Chapter DOC 346

DOC 346.20 DOC 346.20 Health qualifications for employment. Staff shall receive a medical examination by a physician at the time of initial employment. Personnel records shall contain verification of the medical examination.

DOC 346.20 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.21 DOC 346.21 Education and training.

DOC 346.21(1) (1) Within the first 30 days of employment, all security staff shall receive at least 40 hours of orientation training which shall be documented in the employee’s personnel record and which shall include but not be limited to the following:

DOC 346.21(1)(a) (a) Facility policies and procedures.

DOC 346.21(1)(b) (b) Information on the administrative rules governing secure detention of juveniles.

DOC 346.21(1)(c) (c) First aid, the use of emergency equipment, and medical screening.

DOC 346.21(1)(d) (d) Supervision and control of juveniles.

DOC 346.21(1)(e) (e) Suicide prevention, mental health and crisis intervention.

DOC 346.21(1)(f) (f) Health screening and care and medications.

DOC 346.21(1)(g) (g) Use of restraints and control devices.

DOC 346.21(1)(h) (h) Communications skills.

DOC 346.21(2) (2) Officers shall receive at least 8 hours of annual training on the care and custody of juveniles, suicide prevention, mental health, crisis intervention, medications, health screening at the time of admission, and use of restraints and control devices.

DOC 346.21 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.22 DOC 346.22 Staffing plan in juvenile detention facilities.

DOC 346.22(1) (1) The superintendent of a juvenile detention facility shall submit to the department for approval a staffing plan which specifies methods by which adequate staffing will be provided to ensure the health, safety and welfare of the juveniles.

DOC 346.22(2) (2) In juvenile detention facilities:

DOC 346.22(2)(a) (a) There shall be at least one officer on duty at all times in each living area where juveniles are present.

DOC 346.22(2)(b) (b) There shall be no less than one officer supervising a maximum of 15 juveniles in the living area. Additional officers shall be available at all times as back up.

DOC 346.22(2)(c) (c) There shall be no less than 2 officers on duty in the facility at any time when juveniles are present and at least one of those officers shall be in the living area. In a facility that is co-located with a county jail the superintendent may substitute for the second officer an officer whose duties do not include the supervision of adult inmates.

DOC 346.22(2)(d) (d) An officer of the same gender as the juveniles being admitted or held in custody shall be on duty in the living area.

DOC 346.22(2)(e) (e) No officer responsible for supervision of juveniles may during the same work shift have responsibility for supervision of adult inmates in a county jail.

DOC 346.22(3) (3) Staff may not accept any gift or gratuity from a juvenile or juvenile’s family.

DOC 346.22 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

subch. V of ch. DOC 346 Subchapter V — Health Care

DOC 346.23 DOC 346.23 Health screening and care.

DOC 346.23(1) (1) The facility shall provide necessary medical and mental health care and emergency dental care while the juvenile is in custody. Consent of a juvenile’s parent, guardian or legal custodian shall be required for treatment, except in the event of an emergency during which a parent, guardian or legal custodian is not available.

DOC 346.23(2) (2) The facility shall review the current health of every juvenile admitted to the facility in accordance with all of the following:

DOC 346.23(2)(a) (a) The facility shall perform health screening upon admission.

DOC 346.23(2)(b) (b) The facility shall use a health screening form which has been developed in conjunction with health care professionals.

DOC 346.23(2)(c) (c) The health screening form shall be designed to obtain health information, including the juvenile’s medical, mental, and dental condition, current medications, medical illnesses or disabilities, mental illnesses, developmental disabilities, substance abuse problems, and suicide risk.

DOC 346.23(3) (3) The operational plan under s. DOC 346.04 shall contain policies and procedures for juvenile health care, including all of the following components:

DOC 346.23(3)(a) (a) The names of staff who are designated with the authority to make health care decisions, including emergency medical and dental care.

DOC 346.23(3)(b) (b) The completion of health screening in a manner which ensures the privacy of a juvenile and confidentiality of information.

DOC 346.23(3)(c) (c) Names, addresses and telephone numbers of health care professionals who provide emergency and other health care services, including counseling, shall be listed and available to staff.

DOC 346.23(3)(d) (d) Referral of juveniles to health care professionals or to agencies which provide health care or counseling at the time of admission and throughout the period of detention.

DOC 346.23(3)(e) (e) Provision of non-emergency health care, including use of a juvenile’s personal physician.

DOC 346.23(3)(f) (f) A schedule of access to routine health care which is provided to juveniles.

DOC 346.23(3)(g) (g) Submission, processing, and disposition of requests for health care by juveniles.

DOC 346.23(3)(h) (h) Provision of a special diet if ordered by a health care professional.

DOC 346.23(4) (4) The superintendent shall maintain agreements with health care professionals.

DOC 346.23 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.24 DOC 346.24 Medications.

DOC 346.24(1) (1) The operational plan under s. DOC 346.04 shall contain policies and procedures developed in consultation with health care professionals, relating to the control, administration, and delivery of prescription and nonprescription medications, including all of the following components:

DOC 346.24(1)(a) (a) Process by which security staff or health care professionals verify and determine the necessity of medications brought in by juveniles or other persons for a juvenile.

DOC 346.24(1)(b) (b) Process for continuing administration of verified medications.

DOC 346.24(1)(c) (c) Process for the inventory and secure storage of all medications brought into the facility.

DOC 346.24(1)(d) (d) Consent of a juvenile’s parent, guardian or legal custodian shall be required for treatment, except in the event of an emergency during which a parent, guardian or legal custodian is not available.

