Sec. 7310.5. Health appraisal

(a) A facility shall develop and implement an admission health appraisal process for each youth which includes, but is not limited to:

(1) a health screening which consists of a visual assessment and interview which shall be performed as soon as possible after each youth's admission to a facility, but in no event later than 24 hours after admission;

(2) a complete written medical history which shall be obtained for each youth within 72 hours of initial admission to a facility, and shall include assessments of chemical dependency and infectious diseases; and

(3) a complete physical examination which shall be provided to each youth within 72 hours of initial admission to a facility, and at yearly intervals thereafter.

(b) Each youth's physical examination shall be conducted by a physician, registered physician's assistant or nurse practitioner, as appropriate, and shall include, but is not limited to:

(1) an examination of major body systems;

(2) Mantoux tuberculin skin test;

(3) sexually-transmitted infections screening;

(4) where clinically indicated, screening tests including, but not limited to:

(i) a urinalysis;

(ii) blood chemistry analysis to include lipid screen;

(iii) a chest radiograph;

(iv) a complete blood count with white blood cell differential count;

(v) a pregnancy test for female youth; and

(5) a cervical cytology (PAP test) for female youth when, in the medical judgment of the examining physician, registered physician's assistant or nurse practitioner, such a screening is medically necessary and appropriate.

(c) The medical history document and/or medical problem list of each youth transferred between facilities shall be reviewed within 24 hours of the youth's arrival at the receiving facility.

(d) All findings made by a health professional pursuant to this section shall be recorded and included in each youth's permanent medical record. Such findings shall be legibly signed and dated by a physician, physician's assistant or nurse practitioner, together with identification of professional title.

(e) A facility shall provide all youth an orientation to the health care services available at each facility and to the correct procedures for using such services.