don dale primary health correctional precinct induction ... · that guiding circles...

ATTACHMENT CC 8.5

TOP END HEALTH SERVICES

Don Dale Correctional

Precinct Health Centre

Primary Health Care Branch

Induction Package

Top End Primary Health

Care Branch

Level 2C Casuarina Plaza

Casuarina NT 0811

Building Better Care - Better Health - Better Communities Together

WIT.0109.0001.0932


I. Contents

TO BE filled out when document finished


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Introduction to Primary Health Care

Today in Australia there is a broad consensus that primary health care is to be defined comprehensively rather than narrowly, especially when it comes to improving the health of disadvantaged populations such as that of Aboriginal and Torres Strait Islander people. The Australian Primary Health Care Research Institute for example , uses the following definition of primary health care:

"Socia{{y appropriate, universa{{y accessi6{e, scientifica{[y sound first {eve{ care provided 6y a suita6{y trained workforce supportea by integratea referra{ systems and in a way tfiat gives priority to tfiose most in need, maximises community ana indivicfua{ seif-re{iance ana particiyation ancf invo{ves co{fa6oration witfi otfier sector."

It includes the following:

• Health promotion • Illness prevention • Care of the sick • Advocacy • Community development

f primary health care please see;


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Introduction to Don Dale Detention Centre

The Don Dale Juvenile Detention Centre was officially opened on the 23 of December 2014 and is located at 90 Tivendale Road, Berrimah NT.

The Detention Centre has a 56 bed Capacity for male and female inmates specifically 40 male and 16 female beds, the inmates are aged from 10 - 17 years old.

Don Dale Road Map and Don Dale Detention Site Map

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All inmates have the opportunity to participate in education and rehabilitation programs aimed at addressing offending behaviours and providing coping and life skills to successfully reintegrate into community.

The following programs are offered to inmates at Don Dale Detention Centre:

• Safe Sober Strong The Safe Sober Strong Program is a psycho-educational offence-related program designed to be flexible to meet the needs of a wide range of offenders with different sentence lengths. The program includes modules that address problem areas related to reoffending. The program is available to male and female prisoners who are sentenced or on remand, and is also available to youth detainees.

• Step-Up-Youth Violence Program With the support of the Ian Potter Fqundation and the Department of Health and Human Services, this program continues to grow after receiving ongoing funding from the department. Based on a United States program called Step Up, this CAFS program provides intensiveou_treach work to agole'iients aged 12 to 1~ years and their families to address the viole:pce and ab~se ·pe~etrated by the adolescents. In

: ·\.::'_\ -,·: {' ~ ·. ·) ,•• ::

addition to the outreach wor~;:·~he'pfogram delivers.?, 10-week group work program for both the adolescents and tll~!\ parents, providd.ipc:Uvidual counselling and support, conducts·~ thorough assessment of th<'! behaviour of the adolescents and

-,'.,_,_,--·1~"',, \~';ij~ .< ~·-~,··:-· ';_:,.,, . develops a r~(ertal p~~way to otli~J;'_commu;ri1ty~,ba~ed support services

<:1 ., '>" ·:. \. L'. :r ·.'. • CHART (change ... habits and Reach 'Fargets)

CHART is base'&tn .. the ~[~g princi~f~~tl;iat reducing the young person's offending ?flh~'0PP:>R.\&.,the p~e{f~~.;,;~·o(Y:?¥1-.~ ju,~t~c~. intervention. It is designed to support

_,.(~opsiste~t"~~)r1prdv~q~i~~terverl:iQ!}~;~3-reduce the ri~k of reoffending. . . '.:(~!fART is not J~~J;~ pro~:...~ but is also .. a way of working. The program is evidence

'];?iiised and inforril~ti'l?Y rese~cb on effective correctional programming. Research sli~~~ts that offenaing-focu~ecfprograms work best when they involve action, partldi~ation, skills tfi:i)hing and discussion linked to these activities. CHART

'~ ... I, \;-

•

includes:all of these el§~~nts in every session. i \.

,;~o - t

CHART has five aims: To provide an evlclei;~;-based practical resource for working one-to-one with young people

• To provide a program that is directly relevant to key criminogenic needs and is designed for sequential, structured, offending-focused, one-to-one work

• To use a problem-solving framework of assessment, objective setting, action (learning and practice) and evaluation as the key change process.

• To provide a user-friendly program that recognises young people's rights and responsibilities, and which can be used in an anti-discriminatory way.


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• To be a portable resource for use with young people when in the community and in custody

• Love Bites LOVE BITES is an extremely successful school-based Domestic and Family Violence and Sexual Assault prevention program that evolved on the Mid North Coast of NSW. LOVE BITES is based on best practice standards for education programs as recommended by the Federal Government funded Australian Domestic and Family Violenc~ Clearing House and other leading academi~s id the area of violence against

/ / women. /, (

( /',, ':'',. • Guiding Circles / ··\ J . ·

Guiding Circles is an interactive, flexible, ano fun holis~lc~~r development program designed to guide individuals tovfard career paths;-.,Tne,workbooks combine a traditional Aboriginal worldview ~th ~ontemporary career deYel0pment concepts to help you achieve career satisfaction~b~ak. down/cultural bariler~and better underntand Aboriginal workforce challen';lesV~) '"')

Educators, career develop~e~titioner~d Human resource managers find that Guiding Circles awaken~,Jiefnd~Ciual's se~e df,self-esteem and self-

\\"'-"'- "' awareness to uncover personal\talents tr-ansfe~o~ure career.

