(a) All examinations, treatments and procedures affected by informed consent standards in the community shall likewise be observed for prisoner care;

(b) No prisoner shall be given medical treatment against the prisoner’s will except as necessary to prevent the spread of communicable disease, to relieve imminent danger to the life of the prisoner or, in the case of serious mental disorders, to prevent imminent danger to the life of the prisoner or to the lives of others. Any other treatment without the prisoner’s consent shall be provided only pursuant to court order. All procedures required by chapter 71.05 RCW shall be followed in any case of involuntary commitment or involuntary treatment of mentally ill persons within a department facility;

(c) In the case of minors, the informed consent of parent, guardian or legal custodian applies where required by law;

(d) In all cases, the responsible physician shall give a clear statement to the prisoner/patient of the diagnosis and treatment.

(a) Staff shall report any symptoms of prisoner mental illness or retardation to medical personnel for appropriate evaluation and treatment;

(b) A special program shall exist for prisoners requiring close medical supervision. A written individual treatment plan for each of these patients shall be approved by the responsible physician. The treatment plan shall include directions to medical and non-medical personnel regarding their roles in the care and supervision of the patient;

(c) Appropriate medically supervised treatment in accordance with written procedures established under SCC 5.12.020(1) shall be given in the facility to prisoners determined to be mentally ill or under the influence of alcohol, opiates, barbiturates and similar drugs when such care is not provided in a community health facility;

(d) Reasonable physical restraint, when necessary for medical reasons, shall be medically directed, except that in an emergency reasonable physical restraint may be used to control a grossly disturbed or violent prisoner, but the review and direction of the health care staff or local mental health professionals shall be promptly obtained. (Added by Amended Ord. 94-041, May 25, 1994).