PURPOSE OF ORDER:
The purpose of this order is to establish procedures for inmates participating in the Transitional Detox Program at the Century Regional Detention Facility (CRDF).
SCOPE OF ORDER:
This order shall apply to all personnel assigned to and/or working CRDF.
ORDER:
The Transitional Detox Program is designed to provide and ensure the proper care and safety for inmates who are at risk of experiencing deteriorating health consequences related to detoxification of alcohol content from their system upon arrival at CRDF. The program will accommodate up to ten (10) inmates who shall be identified by qualified medical staff during the initial intake process.
The intended purpose of this program is to facilitate appropriate monitoring and health management of inmates who are at risk for acute withdrawal symptoms as a result of alcohol dependency. The goal is for inmates to be in one designated housing location and then transition to the next level of housing, within the facility, once qualified medical staff has determined detox monitoring can be discontinued.
Inmates identified by medical staff for Transitional Detox Housing shall be escorted to the appropriate housing location.
Procedure
The following procedures shall be adhered to when processing inmates deemed “Detox Expedite”:
Upon arrival at the facility, a triage nurse (qualified medical staff) shall make an initial assessment of the inmate and determine the need for Transitional Detox Housing.
NOTE: Refer to unit order 3-00-00 “Module [REDACTED TEXT] Procedures” for additional information.
If Transitional Detox Housing is deemed necessary, the following shall occur:
• The inmate shall be transported (via transport chair or gurney) to module [REDACTED TEXT] or to the Transitional Detox Housing, as determined by the triage nurse.
• The inmate shall then be assessed and medicated, if needed, at the time of their transfer to the Transitional Detox Program, which will begin their detox assessment time.
• Qualified medical staff will assess the inmate two (2) times per shift staggered by their individual medication schedule.
NOTE: When CHS personnel request to conduct a detox assessment for an inmate, custody personnel shall contact the inmate at the cell door and advise them of medical personnel’s request. Custody personnel shall not utilize the cell intercom system to
elicit a response. Custody personnel shall notify CHS of any refusals and take any additional action as delineated in CDM section 5-03/050.00, “Access to Health Care” and 7-01/050.05, “Inmate Extraction Procedures.”
The program is designated as a five (5) day transitional period; however, if necessary, the number of days may be extended based on the need for additional care, as determined by qualified medical staff. As the inmates transition through the program, continued monitoring and assessment will occur:
• Days one (1) through three (3) are considered critical and crucial for monitoring and medication introduction.
• Days four (4) and five (5) will include continued administration of medication, assessment, and preparation for general housing.
The on-duty nursing supervisor will assign a nurse on each shift for the purpose of monitoring these inmates. Medical staff assigned to module [REDACTED TEXT] will maintain overall responsibility for ongoing medical care and monitoring of the inmate(s).
Revised 09/29/22
Revised 3/02/20