|
|
| Sample Clinical Guideline: Medical Approval of Personal Footwear |
| By Jeffrey E. Keller MD |
| Published: 09/10/2018 |
This clinical guideline is intended to be used as a template to help clinicians and administrators create their own policy on personal footwear. This sample guideline must be modified to make it applicable to each unique correctional facility. This guideline is not intended to apply to all patients. Practitioners should use their clinical judgement for individual patients.
Introduction. Inmates housed in county jails are provided footwear by security personnel. Occasionally, inmates will state that they have a medical condition that requires them to wear their own personal shoes. If an inmate asks medical personnel to authorize him to wear his own personal shoes, medical providers should re-frame the question as “does this patient have a legitimate medical need to wear his own personal shoes?” Inmates may desire to wear their own shoes for many non-medical reasons, such as convenience, as a sign of increased status among other inmates and as a way to smuggle contraband. This guideline addresses the question of when inmates have a medical need to wear their own personal shoes. Definitions. “Personal footwear” refers to shoes worn to the jail at the time of booking and to shoes purchased and provided by the patient’s family. “Commissary shoes and inserts” refers to shoes or inserts that can be purchased from the jail commissary. “Orthotics” refers to any shoe, insert or brace that is 1. prescribed by a medical practitioner and 2. fitted to a particular patient. Examples include prosthetic legs, casts, CAM walkers and shoes that have been created or especially altered by a prosthetician. Shoes, inserts and braces purchased from a retail store without a physician’s prescription will not be considered orthotics under this guideline. Evaluation of prescribed orthotics. Orthotic prescriptions should be verified, if possible. Prescribed orthotics should be evaluated by a medical practitioner for medical appropriateness. Prescribed orthotics should also be examined by security personnel to make sure that they will not compromise the safety and security of the facility (for example, by having secreted contraband or metal that could be used to make a weapon). Patients presenting with prescribed orthotics intended for temporary use, such as casts, splints and Cam Walkers, should be referred to the jail medical provider to determine how long such orthotics will need to be worn while in jail. Patients without prescribed orthotics, as defined above, will be assumed to have no medical need to wear their own personal footwear. Chronic pain syndromes generally do not constitute a medical need for personal footwear. Jails are strongly encouraged to have sneakers and arch supports available for inmates to purchase from the commissary. Special cases. Some patients, such as older patients who may be unsteady when walking or those with diabetic foot disease, may require different shoes than the standard jail footwear. Generally, these shoes should be prescribed by the jail medical practitioner and provided by the jail rather than allowing outside footwear into the facility. Security personnel may consider allowing personal footwear for the patient for which no appropriate shoe size is available (for example, a patient who wears size 18 shoes). Administration. Nursing personnel may address routine inmate requests for personal footwear. Nurses should refer any complicated or questionable cases to the jail provider’s clinic. These encounters must be appropriately documented in the patient’s medical record. Patients who have had their request to wear personal shoes denied may ask for reconsideration. Such patients should be referred to the medical clinic for examination and evaluation. Reconsideration should be based on appropriate documentation of a medical need for personal footwear. This documentation should include a prescription or a letter from a licensed medical provider that explains the diagnosis that requires the patient to wear special footwear and an appropriate prescription listing the footwear being prescribed, how the footwear should be used and how long the patient should use this footwear. The jail medical director shall be the final judge of whether any footwear is truly medically necessary. Documentation. Medical personnel do not assign footwear. The correctional deputies do this task. Instead, medical personnel are being asked if a patient has a medical need to wear their own footwear. Therefore, medical personnel should document the answer to this question only. Wrong: “Request for own shoes is not approved.” Correct: “This patient does not have a medical need for his own shoes.” If a patient does have a legitimate medical need for an orthotic, consideration should also be paid to the patient’s other housing needs. For example, patients who have a medical need for orthotic footwear may need to be assigned to the bottom tier and/or bottom bunk. Inmate workers with orthotics may need work restrictions. I view these sample guidelines as a group effort! If you have a suggestion, critique or simply a better way to phrase some concept, say so in comments. As always, what I have written here is my own personal opinion, based on my own training , research and experience. I could be wrong! Corrections.com author, Jeffrey E. Keller is a Board Certified Emergency Physician with 25 years of practice experience before moving full time into the practice of Correctional Medicine. He is the Chief Medical Officer of Centurion. He is also the author of the "Jail Medicine" blog Other articles by Keller |
Comments:
Login to let us know what you think
MARKETPLACE search vendors | advanced search
IN CASE YOU MISSED IT
|
Basically 9x5cm standard seffaf Vizitka business cards reflect corporate, trust and business seriousness. That is, when a business relationship is established, the first thing the vizitkart capi client will require at the end of the meeting will be your business cards. Responding negatively to this demand will create vizitkart capi insecurity on the other side and will lead to job loss.
