(1) The medical supervisor, under guidance from the responsible physician, shall be responsible for maintaining prisoner medical record files. Such files shall contain the completed receiving screening form, health appraisal data collection forms, all findings, diagnoses, treatments, dispositions, prescriptions and administration of medications, notes concerning patient education, notations of place, date and time of medical encounters and terminations of treatment from long term or serious medical or psychiatric treatment.

(2) The medical supervisor shall insure the confidentiality of each prisoner’s medical record file and such file shall be maintained separately to the extent necessary to maintain its confidentiality.

(3) The medical supervisor or the medical supervisor’s designee(s) shall communicate information obtained in the course of medical screening and care to bureau authorities when necessary for the protection of the welfare of the prisoner or other prisoners, management of the facility or maintenance of security and order.

(4) A copy or summary of the medical record file shall routinely be sent to any jail or correctional institution to which a prisoner is transferred at the time of such transfer. A copy of such file or parts thereof shall also be transmitted upon the written authorization of a prisoner to designated physicians and medical facilities.

(5) The person delivering medications shall record the actual time of the delivery in a manner and on a form approved by the responsible physician. (Added by Amended Ord. 94-041, May 25, 1994; Amended by Amended Ord. 08-137, Nov. 10, 2008, Eff date Jan. 1, 2009).