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not a physician or NP, the results will be reviewed and initialed by the <br />physician). The history and examination will include the following; <br />A. Review of the receiving screening form. <br />B, Review of any available medical records. <br />C. Review of TB testing results. <br />D, Completion of the medical, dental, and mental health histories, The <br />history will include gender specific inquiries regarding menstrual cycle <br />and unusual bleeding, the current, use of contraceptive medications, the <br />presence of an IUD, breast masses and nipple discharge, possible <br />pregnancy for females, and penile discharge for.male inmates. <br />E. Physical exam,irnatlon.s inoluding laboratory and /or diagnostic tests to <br />detect communicable disease (e.g., sexually transmitted diseases), <br />Additiotral taste, such as urinalysis and/or blood work, will be ordered <br />as determinod by the examiner. Examinations for females will inolude <br />a pregnancy test, and, if indicated, leap smear and GC cultures, HIV <br />tests will be completed when indicated and as consented to by the <br />Innxate. <br />F, Complete vision and hearing screenings, <br />U. Completion of a dental scrmning. <br />K Mental Health screening (including suicidal ideation). <br />1. Laboratory and other diagnostic test results. <br />J. Cunent diagnosis orders and course of treatment. <br />K. Reforrals for follow,,up and specialty care, <br />L. Recoinmandations regarding 'housing, job assignment, and program <br />participation, All recommendations will be communicated, in writing, <br />to the detention staff. <br />Cliy OeSanla Ann Jail 4611 <br />Proposel I'or Inmuo Medical Services <br />R.Pro 07.062 <br />25H -128 <br />