This happ~\ities ~\_,,;,:,eh;'tel(_tl\"jr story and relate Hfe expenences,to \:areer planrnng. Youth anc:l{dults can~become engaged m school or l "l" 1 1 '· ·""' h .,)di\ h \ ( "al . d h he- ong earm:r.i,g as t eY; .. scover t e1\p0tentl career opt10ns an see t e

r~_v~ce,~-edu~a{~?)o j~portuniti~~T~e 'rings of influenc~' deliver~d ti:irough the ~nes ·gives md1v1duaJs hope,f~a

0rewardmg career. Career/ Life Plannmg is a

l~l" 1 ~ """ "ri "aJ d . ""-..... . 'V \ngjournS~ i~~matro~.-

• Alcohol and Other Drugs Youth (Daisy) Program.

~~ \\ v This progr~ aims t.~\support young people who are affected by alcohol and other drugs ~d th.eir families Tuy providing information, counselling and case

managem~t:u).:' The program 'io~s to'

• Reduce the incidence and uptake of alcohol and other drug use among young people in Darwin, Palmerston and the rural area

• Increase community knowledge of the issues for young people who use alcohol and other drugs

• Increase the community's capacity to respond to these issues.

DAISY operates within a harm minimisation model and believes that a respectful, supportive and empathic relationship is important for young people.


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Governance

Our Vision

Healthy Territorians engaged and living in Healthy Communities.

Our Mission

We promote, protect and improve the health and wellbeing of all Territorians in partnership with individuals, families and the community.

Our Values

We are driven by public sector values: Commitment to service, ethical practice, respect, accountability, impartiality and diversity.

• We Care About People We care about our patients, our client~ and their families, our staff and the community to which we belong, and ali our action~ are underpinned by our commitment to equity.

• We are Accountable ·---·-· . '•

We are accountable for ourselV~~ arid otir behaviour.~ and take responsibility for our decisions; we seek to deliver me~~µrabl~ i'rrl.proveme~t~Jn health outcomes, and ensure the b<;,1:1fus~ :Mp('!sources.'to.~chieve·Q"Llr. goa,!s. ·'

~1§:'.' , . ~i>., . ~~ ;c~ : . ~i~r- ' • We are rele'7a:dt today a:rid ready for.:fomorrow and into the future

We are commifte:~ !.P res~:~~~ng to h~ajth needs today and building capacity for tomorrnw; we strive''\o_c6ntfuMusly impro\e our knowledge and experience and be

d*~ilt<> EliAf,,\'~ .•• \:~~ ~·<' . \~; • <We. are comm1tted·.to hig:f!,g:uality care

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• •

•

W~¥e passionate'abqut deliv~fiHg high quality and safe care; our services are undeI'P,iµned by evidenff based,~ii.ppropriate and effective practice.

'~.-- ·' : ;··.1 :.')

We value Qur partnersJ(ips We recognise an!;! value)he importance of strong links with our partners - public, non-government. ar:i4 ptivate organisations; we work together with a shared purpose in delivering integrated quality care.

Integrity We uphold honesty, respect and professionalism in all that we do.


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, . Health and Demographic Profile ofChildren in Detention in the Northern Territory·

Young Offenders and children in Detention are a population with special needs, requiring the same range of services as adults, delivered in an age appropriate way. The prevalence of alcohol and drug abuse in this population is high. "The young People in Custody Health Survey 2003, reported a strong correlation between alcohol and offending behaviour with 60% being affected by drugs and alcohol at the time of offence, 69% of the offenders

/ ' reporting harmful levels of use of alcohol plus smoking ar;,d/9~o having used illicit drugs".

/ / • Demographically the offender population is pr,edominantly male aged between 10 -

. ( /" " 17yrs old. . . / ·,, ',.

• High proportion ~s Indigenous (around ·4<0°/o) BYit may hf\as~igh as 90% of the total offender populat10n. ~ '"'- ',

"-, ""' '" '" From July 2013 and June 2014 Indigenous youth made,,6~~ averag~~<hin total

offender population. ~· ~ (/ V

Primary Health Services aims to im~Omeitt~ubliC~~ Programs including:

• Child+Youthheal~creeni~\ ~~.,, ,~ • Mental heal).~. :gr:omote~+ Screen\for ment. al he~alth issues • Drug addiction/ "" . . V/: ·· """' \, ... •

• Chemical substance abuse .~.._ d "' ."'\../

I

• Alcohol consl:l~i:>~on > Pfl?~ote AOD'm\· .fo\rmation to youth

• (JlBV) B.loo, ~rn V:rruse~ •/Se~lytFansmitted--diseases > Provide,Se'lrual health Advice tf· >-*Ri:o:.~;;port\~n~sit~~'Iied Heal~Se~ices • Smoking " "' . • Pregnat}cy: . • Coordi~t~and administer Immunisation(s) according to individual Schedule(s)

utilising 'CD~(Cent/e ·!or Disease Control Darwin) for histories and following treatment gu)aeline{ anti treatment protocol

