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4wyy eoG IREDELI, COUNTY HEALTH DEPARTMENT
P.O. Box 1268 • Statesville, North Carolina 28677 • (704) 873.7291
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Nimam 1I. Mrsbbarn, M.1'.Il.
ltrulrh Ulrr,Yn' IREDELL COUNTY JAIL HEALTII PROGRAM
October 1982
COAL: To maintain the health and well being of prlsoners incarcerated in the
Iredell County jail..
OBJECTIVES:
1. To protect the health and welfare of the prisoners and to avoid spread of
contagious disease;
2. Provide for medical supervision of prisoners and emergency medical care for
prisoners to the extent necessary for their health and welfare;
3. Provide for the detection, examination, and treatment of prisoners who are
infected with tuberculosis or venereal diseases.
This plan has been developed in consultation with the sheriff, Health Director,
and representatives of the county medical society. 'Che Iredell County jail has
an average inmate population of approximately 40 persons. The jail can accommo-
date both male and female adult and juvenile inmates. The length of stay of
the inmate population is short term, usually no longer than six months duration.
The Iredell County Health Department has established a program of health care
services to meet the needs of the inmate population. The Health Department plans
to implement this program in the following manner:
1. A family nurse practitioner under contract with the Health Department will
conduct regular sick call 3-5 days per week approximately one hour/day depend-
ing on the health needs of the inmates. The medical backup for the nurse
practitioner is Dr. James Rhyne. lie willbe available for consultation at
the request of the nurse practitioner and will meet with the nurse practitioner
at regular intervals for record review. He willalso take emergency calls on
evenings and weekends and will personally make rounds at the jail periodically
(in conjunction with the nurse practitioner, if possible) to provide more direct
supervision and service.
2. Inmates seen at sick call who are in need of emergency medical care will be
referred to Iredell Memorial Hospitalemergency room by the nurse practitioner
or physician and transported by the sheriff's department staff. When non -life
threatening emergencies occur outside of sick call, the jail will notify Dr.
Rhyne who in turn, based on the information provided by the jailer, will go to
the jail to examine the inmate or give a phone order for the inmate to go to
the emergency room. In the event of a life threatening emergency, the jailer
and jail staff will institute emergency first aid procedures and call for an
ambulance.
3. The nurse practitioner in conjunction with Dr. Rhyne, jail personnel, Health
-- Department personnel, and the county pharmacist, will establish a method of
regular medication administration to the inmates. Also, a means of control
and inventory of medications willbe kept at the jail.