Welcome to Corrections

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Welcome to Corrections

• Healthcare in a correctional
• environment

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Performance Objectives

• Review the philosophies and institutions of the
  Oregon Department of Corrections.
• Review of relevant Rules and Policies that effect
  the new employee, volunteer, or student.
• Review special security, safety and
  confidentiality concerns that face corrections
  healthcare professionals.
• Identify how to respond to inappropriate or
  suggestive inmate comments or compliments.

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Healthcare in a Correctional Environment

• Security concerns are fundamental to every
  activity in the institution.
• Unique social and cultural structures form within
  the institutional community.
• The patients in our community are a challenging
  sub-set within the general population.
• Specific recent court finding are impacting the
  ways care is organized and delivered.
• Correctional Health Care is a growing
  subspecialty.

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Facilities Throughout Oregon

• SRCI - Ontario
• Snake River Corr. Inst.
• 2,791 Medium Male
• 163 Minimum Male
• PRCF - Baker City
• Powder River Corr. Fac.
• 175 AD Alternative Male
• 84 Work Male
• EOCI - Pendleton
• Eastern Oregon Corr. Inst.
• 1617 Medium Male
• TRCI - Umatilla
• Two Rivers Corr. Inst.
• 1,557 Medium Male
• 127 Minimum Male

• CCCF - Wilsonville
• Coffee Creek Corr. Fac.
• 600 Medium Female
• 600 Minimum Female
• 432 Male Intake
• OSP Salem
• Oregon State Penitentiary
• 2,039 Maximum Male
• OSPM Salem
• Oregon State Penitentiary Minimum
• 172 Minimum Male
• OSCI Salem
• Oregon State Corr. Inst.
• 882 Medium Male

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State Facilities

• SCI - Salem
• Santiam Corr. Inst.
• 387 Minimum Male
• MCCF Salem
• Mill Creek Corr. Fac.
• 217 Minimum Work Male
• CRCI Portland
• Columbia River Corr. Inst.
• 530 Minimum Male
• SCCI North Bend
• Sutter Creek Corr. Inst.
• 213 Alternative Incarceration
• Male and Female
• 29 Minimum Work Male

• WCCF Lakeview
• Warner Creek Corr. Fac.
• 378 Minimum Work Male
• SFFC Tillamook
• South Fork Forest Camp
• 188 Minimum Male work camp
• DRCI - Madras
• Deer Ridge Corr. Inst.
• XX Medium Male
• XX Minimum Male
• Future Facilities
• Junction City
• White City

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Oregon Department Of Corrections

• Mission
• Vision
• Values
• Oregon Accountability Model (OAM)

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Mission
Holding offenders accountable for their actions
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Health Services Mission
To deliver professional, quality,
constitutionally mandated health care using an
efficient, managed care system in support of the
mission of the DOC
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Oregon Department Of Corrections

• Vision
• We take a proactive role in the development of
  the criminal justice policy.
• We create partnerships with Oregon communities to
  hold offenders accountable, engage victims, and
  enhance the quality of life for the citizens of
  Oregon.
• We are a committed, creative, and productive
  organization which recognizes safety and security
  as an essential business practice.

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Oregon Department Of Corrections

• Vision
• We require sound fiscal management of public
  resources using outcome-oriented strategies.
• We provide offender programs and resources which
  support the department's mission.
• We are a diverse, skilled work force which shares
  the responsibility for outcomes across
  organizational boundaries.