~


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Health Care Imperatives

There is a duty to the community to ensure that potentially poor health practices in prisons do not increase the prevalence of disease in the community when Juvenile's with communicable diseases and high risk behaviours are released, health services will be of a standard that is commensurate with those provided in the community;

• To ensure that the health status of any Juvenile/client is not worsened by their incarceration

• To recognise and treat existing and new illnesses and ailments • To take the opportunity to assess and mail.age health conditions and influence

risky behaviours

Health Service Philosophy for Juveniles in Detention

~'.':~~:5~: . · .. As long as custodial systems fot. ~dt~~~lei:; exist, they should aim to maximise young people's chances of rehabilitation '8:!Jci irltegr1:1Jiq~ into ~o~iepr.

~ , ,, - • J

··:. >'·., ~ ~ ·;- ,· (;~~,;-,, ·_ .;.,.· ._ '-" The fundamental ipririciples of this philosophy"may be found' in the Design Guidelines for Juvenile Justi~~~imf~s in Austtfilia,aid'$~ew Z6aland, where it is stated that all

\• 'i 'l.},.. ' ~ ;,.':-·\ "':i:'.· r. ,·~'-.:._'l.1"" ~}::t'

young people ii-0~~?'.tdy arei~~~-itled to; -~~~~·

• Asaf$. and se~B,t~~-~!'i~<?iµf),e11t . .. :~;';;;9"vfug:;~~ng,ition:g:~li~t ~~ei~<l\i~k9( cire}equirements -~; ~-·· Privacy andotiignity. :, . "'•('

c' ~.'.'"_'I ""·"-~-.'~.,;.q." .. ~; '1 ·.. ..,_r-.

·\">.Programs afiqi·'.s~rvic~s'~t:hflt meet individual educational vocational and gender <5.i~ge related ne~q~.' '"-;:. ;;

,;:;;_

Cultural Awareness

Cultural Awareness.and Sensitivity

The Don Dale Detention. Precinct population is represented by up to 90% of inmates who are Aboriginal and or Torres Strait Islander. Therefore awareness of cultural sensitivities is a must as many Juveniles have English as their second, third or even fourth understood language. The Northern Territory Department of Health has an Aboriginal Cultural Security Policy that outlines our commitment to Aboriginal cultural Security.


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ASCC

I DCC

NTDCS

I FMHS

UIS

I PHCM

ASM

I ROH

ASH

I PCIS

CCIS

CDC

HCSCC

CPO

RMP


· Com~on Abbreviations Used ill Cor~ectional Settings

Alice Springs Correctional Centre

Darwin Correctional Centre /"-,

Northern Territory Department of o?rre~onal Services / <_

Forensic Mental Health Servic~s A ~

/'\. 'V '·""' '"". Integrated Justice Inform;t:io~System ""' ""'

Primary Health Care M~8:gh ~ ""''

Area Service Manager ~ ~ /) ~~ Royal Darwin flospjtal """ Y ·. / v Al. S . H~ "'-··~ai· ""-\_

ice prmgs o~p~cu~~ ~ ~

Primary Care InforJ:Aa.tio~Systern ~ ""'

C ~c 1 \fi \ · '>s. -~t "•"-9mmµn1 , _are n orm,at10_n.. ,s, em, '-:J

Centre for Disease control

H "'l-~h· d CLJ · s~ <. c 1 . c .. eat· ;a:n 7

ommumty €n:1ces omp aints omm1ss10n "-( ~ . -~ \_\

Chief Prison Officer


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Don Dale Detention Centre Organisational Structure as of 27 /07 /2016

Senior Case ager P3

Case Manager P2

Case Manager AOS

Forensic Psvcholoe:ist SPl

Cultural Advisor A04

Sport & Rec officer A04

Case Management Support Officer A04

General Manager

Deputy Suoerintendent

Assistant General Manager ASYDC

Case Manager AOS

SYJOASYDC

YJO/CO ASYDC

Justice Court

YJOYouth Justice Court

Visitors Bookings/ Admin AssistA03

SYJO HSU

YJO Gate Comms YJO HSU

Admin Coordinator A06

Visitors Bookine:s A03

Shift Supervisor Accommodation

SYJO Accommodation

YJO

YJO Admissions/Transports


Security Systems Manager T6

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Communication

Confidentiality

You must maintain strict confidentiality in terms of everything you see and hear during the course of your employment within the correctional environment.

You may not discuss any details relating to an inmate or aspects of their care with any outside agencies without authorisation. Likewise, do not discuss any details regarding security arrangements or routines within the correctional centre with members of the public.

Disclosure of Information to Youth Justice

Inmates have the same rights to privacy regarding their medical information as members of the community; however sometimes it is necessary to inform corrections staff of health issue an inmate has in order for them to manage them appropriately. For example, if an inmate was a poorly controlled epileptic, corrections would need to be notified so they are not placed in a cell by themselves, or given a top bunk. (Inmates sign a release of information form on admission for this purpose?) The Superintendent is the - Guardianship sign of release is automatic due to Guardianship??

