CALIFORNIA CODE OF REGULATIONS - State of California

Page 675
TITLE 22. DIVISION 5 — LICENSING & CERTIFICATION OF HEALTH FACILITIES § 79683
(2) Lockable drug cabinets, drawers, closets or rooms.
(3) Drug service trays and/or carts.
(4) Drug preparation counter area and convenient water source.
(5) Reference materials containing drug monographs on all drugs
in use in the facility. Such monographs shall include information
concerning generic and brand names, if applicable, available
strengths, and dosage forms and pharmacological data including
indications and side effects.
(b) Emergency supplies shall be readily available at each
correctional treatment center. Emergency drug supplies shall meet
the following requirements:
(1) Legend drugs shall only be stored in the emergency supply,
under the following conditions:
(A) Injectable supplies of legend drugs shall be limited to a
maximum of six single doses in ampules or vials or one container of
the smallest available multi–dose vial and shall be in sealed, unused
containers.
(B) Sublingual or inhalation emergency drugs shall be limited to
single sealed containers of the smallest available size.
(C) Not more than ten emergency drugs in solid, oral dosage form
or suppository dosage form for anti–infective, anti–diarrhea,
anti–nausea or analgesic use may be stored if in sealed containers. Not
more than four doses of any one drug may be so stored.
(2) The emergency drug supply shall be stored in a portable
container which is sealed in such a manner that the tamper–proof seal
must be broken to gain access to the drugs. A licensed nurse shall
notify the pharmacist when drugs have been used from the emergency
kit or when the seal has been broken. Drugs used from the kit shall
be replaced within seventy–two hours and the supply resealed by the
pharmacist.
(3) The contents of the supply shall be listed on the outside of the
container.
(4) The supply shall be checked at least once monthly by the
pharmacist.
(5) Separate records of use shall be maintained for drugs
administered from the supply. Such records shall include the name
and dose of the drug administered, name of the patient, the date and
time of administration and the signature of the person administering
the dose.
(6) A correctional treatment center with a licensed pharmacy on the
premises shall make the emergency drug supply accessible without
making it necessary to enter either the pharmacy or drug storage room
during hours when the pharmacist is not available. Access to the
supply shall be limited to designated registered nurses. Records of
drugs taken from the supply shall be maintained and the pharmacist
shall be notified of such use. The records shall include the name and
strength of the drug, the amount taken, the date and time, the name of
the inmate–patient to whom the drug was administered, and the
signature of the registered nurse. The pharmacist shall be responsible
for maintenance of the supply and assuring that all drugs are properly
labeled and stored. The drug supply shall contain that type and
quantity of drugs necessary to meet the immediate needs of
inmate–patients.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79673. Dental Service.
Dental service means the provision of emergency dental care and
may include diagnostic, preventive, or corrective procedures
performed by dentists with appropriate staff, space, equipment, and
supplies.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79675. Dental Service—General Requirements.
(a) Written policies and procedures for the scope of services to be
provided shall be developed and maintained by the person responsible
for the service. Procedures shall be approved by the administration.
(b) The responsibility and the accountability of the dental service
to the administration shall be defined.
(c) There shall be a well–defined plan for oral health care, based on
patient need, the size of the treatment center and the type of service
provided.
(d) There shall be a well–organized plan for emergency dental care.
(e) There shall be a record of all dental services provided to the
inmate–patient and this shall be made a part of the inmate–patient’s
medical record.
(f) Periodically, an appropriate committee of staff members shall
evaluate the services provided and make appropriate
recommendations to the treatment center administration.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79677. Dental Service Staff.
(a) A dentist shall have overall responsibility for the dental service.
(b) The dental service shall be staffed by a sufficient number of
dentists along with auxiliary dental personnel to render proper dental
care.
(c) When dental hygienists or dental laboratory technicians are
employed, they shall work under the supervision of the dentist who is
responsible for the dental service.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79679. Dental Service Equipment and Supplies.
(a) There shall be equipment, instruments and supplies maintained
to meet the needs of the services offered.
(b) There shall be equipment for sterilization of instruments and
supplies.
(c) All equipment installed shall comply with standards of
infection control as defined by the infection control committee, whose
duties and responsibilities are delineated in Section 79781(d)(2) of
this Chapter.
(d) The following materials shall be available for immediate use
whenever dental treatment is provided:
(1) Oxygen.
(2) Appropriate drugs.
(3) Resuscitation equipment.
(e) Radiographic equipment shall meet the requirements of
California Code of Regulations, Title 17, Chapter 5, Subchapter 4,
Group 1, Article 1, commencing with Section 30100 which is hereby
incorporated by reference.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79681. Dental Service Space.
(a) There shall be adequate space maintained for the dental service.
(b) There shall be facilities for dental radiography.
(c) There shall be space provided for the sterilization and storage
of instruments and lockable storage for bulk supplies.
(d) There shall be a secure storage area for patient records.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79683. Dietary Service.
Dietary service means the provision of nutritionally adequate food
for inmate–patients with appropriate staff, space, equipment and
supplies.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.