Laserfiche WebLink
Control Number: <br />401.06.03.071 <br />Version: <br />2.1 <br />Title: <br />Right to Refuse Treatment <br />Page Number: <br />5 of 6 <br /> <br />Functional Roles and <br />Responsibilities Step Tasks <br />Facility Medical <br />Director (or designee) 4 <br />Review the circumstances and clinical consequences of the <br />offender’s refusal to accept evaluation and/or treatment. <br />• If the refusal to accept evaluation and/or <br />treatment does present a significant adverse <br />health risk: <br />♦ Schedule the offender for a subsequent <br />appointment with the healthcare provider to <br />discuss the refusal, and <br />♦ Forward the healthcare record to the qualified <br />healthcare professional. <br />Note: If the refusal to accept evaluation and/or treatment <br />places others in the facility at risk of contracting infectious <br />disease, appropriately isolate the offender. <br />• If the refusal to accept evaluation and/or <br />treatment does not present a significant adverse <br />health risk: <br />♦ No further action is needed. (The process ends <br />here.) <br />Qualified Healthcare <br />Professional 5 <br />Repeat step 1, and <br />• If the offender continues to refuse evaluation <br />and/or treatment: <br />♦ Consider referral to a mental health provider for <br />an assessment of the offender’s mental status, <br />♦ Document the information provided, <br />circumstances, and the offender’s stated reason <br />for refusal in the “progress notes” section of the <br />healthcare record, and <br />♦ Forward the healthcare record to the facility <br />medical director (or designee) for review. <br />• If the offender rescinds his earlier refusal to <br />accept the evaluation and/or treatment: <br />♦ Take steps to obtain informed consent (see SOP <br />401.06.03.070, Informed Consent) and provide <br />the evaluation and/or treatment. (The process <br />ends here.) <br />Facility Medical <br />Director (or designee) 6 Record the refusal on the Healthcare Record Problem List. <br /> <br />3. Compliance <br />Compliance with this SOP and all related Department-approved protocols will be monitored <br />by the health authority (or designee) by using various sources to include: this SOP, clinical <br />practice guidelines, routine reports, program reviews, and record reviews. <br />The health authority (or designee) must conduct two (2) audits a year (or more frequently as <br />desired based on prior audit results). The audits must consist of monitoring applicable <br />contract medical provider and IDOC policy and procedures, applicable NCCHC standards, <br />and the review of a minimum of 15 individual records.