In the event of an occupational exposure sustained by a youth officer, youth justice officers do not have an automa ·c right of access to an inmate's medical file to ascertain their blood born virus status. Written permission from the Guardian or the Dept. of Children and Families (as some children are under the care of DCF and DCP) must still be sought. Their post exposure prophylaxis and testing will be managed by RDH emergency and the Infection Control Unit, not by youth Justice Staff.

Media Enquiries

When there are high profile inmates located within the centre, they tend to generate a large amount of media interest. Occasionally, calls from journalists and other organisations will be received by the health centre. In all such instances, refer them to the Superintendent at Don Dale, who will direct them to the relevant authorities, such as the Youth Justice media liaison. Do not engage with the caller. Do not confirm that the person they are calling in regards to is in fact in custody.

Enquiries from Legal Representatives

Please refer all correspondence and phone calls from lawyers and legal representatives to the Primary Health Care Manager. Even if the inmate has signed a release of information document authorising you to speak with their legal team or give them copies of their medical records, there is a process to be followed in obtaining medical information for the purposes of court proceedings. You are not permitted to write reports or recommendations on behalf of an inmate to a court or parole board.


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Communication Cont.

Complaints Management

Inmates have a right to lodge a complaint regarding health services like any other member of the community accessing a health service. Inmates are able to lodge a complaint via the Request for Medical Treatment Form, which is forwarded to the PHCM (Primary Health Care Manger) who will then investigate the validity of the complaint and feed back to the inmate.

The Health Care Complaints Commission and Office of the Ombudsman

The HCSCC is an independent statutory body that acts in the public interest by resolving complaints made about the provision of a health or community service.

Staff are not to formally respond to complaints made by the inmates to these bodies. You may be asked to provide information to the Priµi_ary Health Care Manager that will assist them in responding to the complaint, but please do not do it yourself or attempt to resolve the complaint with the inmate dir~ct~y. Refer all such,.~11quiries from the HCSCC or the Ombudsman to the Primary HealfhCare· Manager orth,~:!l\.rea Service Manager.

. . . . :. ___ ;.~ ··~~~·~)

Disclosure of Close Relationships ' -·,,,-,,.-,

Should you become a~~'~;~tJ1;:;i.1 a close fri~nd, rela;f~e 1·spouse/f~n:rner spouse or someone

y~u have more th~;,,tpiissi~g:17~:~ociatioff~~.t~~itse. rna~~r)::msine~s ~artner, someone with whom you are~wlved m l~f?~ proceedi~:i;rg~;·etc.) 1s ~mmate withm the centre, you must let corrections :kBi?w in orct~r~to avoid an}''~ppearance of impropriety. An email directly to th~ Chief Pri~bn~Qffie'er'.(CPO) of se2tid.ty is sufficient.

/ _.; /~,;;,:,c:.>,~ "~{:>.::;;)>.;:-<±~·:'·: ~·.,. ~~:,:\ HealthcartVObligations to Coftections·staff .. \,, ' . .:~.( ... -~~· -:~;,:~~" ··,;o·~;:: Routfri~il\1edical Care i~~n6t provfd~d_to employees of the Northern Territory Department of

.... , ."""'" "'·· -~" . \•

Correction.al ~ervices (NTD~~J, by piis9I:t health Staff. This includes;

• . ' \'',;.

Work Gover Certificates ".' ;:.., ? . \, -

Medical O~rtificates ) ~· ·· • Prescri ptio;/¥~picit:lt!'~ ~

' ·,·_ ~j· ··--...

•

However, as of 2016 Medi~~~ staff are offering/suppling Vaccinations to newly recruited Youth Officers this only refers to Hepatitis Screen for Antibodies for Hepatitis Band or offering the entire course of Hepatitis Cover (this is a course of three injections, 1st, 2nct at 4

weeks post and again at 6 months).

If an officer or NTDCS staff member requires any medical treatment other than first aid in the event of an accident, illness or injury sustained in the workplace, they are to be directed to attend their own General Practitioner in the community or the Emergency Department at RDH.


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Cqmmunication ·Cont.

Use of Interpreters

As in any clinical setting, it is your obligation to ensure the patient has understood information you have supplied to them. If you have any doubt,as to the ability to communicate with an inmate where English is not their fi~ Iariguage, interpreter services can be accessed either in person or via telephone. / ./

/ '

AUSLAN for hearing llnpall-ed inmates ~0~~5·" Aboriginal Interpreter Service /~89-998353""' "'""'

Inter~reter & Tr~slating Service NT (I~SN~ 89-998~0~ ""'', ""'

If an mterpreter 1s used for a consultation, please record. th1)s m PCIS~ ~ . " ~~/ '• ~ ~

Health ServiCe Delivery

Clinic Time' ~~~~~"(day Nurse on Site' ~ \ V Q700am - !530pm

Nurse Cont.a.ct (ou.tsid~~h. ours) a.·t D··.·~CP.. ¥ii:t.· Et.27~)i30pm - 0700am. 2<~ . L .\ Aftervhours (Qn~cal1 Nur-~y~ ·. via\x\ 87489. 2130 - 0100 hrs .

