Florida Administrative Code

(1) All department employees shall complete the following training within 30 calendar days of the date of hire: (a) New Employee Orientation. (b) PREA. (c) Professionalism, Interpersonal Communication, and Ethics including Standards of Conduct. (2) All department employees shall …

(1) All state and contracted direct care staff shall successfully complete, at a minimum, 24 hours of in-service training requirements each calendar year, beginning the calendar year after the completion of certification (state) and training (provider). (a) The required topics, w…

(1) Instructor Qualifications. (a) The Office of Talent, Leadership, and Culture shall develop prerequisite criteria for the instructor techniques course. The Office of Talent, Leadership, and Culture shall develop prerequisite and renewal requirements for all train-the-trainer c…

(1) Authorized Levels of Response. (a) Protective Action Response, as authorized by the department, shall be the verbal and physical intervention program utilized by direct care staff in state-, county-, or municipally operated and contracted facilities and programs. (b) Right In…

(1) The Direct Support Organization (DSO) of the department shall adopt bylaws. (2) Bylaw provisions shall include, but are not limited to, the following: (a) Description of the DSO, including name and purpose; (b) Structure and organization; (c) Prohibited activities; (d) Board …

The DSO is authorized to use department property, facilities and personal services as determined by the Secretary. Such use shall be authorized when the use benefits the department or the juvenile system and to the extent consistent with the department's mission of ensuring publi…

The DSO's board of directors shall provide for the receipt, deposit and withdrawal of all funds consistent with the following provisions: (1) Depository withdrawals shall be on numerically controlled checks signed by two (2) persons authorized by the board. (2) All funds received…

The DSO shall submit its annual budget to the Secretary or the Secretary's designee for review no later than May 1 of each year. Specific Authority 985.672(4)(c), 985.64 FS. Law Implemented 985.672 FS. History-New 5-17-07.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 5-17-07, Amended 7-5-11, Repealed 10-26-15.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 7-5-11, Repealed 10-26-15.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 5-17-07, Amended 7-5-11, Repealed 10-26-15.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 5-17-07, Amended 7-5-11, Repealed 10-26-15.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 5-17-07, Amended 7-5-11, Repealed 10-26-15.

Rulemaking Authority 985.688 FS. Law Implemented 985.688 FS. History-New 7-5-11, Repealed 10-26-15.

Chapter 63M-2, F.A.C., establishes the statewide requirements for the department's health care treatment services for youth in its care and custody. Its purpose is to: (1) Assure health care services provided in facilities and programs are rendered in accordance with state and fe…

The following definitions shall be used for the department's acceptable health care treatment services for youth in Detention and Residential facilities. (1) Adverse Drug Events: An illness or injury resulting from a medical intervention related to a drug. (2) Assigned Custodian:…

(1) The Designated Health Authority (DHA) has the clinical responsibility for all program physical health and medical services occurring within the confines of the facility. Final clinical judgments regarding medical treatment received in the facility shall rest with this single …

(1) Each Detention Center and residential commitment program shall have available, within the facility, written agreements, or contracts with on-site providers, for the provision of Psychiatric Services. (2) Psychiatry services shall be provided by a Psychiatrist, or by a license…

(1) The Facility Superintendent/Major or Facility Administrator/Program Director, with collaborative support from the Office of Health Services, is responsible for: (a) Ensuring that the Designated Health Authority is clearly informed of all the department's health care requireme…

(1) Licensed nurses are required to practice within the Florida Nurse Practice Act and the applicable Florida Board of Nursing Chapter 464, F.S. (2) All detention and residential facilities shall have onsite nursing coverage to be provided by Registered Nurses (RNs) or, at a mini…

(1) Aspects of medical care may be delegated to non-licensed staff that have been appropriately trained and experienced to perform those specific tasks of care. Competency to safely perform these tasks shall be verified by the Registered Nurse who has delegated the tasks to the n…

(1) Protocols shall adhere to community standards of practice and identify and support the need for maintaining youth privacy during examination and handling of health information. Clinical encounters shall be conducted in private. Escorting, non-health care staff/officers, shall…

(1) The facility Superintendent or Program Director shall be responsible for ensuring that service agreements are in place with health care providers that are routinely and/or frequently utilized by the program. Ancillary service contracts or written agreements may be executed wi…

(1) The facility Superintendent, Program Director or designee are responsible for verification of credentials prior to contract execution and at the time of a change in medical provider prior to admittance to the facility/center for all health care providers. (2) A copy of the fo…

(1) For students or interns in health care profession and licensure training programs, the same training requirements for licensure verification apply to the preceptor/supervising instructor from the academic institution. (2) All student observation experiences must be pursuant t…