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Oregon Department Of Corrections

• Values

We Value Our responsibilities Integrity Teamwork R
especting others Constructive change The
participation of all
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Oregon Department Of Corrections

• Oregon Accountability Model
• Role Model
• Reinforce
• Redirect

Create a Pro-social Learning Environment Reinforc
e Pro-social Behavior Intervene and
Redirect Anti-social Behavior
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Relevant Policy

• Code of Ethics. Policy 20.1.2
• Code of Conduct. Policy 20.1.3

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• Dress Code Policy 20.1.6

• CANT
• Blue or Blue Denim
• Bright Orange or Lime Green
• Insignias, Writing Pictures
• Sheer or Tight Fitting Clothing
• Bare Midriff, Thighs, Back
• Jewelry
• Cell phones, electronics
• Hair on the shoulders

• CAN
• Black Denim
• Scrubs
• Lab Coat
• Stethoscope

Be sensitive to the prison environment
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Relevant Policy

• Identification Cards Policy 20.5.15
• Identification must be worn at all times while
  in the facility.
• Use only for access to the facility.
• It is not used as a secondary identification.
• It is not used for personal favors.
• Use only during work time.

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Relevant Policy

• Smoke Free Workplace. Policy 20.6.3
• Designated smoking areas.
• No smoking on the premises.

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Relevant Policy

• Keys and LocksPolicy 40.1.2
• No personal locks
• Keys kept on person at all times.
• Inmate Counts .Policy40.1.3

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Relevant Rules From Oregon Administrative Rules
(OARs)

• Rules of Prohibited Conduct Rule105
• Many rules are in place within the corrections
  environment that prohibit things that are
  allowable within the outside community.
• Visiting .Rule127
• If you need to visit a friend or relative, you
  must follow the regular visiting rules.

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Relevant OARs (continued)

• Health Services .Rule 124
• Health Services rule outlines our program and the
  Policies and Procedures for the care provided for
  the patients within the facilities.
• Medical
• Dental
• Mental Health
• Pharmacy
• Radiology Laboratory
• Health Care Records

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Relevant OARs (continued)

• SMU .Rule 048
• Mental Health Tx Program.Rule 047
• Suicide Prevention .Rule 076

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National Commission on Correctional Health Care

• The NCCHC is the organization we are certified by
• The commission establishes standards of care
  similar to JCAHO does in the community
• Our policy/procedure manual is coded and taken
  directly from the NCCHC Standards

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Relevant Rules / Policies

• Health Services Policy and Procedure Manual
• Pay particular attention to the institutions
• Sick Call
• Emergency Response
• Bloodborne Pathogens
• Confidentiality

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Relevant Rules / Policies

• Health Services Nursing Protocols
• Allows the properly trained nurse to provide
  more independent initial treatment for the
  patients.
• Medical - Routine
• Dental - Routine
• Medical - Emergency

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Prison Rape Elimination Act

• Unanimously passed by Senate and House
• Signed into law in 2003
• Establishes a Zero Tolerance standard
• Makes PREVENTION a top priority and establishes
  a National Commission to develop national
  standards.

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Personal Interaction

• The inmate population is a unique community, with
  special characteristics.
• Security is a primary concern, always.
• Practicing Health Care in a Non-Health Care
  Environment.
• Special challenges to the normal Patient-
  Provider relationship.

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Professional Boundaries
Mistreatment
Personal Relationship
Professional Boundaries
Dont look to work to meet your personal needs
Maintain balance in your life
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Staff Protection

• Learn the proper procedure for inmates to obtain
  things.
• Let someone know if you think you are being
  cultivated
• Misconduct Reports

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Know what to do in a crisis

• Security Emergency
• Fire Emergency
• Hostage Situation

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Security and Teamwork

• Adhere to all facility security procedures.
  Remember that security is the responsibility of
  all employees, volunteers and contractors.
• Demonstrate respect in all interactions. Strive
  for an environment of mutual respect.
• Be proactive when observing and intervening in
  offender behavior.
• Role model pro-social behavior in a
  professional, firm, fair and consistent manner.
• Identify, process and control contraband.
• Report all incidents immediately honestly and
  accurately.

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So, in summary

• Remember where you are.
• The rules and restrictions exist for good reason,
  dont bend or break them.
• Problems arise when information isnt sharedknow
  when and how to do it.
• If you dont know or dont understand, just ask.
• WELCOME TO CORRECTIONS !!!!!