.. ~. "-. ""vsual Health. Centre Routine

( "" """ '\ ~ '\·~ 0700\. . '\ :\ '\""' Essential Ghee.ks/Morning Medication round

0830 ~ "" \ \ ~ ,:Reyiew of Mm;tei;; Sheet/generate a recall report

0930 ~ '\ ) ) List,of'c)ient~ giv,en to Senior Youth Officer(s\

1030 ~V/ Clinic ···. · '-./

1500 Clinic

1530 Tidy clinic Put Trolley(s) away close clinic return Keys to security si1m out


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Health Service Delivery

All staff working at Don Dale medical clinic are required to;

• Maintain accurate client demographic data on the electronic Medical Record System

(PCIS) Primary Care Information Services.

• Run Recall Reports

• Manage children according to the CARPA Standard Treatment Manual (6th Edition)

& the Remote Health Atlas @ the NT Government Dept. of Health online.

• Identify manage and initiate relevant 'Care Plan' for children with Chronic health

conditions and make appropriate referrals.

• Perform Adult Health Checks Individual assessment (ages 15 -49yrs) according to

CARPA pg. 258

•

•

•

• •

Promote/Support and deliver Healthy School/).ge,,Kids Program (HSAK) as part of

'The Child and Youth Heal~/~trategy' for Priili~'Health Care NT. "'; . , ..... '•

Provide individual feedback and,educaQ..on to childf:¢h in detention to promote

healthy lifestyle ch,~ices . , < .. · ,:·:;.

Coor~i~~te ~~ fu~~~~ .~:~ildren '~t ~sl\'.~t#lng :~I>. ~~levant care plans/ referrals and hrusmg ,with Forens1c·Mental Hea.Ith'.weam (FMH)~)

Provide Orien~~~;c~;o 'o~~}:;eam/s~~~~mber(s) in Don Dale clinic management

Pro:Viµe,Support an(:f~_dli~atioi).Jo.staff m~mbers by liaising with Program Leaders ~-~· :-~.·~_:,_·-~~:1 .r:.·12_~ ~'-:~. ~,,~~<~~t' ·-· '::··:(·?~'··,_ '<-t; >

-. .r-;._, -~ ;'" " -- '"

. •,:


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Psychologist service at Don Dale

1. Juveniles upon admission or return from court will be allocated a case manager.

2. An Indigenous Support Officer will be available to complete an induction/orientation

day with that individual detainee.

3. The allocated Case Manger will undertake a Substance'-Screen Audit and / )

administers KlO (anxiety and depression checl<lj-st within 48 hrs).

4. A Health Screen by Medical staff should be dorie on ~dmission or at return from

< '"'-' ', . h' 48h / . "· court wit in rs. ,,--... '· / '- '·

' ~ "- ~ 5. Further Assessment is done at two w;e/s (j~that detain~e~ s,till incarcerated) a

survey is conducted called 'Eight Cr.imin{genic Needs' - thema\ecommendation is

made for treatment (provided by Cri~in';;genic program) and o~~e(s) a

behavioural management p)an is instig~v) ~ \~ ~<

Northern Territory Youth Reception Process


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Medical Records and Documentation

CARESYS and Jadecare Clinical Workstation

Caresys is an episodic database for client admitted or seen in hospital. The Administration officer has read only access in Caresys. Jadecare clinical work station is a client data base for clients admitted or seen in hospital, the PHCM or Team Leader of each stream has access to this database.

On Call Arrangements

Top End Health Service (TEHS) provides primary pealth care (PHC) support 24 hour management on Call phone service for all staff in operational areas. The number for Top End Remote Health Staff (includirig.cqrrectional healfl:)~~thlf) to call is the RDH switchboard, who will connect you··~llfbl4filJ.:tp the on 2a'fi Rural Medical Practitioner (RMP): PH: 8922 8888. . ,\ .. : · '

'.~ .

This service has bee~,est11l:)iish~d for th·~.·support_O'(~~afiin a ~rl~is situation, but also

includes the capac.it~ to autntit_!)f activitie~f~};lt~~d~·of tl(i)~aj business hours (e.g. Urgent unplanned travel),\he :µotificatfoj:i of signific!ih{:Events (e.g. Workplace injury or a death in custody) or for staff to~~~~ man1~~~ment ad;i~~)~nd information on any matter that they are concerned. about ana".:i:ire. uriaofaJto obtain cTanty form other sources.

·:.~ ·1~'~:- ·, ' . >~;;;: > ... ~..; -; -:y·;..:-.•-:..-.·;, ~· .. :~·:·"'- . ,(~····.

If you ~i~~n,sure:~sJ? wh'et~~r~ai partic4t~~~~sue'\y~rants a call to the on call (RMP), then it is Fe'C0tnmended· tb'.Jt you chlt-%egardless. :·;\)'\i;>· ·

-~:~,~~.r. .·.. ':>: -~:-·.:·:~.~;~_. . "\~~ ~~> ''<'t_,· ~ '-?J,.