(1) All facilities and programs shall implement a method of identifying and solving potential and actual problems in health care delivery to committed youth. (2) Meetings shall be held and documented no less than quarterly, whereby all disciplines that provide or oversee the prov…

(1) Each facility shall screen every youth upon admission to determine if the youth has an acute injury, illness, chronic medical condition, physical impairment (e.g., speech, hearing, visual), mental disability, or developmental disability that requires medical or mental health …

(1) During the admission and screening process, immediate emergency medical assessment and/or transfer by Emergency Medical Services (EMS) to the nearest hospital is required if a youth presents with an incapacitating medical illness or condition. In all situations, the staff sha…

(1) In situations where a youth does not require immediate emergency transfer, the Designated Health Authority or designee must be notified of all youth admitted with a medical condition, illness, or injury documented at the time of screening. This notification may be by telephon…

(1) All facilities shall implement routine screening for all youth for tuberculosis, upon admission, as well as environmental controls in the case of a youth with active Tuberculosis, in accordance with the Florida Department of Health recommendations. (2) After the initial scree…

(1) Each facility shall implement a Medical Alert system. The Medical Alert system is required for non-licensed staff to use in making safety and security decisions as they relate to youth behavior and monitoring needs. (2) Non-licensed staff shall also identify youth for inclusi…

(1) All facilities shall conduct an orientation for youth to the health care delivery services upon admission, or at the next available opportunity after admission. (2) The healthcare orientation shall be provided by a nurse, or at a minimum, by a non-licensed staff knowledgeable…

(1) The HRH (HS 014) shall be completed no later than seven (7) calendar days following the date of admission. The HRH (HS 014, March 2024) is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-17500. (2) The HRH sha…

(1) The Comprehensive Physical Assessment (HS 007) shall be completed no later than seven (7) calendar days following the date of admission. For youth with a Comprehensive Physical Assessment completed prior to admission, see subsection 63M-2.0048(9), F.A.C. (2) The DHA/designee …

The following are the requirements for the authorization of health care services to youth in the physical custody of the department. (1) The Authority for Evaluation and Treatment (AET) is the means by which the department obtains the consent of the parent, guardian, or assigned …

(1) Because a signed AET is essential to providing routine health services to youth, an effort must be made to obtain a signed AET as early as possible during the youth's intake and stay. (2) Department staff shall obtain routine consent for health services, either through a sign…

(1) Additional consent is required in special circumstances through the Parental Notification of Health Related Care: General (HS 020, January 2014) and is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-03808. In…

(1) Sick Call shall be conducted only by a licensed nurse or higher licensure level. (2) Sick Call shall be regularly scheduled in each facility and conducted by a licensed health care provider within 24 hours of placing the sick call request. (3) All youth with a complaint, illn…

(1) A periodic evaluation and plan of care by a Physician, PA or APRN shall be conducted for youth in a facility who: (a) Have at least one chronic medical condition, or (b) Have a communicable disease, or (c) Are prescribed medications for at least three (3) consecutive months. …

(1) Medical issues that require immediate attention shall be determined by the DHA or physician designee. (2) Any complaint of severe pain, including dental pain, shall be treated as an emergency with immediate referral to the onsite nursing staff, APRN, PA or Physician. (3) Non-…

(1) The Designated Health Authority or physician designee, PA or APRN shall be responsible for the management of appropriate girls' medical and age-related health care and services in addition to routine medical care and services. (2) Girls' medical care shall include all of the …

(1) All Detention and Residential Program facilities are required to obtain and maintain the appropriate Board of Pharmacy permits/licenses as per chapter 64B16-28, F.A.C. Each facility is responsible for complying with all federal and state laws, rules and regulations governing …

(1) Facility and/or Program staff must continue all currently prescribed and verified medications to youth prior to entering the department's custody. (2) A duly licensed Physician, PA or APRN must make all changes in medication regimens subsequent to an appropriate assessment. U…

(1) Medication Acceptance (to be utilized when youth is being transported): For youth being transported through the Statewide Transportation and Relocation System there shall be, at a minimum, a 7-day supply of medications for transport to accompany the youth. A medication pack c…

(1) All medications shall be identified and secured in the locked area designated for storage of medications. (2) All medications received from youth and parent/guardian shall be labeled with the youth's identifying information, and then secured in a designated area for medicatio…

(1) Sharps shall have a perpetual inventory, be securely stored and inventory checked weekly. A week is defined as a seven-day period beginning on Sunday and ending on Saturday. (2) The Designated Health Authority and the facility superintendent or program director shall be notif…

Medication inventory shall include, at a minimum, the following components: (1) A perpetual inventory with clear descriptions shall be maintained for all stock and over the counter medications with documented weekly checks by a licensed health care staff. A week is defined as a s…