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MR <br />d. A physical examination including comments about mental Status with appropriate referral as <br />clinically Indicated, <br />e, Oral (Dental) Screening— ICE detainees only <br />Proactive Health Assessment upon Intake <br />A beneficial feature of NaphCare's intake screening <br />process for the SAJ is that we propose to perform the <br />health assessment up front, during intake. By performing <br />this screening at intake, We can identify urgent medical <br />and mental health issues upon an Inmates arrival. This <br />not only reduces costs for emergency and hospital <br />transportation, but it also reduces the Inmate movement <br />required to provide the 14-day health assessment <br />NophCare exceeds PICCHCstandards <br />by pretforralng the health assessment <br />upon Intake, Additionally, any <br />inmates that have not had a i-lealth <br />Assessment by the 10th day will be <br />flagged in TechCore' far anmedlate <br />failow-up, ensuring compliance with <br />NaphCare's health care personnel will ensure that a the 14-doy requirement. <br />comprehensive health assessment, including a physical <br />examination by an RN or higher, is completed for each <br />Inmate duringthe intake process, and no later than within 14 days of admission to the SAJ. The health <br />assessment record will be reviewed and signed by a physician and entered in the patient's permanent <br />medical record. if there are urgent needs or potential problems 1posIfive screenings, unusual vital sl$ns, <br />etc.) the health assessment will be completed Immediately. The health assessment Includes Inquiries <br />into the follovving. <br />• Vital Signs, <br />• Current Medcatlops/Allergies, <br />• Medical llistW. <br />• TB risk factor and symptoms, <br />• Substance Abuse, <br />• clinical Observations, <br />• Physical Exam (HEENT, Dental, Cardiovascular, Respiratory, Abdominal, Musculoskeletal/Skin) <br />• Pregnancy, <br />• Laboratory Tests Ordered, <br />• Clearances issued, <br />• Treatment Plan, <br />• 1-tousIngAssIgnment, <br />Inmates who are referred forfollow-up will he seen by the appropriate health care professional, and <br />referrals will be documented in TechCaral, Inmates are evaluated based on the medical information <br />obtained during the Intake Screening as to the medical necessity of conducting a health assessment. <br />As with the receiving screening form, the health and physical In rechCarel" is custornizable to meet <br />the needs and requirements of the SAJ; <br />Inmate Medial seffites <br />City of Santa Ana <br />25H-31 <br />RFP No 14-034 <br />28 <br />