After Business hours ·- · ~\

There is an oh-~all componeri•t;tp your role as a Registered Nurse within the corrections environment. 1iy<;)ti iµ-e roste¥4.~~as being on call and are contacted by a correctional officer after hours regarding' an inr:µ~f~; you should give consideration to;

• Whether the i~~ue .c~ be dealt with during normal clinic hours the following day; • The distance you ~·eed to travel to get to the prison in order to assess the inmate -

and the resulting time it may take for an ambulance to arrive/hospital transfer to take place if you decide that this is warranted.

Common sense must be used in deciding what warrants attending the prison after hours. It is acknowledged that making an assessment regarding an inmate over the phone based on the observations of a correctional officer at the scene can be difficult. Use the Telephone Triage Tool to document your phone conversation. If, after taking all the above factors into


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WIT.O109.0001.0949

TOP ENDHEALTH SERVICES

consideration you are not comfortable that the inmate can wait until the next day to beseen in the health centre, contact the RMP on call via RDH switchboard and relay therelevant information to them. It is better to err on the side of caution and refer them to thelocal ED for assessment.

Accepting call outs for non-urgent issues is contrary to remote health policy and should bediscouraged. It creates unrealistic expectations of you and your co-workers by correctionalofficers and inmates. What is an EMERGENCY?

The process that correctional officers follow with regards toA’o~n tacting a health staffmember after hours is outlined below. /g’ /

Medical Support Services

Contact the Nursing Team Leader

Ph: 89287488

MEDCIAL EMERGENCY

000

After hours telephone support concerning an inmate

CONTACT

THE ON-CALL CLINICIAN FOR DARWIN CORRECTIONAL PRECINCT

Ph: 89287489

If unable to contact the on-call clinician

CONTACT

REMOTE MANAGER ON CALL

Ph:

If unable to contact the Remote Manger on call contact RMP via RDH switch

8922 8888


18


Deaths in Custody

Under the NT Coroners Act section 12, a person who dies in custody must be reported to the coroner. Under section 4A, the coroner must investigate all reportable deaths.

This does not apply only to suicides and deaths by misadventure - it applies to death by natural causes as well.

In the event that an inmate is pronounced life extinct anywhere in the prison, the body and any medial paraphernalia used in attempt to revive them must be left in situ. Do not remove tubes, cannulas, defibrillator pads, oxygen masks etc.

If the death is a result of a hanging, and the noose is cut in order to facilitate resuscitation efforts, it must be cut in a manner that keeps the ligature knot intact. Correctional officers possess Hoffman knives for this purpose.

In all instances, life preservation and resuscitation efforts take precedence over the needs of Correctional Officers to preserve evidence at the scene.

Full coronial findings are publicly available at;

PLEASE AKE NOTE

Any death in custody requires immediate escalation as a sentinel event. Speak with the Team Leader. Call the Remote Health On-Call Manager to report the event and document as a sentinel event on Riskman. All staff must remain on site at the prison until interviewed by police.


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External Medical Appointments

Inmates are subject to the same waiting periods for specialist appointments at the public hospital as the general community. This may cause frustration and result in complaints being made by inmates if they perceive they are waiting for lengthy periods of time for their appointment. Health Staff will often be asked for updates reg~ging the date and time of an upcoming external medical appointment. Do not promise-fu.i irimate that an appointment will occur at a particular date or time - the appointm~nt maf be rescheduled for a variety of

/ - ' reasons beyond the control of the health centre. ( / "· , r '-. / '-., "

It is also not permissible for health stfli.i ;;;i t~ll and 'in~'ate the exact date and time of a scheduled attendance~/C:t ah external ap_i;oi~ment. This is due to security reasons. . ~ ~ ~

' ,~ ~ ~ I Inmates going to /returning from Court I

Inmates going to court that are on ~~ab~~e prior to going to court can h h · d d. · · h\ y' h"D "'- · or'r·, ~ d · · Th · ave t e misse me icatlon~given tot e. ·out eteht10n icers,to a minister. e mmate should have a handA~rltten .. M€dication Chkt whie on"-~dicatiod which clearly note(s) the

/ / "( '\ '\''\/ /" ~ Detainee Name, th'.e IJ.lS No, Detainee's D.0\B,and,age. Further the Medication, dosage and administration det~Is)~uld b~I cfuarly written(y the pres~ber and signed by the deliverer, the chart should,be plac~djn a cleal\plastic folder and given to Youth

Correctiona!Ciflkers. ~~ \)

Inma'.(. r~~n Dale,sno~ld have a~turn to Prison Check' done to check on their'me~Hal state. Th~isbeca~e of,the fact that there are numerous times where and . ':, ·"1 bl d ~ \h . ·"- " . f h b . d . th mmate is,vu nera e unng t . eir mcarcerat10n - one o t e most common emg urmg e

,'\.°\... '\··\ "' court and sct~tencing process. F\°r many,:,At causes a great deal of stress, due in part to;

• Recou~~he circu~~~kces surrounding their alleged offence; • Being confrlm°fud by)heJ victim and/or the victim's family either in person or in the

.- f .\-~/I . 1orm o a victim impact/statement; • Seeing member~(tKeir family in the public gallery of the court house; • Receiving a sentence or period of incarceration they were not expecting.

