical request form) for medical 1 care.