DOC 346.24(1)(e) (e) Administration or delivery of prescription and nonprescription medications to juveniles, including identification of staff authorized by the facility to do so.

DOC 346.24(1)(f) (f) Documentation of the administration or delivery of medication to a juvenile. The documentation shall include the type and dosage of medication, the name of the practitioner who prescribed the medication, the name of the person who administered or delivered the medication, the date and time of administration or delivery, and any refusal by a juvenile of recommended or prescribed medications.

DOC 346.24(1)(g) (g) Return or disposal of a juvenile’s unused medications inventoried upon admission or unused non-facility provided medications received by the juvenile after admission.

DOC 346.24(1)(h) (h) Inventory and disposal of unused facility provided medications upon the juvenile’s release.

DOC 346.24(1)(i) (i) Delivery of insulin for juveniles who are insulin dependent diabetics.

DOC 346.24(2) (2) Drugs requiring parenteral administration shall be prescribed by a practitioner as defined under s. 961.01 (19), Stats., and administered by a health care professional, except juveniles who are insulin dependent diabetics may be permitted to self-administer insulin injections.

DOC 346.24 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.25 DOC 346.25 Communicable disease control. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the care, treatment and supervision of juveniles who may have communicable diseases, including all of the following components:

DOC 346.25(1) (1) Provision of treatment and supervision of juveniles during isolation or quarantine under s. 252.06 (6) (b), Stats.

DOC 346.25(2) (2) Documentation of the need for isolation or quarantine under s. 252.06 (6) (b), Stats., in the juvenile’s confidential medical file.

DOC 346.25(3) (3) Provision of laboratory screening for juveniles who may have been exposed to a communicable disease, if ordered by a health care professional.

DOC 346.25(4) (4) Screening for tuberculosis shall be performed on all juveniles in custody for more than one week if ordered by a health care professional. Separate parental consent is not required for ordered tuberculosis screening.

DOC 346.25 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.26 DOC 346.26 Suicide prevention. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the supervision and housing of juveniles who may be at risk of seriously injuring themselves, including all of the following components:

DOC 346.26(1) (1) Assessment of a juvenile’s suicide risk at admission and documentation of the results.

DOC 346.26(2) (2) Designation of security staff or health care professionals who may assess a juvenile’s level of suicide risk and who may authorize placement on or removal from a suicide watch status for juveniles who are suicide risks.

DOC 346.26(3) (3) Identification of areas within the facility where juveniles who are suicide risks shall be housed.

DOC 346.26(4) (4) Referral of juveniles who are suicide risks to a mental health professional.

DOC 346.26(5) (5) Documentation of observation of juveniles under s. DOC 346.44.

DOC 346.26(6) (6) Communication between health care professionals and security staff regarding the status of a juvenile who is a suicide risk.

DOC 346.26(7) (7) Intervention of a suicide in progress, including first aid measures.

DOC 346.26(8) (8) List of persons to be notified in case of potential, attempted or completed suicides.

DOC 346.26(9) (9) Documentation of actions and decisions regarding juveniles who are suicide risks.

DOC 346.26(10) (10) Annual training plan for officers and other staff.

DOC 346.26 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.27 DOC 346.27 Crisis intervention. The operational plan under s. DOC 346.04 shall contain policies and procedures for the provision of professional services for a juvenile displaying mental distress, including withdrawal, uncontrolled emotions or self-destructive behavior.

DOC 346.27 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.28 DOC 346.28 Medical records. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to medical records of juveniles, including all of the following components:

DOC 346.28(1) (1) Juvenile medical records shall be kept separate from other records, including custodial and adult records, and shall be maintained in a confidential manner in accordance with ss. 51.30, 146.82, and 252.15, Stats., and other applicable state or federal laws.

DOC 346.28(2) (2) Records shall be maintained in locked storage and accessible only by designated staff.

DOC 346.28(3) (3) No person except those authorized under s. 51.30 or 146.82, Stats., or other applicable state or federal law may have access to information in the records or be permitted to inspect the records.

DOC 346.28(4) (4) Whenever a person is allowed access to a juvenile’s confidential medical record, a notation shall be made in the file which includes the person’s name, date of access and authorization for access.

DOC 346.28 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.29 DOC 346.29 Nutrition. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the nutrition of juveniles, including all of the following components:

DOC 346.29(1) (1) The facility shall provide nutritious and quality food for all juveniles. Menus shall satisfy generally accepted nutritional standards.

DOC 346.29(2) (2) Milk shall be offered as a beverage at every meal.

DOC 346.29(3) (3) A juvenile may abstain from any foods that violate the juvenile’s religion. Consistent with available resources, the facility shall provide a substitute from other available foods from the menu served at the meal. The substitutions shall be consistent with sub. (1).

DOC 346.29(4) (4) Daily menus of food actually served shall be kept on file for at least 60 days and shall be made available to the department upon request.

DOC 346.29(5) (5) Menus and portion sizes shall be reviewed at least annually by a dietitian to ensure compliance with nationally recommended food allowances. Reports shall be available to the department upon request.

DOC 346.29(6) (6) Supplementary food or modified diet, as ordered by a physician, shall be provided for those juveniles who have special needs.

DOC 346.29(7) (7) A minimum of 3 meals, 2 of which are hot, shall be provided at regular meal times during each 24 hour period with no more than 14 hours between the evening meal and breakfast. Provided basic nutritional standards are met, the superintendent may permit variations based on weekend and holiday food service demands.