The medical facility being reviewed is one of the oldest within the Department of Corrections in Washington State with construction beginning in 1886. Washington State Penitentiary (WSP) is a maximum security facility (Washington State Penitentiary, n.d.). Within its walls there is a 46 bed infirmary, a 12 exam room outpatient services and an 18 bed mental health unit providing care for offenders requiring continuous mental health services or observation to those in acute distress. In addition it offers a wide range of medical services including Lab, Optometry, Physical Therapy, Dental, and a state of the art scope room.
There is a full staff of Medical Doctors, Physician Assistants, and Nurse Practitioners’, a mix of RN’s, LPN’s CNAs, MA’s, Phlebotomists, Psychiatrist, Psychologist, Ophthalmologist, Dentist and Hygienists. In addition WSP employees contract providers who come into the facility for Orthopedic, Neuropathic, and Gastroenterology needs.
This non-profit State run agency is governed by Washington State Legislatures Revised Code of Washington (RCW) and State policies known as Washington Administrative Code (WAC) while being overseen by the Department of Health (DOH).
The patient population served is very diverse. Their ages range from eighteen to elderly. They present with many cultural and religious backgrounds. Although English is the primary language many speak foreign languages such as Spanish, Russian, and various Asian dialects.
The unit we will focus on is the 46 bed infirmary. Within the infirmary various levels of care are provided. Skilled care for those who require continuous services, short stay care providing prep for a planned medical trip, extended care for those who require ADL...
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...s patients receive updated medication information with all new medications prescribed. They can also request medication information for any of the medications they have been prescribed at any time.
Element 4 - Care: The first two criterions scored a three. Patients have access to engage with providers on a daily basis during rounds as well as during business hours on a case by case basis. Although they are offender patients they are treated like you would expect in any community setting with their crimes not playing a factor in their care or treatment. Family involvement is non-applicable as one would expect in this type of a care setting. The final criterion is scored a three as pain control is challenging within this population. While every effort is made to provide appropriate pain control, barriers exist as there are many drug seekers with history of drug abuse.
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