Welcome to Corrections

1. Welcome to Corrections Healthcare in a correctional environment

2. 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.

3. 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.

5. SRCI - Ontario Snake River Corr. Inst. 2,791 Medium Male 163 Minimum Male PRCF - Baker City Powder River Corr. Fac. 175 A&D 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 Facilities Throughout Oregon

6. 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 State Facilities

7. Oregon Department Of Corrections • Mission • Vision • Values • Oregon Accountability Model (OAM)

8. Maintain security while preparing inmates for successful re-entry into the community & Reducing the risk of future criminal behavior. Mission Holding offenders accountable for their actions

9. To promote public safety by holding offenders accountable for their actions and reducing the risk of future criminal behavior. 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

10. 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.

11. 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 organizationalboundaries.

12. Oregon Department Of Corrections Values We Value Our responsibilities Integrity Teamwork Respecting others Constructive change The participation of all

13. Oregon Department Of Corrections Oregon Accountability Model • Role Model • Reinforce • Redirect Create a Pro-social Learning Environment Reinforce Pro-social Behavior Intervene and Redirect Anti-social Behavior

14. Relevant Policy • Code of Ethics…. Policy 20.1.2 • Code of Conduct…. Policy 20.1.3

15. Dress Code • Dress Code …Policy 20.1.6 • CAN’T • 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

16. 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.

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

18. Relevant Policy • Keys and Locks…Policy 40.1.2 • No personal locks • Keys kept on person at all times. • Inmate Counts ….Policy40.1.3

19. Relevant Rules From Oregon Administrative Rules (OAR’s) • Rules of Prohibited Conduct …Rule#105 • Many rules are in place within the corrections environment that prohibit things that are allowable within the outside community. • Visiting ….Rule#127 • If you need to visit a friend or relative, you must follow the regular visiting rules.

20. Relevant OAR’s (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

21. Relevant OAR’s (continued) • SMU .…Rule # 048 • Mental Health Tx Program….Rule #047 • Suicide Prevention ….Rule #076

22. 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

23. Relevant Rules / Policies • Health Services Policy and Procedure Manual • Pay particular attention to the institution’s: • Sick Call • Emergency Response • Bloodborne Pathogens • Confidentiality

24. 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

25. 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.

26. 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.

27. Professional Boundaries Mistreatment Personal Relationship Professional Boundaries Don’t look to work to meet your personal needs Maintain balance in your life

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

29. Know what to do in a crisis • Security Emergency • Fire Emergency • Hostage Situation

30. 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.

31. So, in summary; • Remember where you are. • The rules and restrictions exist for good reason, don’t bend or break them. • Problems arise when information isn’t shared…know when and how to do it. • If you don’t know or don’t understand, just ask. WELCOME TO CORRECTIONS !!!!!