If the inmate has been handcuffed for extended periods you should also check their wrists to ensure normal range of movement is present.


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Inmates going to/ returning from Medical Escorts

HR

Inmate are frequently transported from the correctional centre to local hospitals and other locations for the purpose of accessing services and clinicians they are unable to access at the correctional centre.

Inmates returning form external medical appointments are to be reviewed by a health practitioner. It is important that all inmates returning to the correctional centre after being on escort for medical reasons are assessed and managed appropriately. For this reason, all inmates who fall into this category are seen by a health practitioner when they are returned to the correctional centre. This is important because;

• It allows health staff to ascertain if the inmate has been returned with any medicines that he/she may not be allowed to possess.

• The inmate may have a discharge letter, x-ray films or preoperative/postoperative instructions that health staff need to be aware of;

• The inmate may be unwell or unsuitable to be housed in a particular area of the prison due to their condition on discharge (e.g. If they are using crutches or a wheelchair) ;

• The inmate may be upset or confused about information received during their appointment or hospitalisation.

Code of Conduct

This employment instruction is issued in accordance with section 16 of the Public Sector Employment and Management Act (the Act) which provides the Commissioner with the power to make rules , not inconsistent with the Act, relating to the good management of the Public Sector and include Code of Conduct to be observed in the Northern Territory Sector.

http: / / internal.health.n t .gov .au I SiteCollectionDocuments I Aboriginal%20Policy%20Stakeh older%20Engagement/EI 12 -Code Link is not working!

Aggression Management Policy

The Remote Health Branch Executive Management Team recognises its obligation to provide a safe working environment and to protect staff and clients from harm. It is the policy of DoH to achieve better practice in the prevention and management of occupational violence bullying and harassment. This is further discussed in the Aggression Management Policy and the Anti-Bullying and Workplace Behaviour Strategy. Aggressive and threatening behaviour towards health staff is not tolerated. All incidences of this should be entered into Riskman and will subsequently be forwarded to NTDCS to be placed on the inmates file.


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Occupational Health Safety and Environment

The Department of Health (DoH) has statutory duty of care to ensure the safety, health and welfare of its employees while at work, and to communicate OHSE roles and responsibilities under legislative framework to all employees.

Through the process of consultation with employees and employee representative organisations, the DoH will continue to meet its legislative obligations, and commitment to supporting the health, safety and welfare of all persons in the_ work place, through the development, implementation and regular review of the Workplace Health and Safety policy.

/ / Legislation & Related Documents ,/ <

• NT Work Health and Safety Act 2011 (Natiorru ,~~?~'Legislation) • NT Workplace Health and Safety Regulatlon~ (National Uniform Legislation)

. // "·,, • Pubhc Sector Employment and Management Act "'- '·,

. \ / ' " • AS/NZS 4801:2001 (Occupational Health and Safety management~ystems)

• AS/NZS 4804:2001 (Occupational Heiith"and Safetymanagemcii.t SY.stem

Sp~cifications) . . ~ . ~ V / ~ • Office of the Comm1ss10ner for Pubhc Employqientkurrent Workplace Agreements

• Northern Territory. o. f Austrilli~A~"Force. a. t "i7~b~ary 2012) Workers Rehabilitation and Compens~tion Af:t~ _ ~

The management of wo,z:khe-a:lth and ~~~\is view~d by-DoH a:s~shared responsibility. Th f h . / li' ,,,--,d~ , ~ ~ h / ""' . ';-.,. d 1 . h . e success o t 1s1po ey ep\nu~ upon u~t ·vm:anagement ~ emp oyees acceptmg t eir

respective responJi~~ See l)K: .DoH. WH&S(licies,'guid'es and relevant forms.

Management Is responsltil~r; ~~ \ • t1>7ptanniqg, ~~~t~onitorin~ aad ceview of WH&SMS, • mcorporatmg,th},H&SMS,mto co~bl!,.smess, ·""~e~.y.and effediv~.acz.tio. ~~p~vide and maintain a safe and healthy ~orkplace

and safe work pradices, , , ·""' ) • pro~otfug occupatio'iiai.\ealth ~d safety within DoH: and

• ensur~· cbntractors ~n~ged by the DoH comply with current WH&S

• Legislatio,VJ

Employees are respons~for;

• Actively promoting WH&S in the work place;

• Working in a manner that supports the health, safety and welfare of themselves and any other persons in the workplace; and

• Reporting and , (where it is within their level of competency and it is safe to do so) addressing unsafe conditions that may have come to their attention

• Ensuring the welfare and safety of all persons has been considered prior to their action


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Riskman and Incident Reporting

When an incident occurs within the correctional centre, it must be reported through the appropriate channels. Some examples of incidents include but are not limited to;

• Medication errors and missing drugs • Episodes of abuse and threatening behaviour; • Deaths in custody; • Occupational exposures • Near misses • Slips, trips and falls

Correctional health staff are required to utilise the Riskman Incident reporting system. Training is how to use this system and this will be provided to you on commencement.

