Section Cor 410.07 - Medical Segregation(a) Medical segregation shall be imposed only by a doctor, licensed provider, or advance practice registered nurse, hereinafter called the medical authority, who upon examination of the resident has determined that it is necessary to separate him or her from the general population because the resident might be contagious or a threat to his or her self or others because of his or her medical or mental condition.(b) Medical segregation shall be imposed only for as long as necessary to resolve the medical or psychiatric concern. It shall occur in any housing facility within the institution consistent with security requirements, and the medical needs of the resident as determined by the medical authority. Items available to the resident in the housing location shall be limited or restricted by the medical authorities if necessary, pursuant to (g) below.(c) Residents in medical segregation shall be restricted from work or participating in recreation by the medical authority if necessary, pursuant to (g) below. In each case the limitations associated with that condition shall be specified and shall become part of the treatment folder health record of the resident.(d) Residents held in medical segregation for psychological reasons shall visit with the psychiatric providers or behavioral health counselor as determined by the medical authority. Such visits shall be for the purpose of monitoring or checking the resident, providing therapy and treatment, and determining on a regular basis whether the status should continue. That determination shall be made by the medical authority based on the authority's own examination and reports from the healthcare staff.(e) Upon initial examination and during the period of medical segregation, the medical authority shall determine whether referrals or transfers should be made to other facilities or medical or psychiatric personnel.(f) The medical authority shall keep medical records regarding imposition of the status, including recording the reasons for imposition of the status and what referrals, if any, to outside facilities were sought. The medical condition shall be regularly reviewed to insure that segregation is imposed only for the period absolutely required for valid medical and psychiatric reasons. The medical authority and the behavioral health staff or healthcare staff shall on a regular basis keep progress notes and indicate the reason for continuation of the status in the health record of the resident.(g) A resident placed in medical segregation shall retain all rights and privileges in consonance with the custody level of the resident including all personal property and participation in programs, unless the medical authority determines in his or her opinion that the exercise of a particular right or privilege by the resident might jeopardize the medical treatment that he or she is undergoing, in which case the medical authority shall prescribe in writing a partial or total curtailment of such rights and privileges.N.H. Admin. Code § Cor 410.07
Derived from Volume XXXIX Number 24, Filed June 13, 2019, Proposed by #12777, Effective 5/11/2019, Expires 5/11/2029.