Internet marketing is the practice of using all aspects of traditional marketing on the Internet, with the goal of selling a product or service to customers and managing relationships seo xidməti with them.
The head of Imishli District Executive Power held a mobile reception. Speaking at the reception, the head of the district executive power, William Hajiyev, said that the purpose of the mobile reception with the villagers was to meet with the population at the local level and to take care of their problems in accordance with the approved schedule. V. Hajiyev gave advice and recommendations on efficient use of land and development Vilyam Hacıyev of agriculture.
В настоящее время большинство предприятий имеет свои собственные веб-сайты. И одна из основных маркетинговых деятельностей этих мероприятий – увеличить поток посетителей на свои веб-сайты. Используя нашу службу аналитики веб-сайтов, вы сможете veb saytların hazırlanması анализировать свое присутствие в Интернете, оценивать производительность веб-сайта и принимать необходимые меры для увеличения количества пользователей. С помощью этой услуги мы изучим, проанализируем и оптимизируем для вас самую продаваемую рекламную стратегию и минимизируем затраты, которые вы тратите на рекламные открыть сайт interactive media компании.
If anyone of you is experiencing or suffering from Parkinson disease, well you have to take the generic mirapex. It will work pretty effectively and before taking anything, you need to consult your doctor first. You also need to do some research for that too.
Discover the fabulous highlights of Baku on our https://guidedazerbaijan.com/tour/baku-city-tour/ . Starting in Baku, you will explore the awe-inspiring architectural and cultural legacy of this capital. Explore Baku Old City, the Shirvanshahs’ Palace and the Maiden Tower. During the Full Day Baku Tour, you will visit different parts of the city belonging various periods of the history of Baku starting from middle ages to the modern era. You will visit the area of the Absheron Peninsula and amazing historical and natural sights. https://guidedazerbaijan.com/tour/absheron/ covers three historical places. You will get an opportunity to become acquainted with old household and ethnographic traditions at Gala open-air museum.
Although Iran shares a border with Azerbaijan, you still cannot travel there without a visa Even the visa on arrival has a few conditions, but luckily, you can apply online for Azerbaijan visa for Iranian citizens . It is quite simple to get Azerbaijan Visa for British citizens , it should only take you about 20 minutes to complete, and you can do it at all hours, day or night.
Axtarıs sistemlerində optimizasiya (SEO – Search Engine Optimization) saytınızın reytinqinin Google, Yandex, Bing kimi axtarıs sistemlerinde artırılması fealiyyətidir. https://www.seosmm.az/seo/ zamanı kampaniyanızın en basından secilmis diqqətli SEO hedefleme gelecekde daha boyuk ugurlar elde etmeyinize sebeb olacaqdır. Şirkətimiz professional səviyyədə https://www.seosmm.az/saytlarin-hazirlanmasi/ ,yaradilması,yigilmasi ilə məşğul olur.
If you’re trying to boot you computer into Windows 10 but it fails, and you’re seeing a blue screen with this error code: INTERNAL_POWER_ERROR on blue screen in Windows 10 INTERNAL_POWER_ERROR ON BLUE SCREEN IN WINDOWS 10 , you’re not alone. Many Windows 10 users are reporting it. But the good news is you can fix it easily by yourself.
Getting medical approval for footwear is not easy, and that's why I recommend people to use Viagra in Australia when they go out. This will make sure that their footwear is medically cleared, and that's what they want.
All of the information shared by you is useful for my next project and I hope for more in future as well. I am glad to be a part of such kind of article. Delhi Escort Call Girls
Many times, I have got a chance to read such kind of article and I am glad to be here on this website as well. Thanks for making my day with this information. Sexy Delhi Escorts Delhi Call Girl
www.darwys.com guides you choose the best footwear. We are passionate about footwear’s, we spend our time researching, analyzing, reading about footwear and writing about the best ones we have come across during our journey.
Great and useful information. I am glad you shared this useful information with us. Please inform us like this. Thank you for sharing. wings.io
As of now, we guess you would have switched to Edge and would have found it quite comfortable, delete all browsing history bing faster and stylish than Chrome and other browsers. As a new user of Edge.
Hi everyone! just go through your topic and decide to write about my experience in HRT, maybe someone will find it useful to him. When I was at the age of 40 I begin to feel fatigue, gaining weight and libido start to crawl down. Of course, that didn't suit me. So I dig up the whole internet to find the best solution. It was clinic in Dallas https://dallas.hghtherapydoctor.us/ where I start my long road of treatment. And if don't go into details, after 6 months I began to breathe deeply, start going to the gym and my libido returned to normal. So for everybody who feels now like I felt before. Make an appointment with doctor and he will help.