Confidentiality of incident details must be maintained by ensuring that only factual information that does not attribute blame is documented in Riskman .

Where a serious or significant hazard or incident has impacted on other people or has caused concern within an area, a debriefing will be arranged and offered to staff.

You will need to become cognisant with the following; RISKMAN

\ Youth "At Risk" Procedure

PRINCIPLES

Department of Correctional Services and Department of Health will work together to:

• Minimise the number of youth placed "at risk" , using de-escalation strategies • Minimise the time youth are held "at risk" through timely assessments

The Youth at Risk procedure is implemented to ensure the safety and security of any youth identified to be "at risk" of self-harm. The Procedure is designed to provide a multidisciplinary assessment of the youth to ascertain the physical health and emotional and mental status of a person placed at risk. Under current legislation the medical officer is in charge of the at risk status and under their direction a youth will remain "at risk" or be taken off "at risk" after consultation with the At Risk Assessment Team (ARAT).

Needs Lynn's 'At risk' document to be Hyperlinked? The 'at risk' procedures/policy


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Emergency Codes

Escape Attempt

Emergency head count

Staff member needs assistance Fire

Medical Emergency Disturbance Hostage situation Bomb threat

Evacuation External demonstration

Code Blue Response

A CODE BLUE is called by the Youth Justice Officers when a medical emergency arises.

In this circumstance the primary health care nurse will respond immediately taking the emergency trolley & emergency drugs a Youth Justice Officer will attend to assist with baggage.

The patient is stabilised at the site of the emergency and either returned to the health centre for further review or if deemed too unstable is cared for insitu until assistance arrives via St John's Ambulance Services.


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ATTACHMENT A: Workplace Induction Checklist

Action I Comment I Done

One Week prior to commencement of new/returning employ~e;

Remind work group of name & Commencement date of new employee

• PHC nurse will 'buddy for the new employee & explain their role

Organise IT access through ePass _,/ //\ '

Organise MyHR Access

'( ' Submit PIPS access request form

Nominate employee to attend an NT Health Orientation Proizram ,'"' """

Nominate employee for attendance at: Aboriginal Awareness Program

On arrival of new/returning employee;

Welcome employee, introduce to work group and others as relevant

Employee has inducti~ manual ~security awareness man~ "I J ' _\

Employee has current registration with (APRHA) Show new employee the location of workplace facilities, amenities Resources & do a tour of the building as aooropriate. Confirm start/finish/break times and protocolS-for leaving the work Place during work hours Confirm process of notification in the event of employee being absent From the worlmlace or late for work

Confirm dress code and safety wear required

Fill in uniform request form and instructions for accessing uniforms

Complete Workplace Health & Safety Checklist with Worksite warden

Discuss procedure for reporting incidents and hazards

Within the first 4 weeks; Show employee how to access myHR & HR policies/guidelines on HR Service centre intranet, exolain leave aoolications & notifications


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WIT.0109.0001.0956


Discuss Probation process & arrange a minimum of fortnightly Discussions to inform the first 3 month Probation Report Discuss Vision, Values, & Corporate outline, Key Corporate Goals, Role & expectations of the position Discuss Work Partnership Plans (WPP) & show employee how to Access euides & forms on the HR Service Centre Intranet

Identify & Schedule workplace & other training sessions as required

/"'\

This form is to be placed on the employees pe:r8'~ file by the PHCM on its

completion. /- (/ /~,<~

< ~"'· ~ ~ ~~

•

•


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WIT.0109.0001.0957


Appendix B: Correctional Staff Checklist (return to PHCM)

Topic

Security Induction (NTDCS)

IOMS access

Computer Log on and Access

PCIS basic orientation

Location of Emergency response equipment

Quality Checks (resus trolley, response bags; Yaccine fridge(s)

Remote Health Atlas

Riskman

CARP A

Time sheets

~t~·:··<·:; .. ?. , l~ ... ~·z. ,, -. >~-, Fire Extirilriii'shers in Healt1i~©~ntre c·, ~,,,

._,-.'.,!.,', , ' ,~,c,_..; ,; :' 't ':I: ~ ...... • :··;- :- • ' .

Opiate Replacement The~do\}

Placing an inmate 'At Risk'+ Forensic Mental Health Referrals

Medical Evacuation to Hospital

Role of Team Leaders

Role of Prison Pharmacist + Intern

Staff member (initial & Date)


Team Leader/ PPN (initial & Date)

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WIT.0109.0001.0958


Medication Rounds

Medication Trolley

Medication Box Changes

Complaints Management '" / ' Communication Book /

/" / '/

/ "" Triaging System / /', ', ,, " '-,

Staff Suooort Services I EASA /')v '\'' '"'-


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WIT.0109.0001.0959


Cyclone Information and Procedures for Don Dale Detention Centre

I have requested this info from Vic Williams.

Deborah Moore (Administrative Co-Ordinator is currently trying to source this document.

Remember Holtze supplied a Cyclone Kit which has a Yearly Checklist to attend to this Cyclone kit is being kept in HSU at Don Dale

.,1'.

.-_'.:;·'-c' ;


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