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<regulation prefix="Regulation" num=".03" citation="COMAR 12.14.03.03" title_num="12" subtitle_num="14" chapter_num="03" heading="Standards — Inmate Safety.">
  <text>The managing official of a correctional facility is responsible for the following:</text>
  <paragraph num="A.">
    <text>A written policy and procedure ensuring that a facility meets all fire safety regulations as verified by an annual inspection by authorized representatives of the State Fire Marshal;</text>
  </paragraph>
  <paragraph num="B.">
    <text>A written policy and procedure requiring facility personnel with documented training in fire safety practices to perform monthly internal inspections to monitor compliance with fire safety and prevention regulations;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Written disaster plans for fires, chemical spills, civil defense, natural disasters, power outage, and other circumstances which include provisions for:</text>
    <paragraph num="(1)">
      <text>Documented coordination with appropriate responding agencies and organizations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Specific description of staff duties and responsibilities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Full, partial and medical evacuation addressing:</text>
      <paragraph num="(a)">
        <text>The handling of injured persons;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Security considerations;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Instructions for responding emergency personnel and vehicles; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Movement of affected persons to safe areas;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The placement and housing of inmates within the facility and at alternate sites when the facility or portions of it are rendered uninhabitable;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Quarterly fire drills on each shift to include inmates, unless their inclusion compromises security;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A written evacuation plan that conforms to federal, State, and local fire safety codes; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>An annual review that includes:</text>
      <paragraph num="(a)">
        <text>Building interior diagram or floor plan;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Marked exits;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Directional symbols; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Locations of posted evacuation diagrams;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A written policy and procedure ensuring that all personnel are informed of the disaster plans;</text>
  </paragraph>
  <paragraph num="E.">
    <text>A written policy and procedure ensuring 24-hour emergency medical services including provisions for:</text>
    <paragraph num="(1)">
      <text>Access to health care facilities and qualified health care personnel;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Designation of first aid kit content and location, approved by qualified health care personnel, and monthly inventories to determine supply; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A person with current certification in basic first aid and cardiopulmonary resuscitation (CPR) available to inmate living and activity areas on each shift;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A written policy and procedure specifying the method for requesting weekly access to sick call and the provisions for prompt staff referral of special medical problems to appropriate health care professionals, which is communicated to personnel having direct contact with inmates;</text>
  </paragraph>
  <paragraph num="G.">
    <text>A written policy and procedure which provides that medical screening of an inmate is conducted by health-trained or qualified health care personnel within 24 hours of admission to an initial reception facility;</text>
  </paragraph>
  <paragraph num="H.">
    <text>A written policy and procedure for the dispensing of prescribed medication which includes provisions for:</text>
    <paragraph num="(1)">
      <text>Prescription initiation by authorized persons;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Designation of the method for the filling of prescription orders; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Specification of the system of packaging and labelling of prescription medication;</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>A written policy and procedure for the administration of prescription and over-the-counter medication which includes provisions for:</text>
    <paragraph num="(1)">
      <text>Standing orders or protocol approved by the physician in charge;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Instruction of nonmedical personnel on the proper method of administration by qualified health care personnel;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A record of the administration and refusal of medications; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Designation of circumstances for inmate self-administration;</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>A written policy and procedure governing the availability, control, storage, and management of prescription, stock, and over-the-counter medication which includes provisions for:</text>
    <paragraph num="(1)">
      <text>Secure storage of facility medication;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Specification of individuals having access;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Recorded disposal of unused and expired medications;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A weekly inventory of controlled substances;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Handling of personal medication of a newly admitted inmate; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Handling of personal and facility-prescribed medication for an inmate transferred or released;</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>A written policy and procedure governing the availability, control, storage, and use of needles, syringes, and instruments which includes provisions for:</text>
    <paragraph num="(1)">
      <text>Secure storage outside inmate living and activity areas;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Specification of individuals having access and use;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Quarterly inspection to determine condition;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Weekly inventory to determine accountability;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Disposal of needles and syringes according to established regulations;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Maintenance of a record of use of needles and syringes; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A current master listing of medical and dental instruments;</text>
    </paragraph>
  </paragraph>
  <paragraph num="L.">
    <text>A written policy prohibiting the use of an inmate for medical, pharmaceutical, or cosmetic experiments, that does not preclude the individual treatment of an inmate based on need for a specific medical procedure which is not generally available;</text>
  </paragraph>
  <paragraph num="M.">
    <text>A written policy and procedure ensuring that health care personnel who provide services to inmates have current credentials, certifications, or licenses according to State requirements;</text>
  </paragraph>
  <paragraph num="N.">
    <text>A written policy specifying that matters of medical, psychiatric, and dental judgment are:</text>
    <paragraph num="(1)">
      <text>The province of qualified health care personnel; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Not subject to interference by facility personnel unless necessary to maintain order and security;</text>
    </paragraph>
  </paragraph>
  <paragraph num="O.">
    <text>A written policy and procedure requiring a physical examination of an inmate by qualified health care personnel within 14 days of admission at the initial reception facility;</text>
  </paragraph>
  <paragraph num="P.">
    <text>A written policy and procedure ensuring that inmate medical records are screened by qualified health care personnel before or within 7 days after release to determine if a medical condition exists which would require referral to community medical resources;</text>
  </paragraph>
  <paragraph num="Q.">
    <text>A written policy and procedure ensuring that the facility meets workplace safety and health standards, and ensuring the remediation of deficiencies identified by inspections conducted periodically by the Maryland Occupational Safety and Health Administration (MOSHA);</text>
  </paragraph>
  <paragraph num="R.">
    <text>A written policy and procedure governing the identification, housing, treatment, supervision, and referral of mentally ill and retarded inmates according to established guidelines to include due process guarantees;</text>
  </paragraph>
  <paragraph num="S.">
    <text>A written policy and procedure governing the notification of next of kin in cases of serious illness, serious injury, or death.</text>
  </paragraph>
</regulation>