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4. Conduct including tremors and/or sweating, <br />5. Bodily deformities and ease of movement, and <br />6. Condition of skin and body orifices including signs of trauma, <br />bruising, lesions, jaundice, rashes, infestations, needle marks, <br />and/or other signs of drug usage. <br />C. Explanations of procedures for accessing health care services. <br />D. Classification into one of the following categories: <br />1. Immediate emergency treatment needed, <br />2. Referral to an appropriate health care service, or <br />3. Assignment to the general population. <br />If the Detention Officer believes that an inmate requires immediate <br />medical attention or is identified as having an existing medical condition, <br />the medical department will be notified. A licensed nurse will then <br />respond to the intake area to triage the inmate and provide treatment <br />and/or referral to the appropriate provider, as indicated. Inmates requiring <br />emergency medical care, that cannot be provided on-site, will be <br />transferred to either the Orange County Jail or Western Medical Center, <br />Santa Ana's emergency room for evaluation and treatment. The intake <br />screening process is critical to insure that the medical liability to the City <br />of Santa Ana is at a minimum. CMCMC's medical staff works well with <br />the Detention staff to insure that this process is successful. <br />All screening forms will be reviewed by the NP and, if indicated, referred <br />to the appropriate provider for evaluation and treatment. CMCMC will <br />make recommendations regarding housing and handling requirements and <br />will provide follow-up care as indicated. <br />All inmate encounters will be documented and placed in the inmate's <br />medical record. <br />City of Santa Ana Jail Correctional <br />-14- 1\Iana ed <br />Proposal for Inmate Medical Services g <br />RFP#E 07-062 Care <br />i\ledical <br />Corporation <br />