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Home My WebLink AboutOral CareIdaho Department of Correction Standard Operating Procedure Title: Oral Care Page: 1 of 5 Control Number: 401.06.03.036 Version: 5.0 Adopted: 06/01/1995 Pat Donaldson, chief of management services, approved this document on 10/04/2017. Open to the public: Yes SCOPE This standard operating procedure (SOP) applies to all Idaho Department of Correction (IDOC) employees, inmates, healthcare contrac tors and subcontractors. Revision Summary Revision date (09/11 /2017) version 4.0: Reformatted and updated entire document. Updated terminology and definitions for audit compliance. Revision date (10/04/2017) version 5.0: Minor changes to add a designee to some areas of responsibility. TABLE OF CONTENTS Board of Correction IDAPA Rule Number................................................................................. 1 Policy Control Number 401 ....................................................................................................... 1 Purpose ..................................................................................................................................... 2 Responsibility ............................................................................................................................ 2 Standard Procedures ................................................................................................................ 2 1. Oral Care .......................................................................................................................... 2 2. Dental treatment .............................................................................................................. 2 3. Dental Services at Intake ................................................................................................. 4 4. Dental Treatment Plans .................................................................................................... 4 5. Outside Dental Consultations/Treatment ......................................................................... 4 6. Compliance ...................................................................................................................... 4 Definitions ................................................................................................................................ 4 References ............................................................................................................................... 5 BOARD OF CORRECTION IDAPA RULE NUMBER 06.01.01.401 Medical Care POLICY CONTROL NUMBER 401 Clinical Services and Treatment Control Number: 401.06.03.036 Version: 5.0 Title: Oral Care Page Number: 2 of 5 Idaho Department of Correction PURPOSE The purpose of this standard operating procedure (SOP) is to es tablish proc edures to ensure that inmates’ dental needs are m et in a timely and appropriate m anner under the direction and supervision of a dentis t. RESPONSIBILITY Health Services Director  The health services director, or designee, is respons ible to monitor the implementation and continued practice of the provis ions contained in this SOP.  When services are privatized, the contrac t medic al provider is res pons ible to implement and practice all provis ions of this SOP unless spec ific ally exempted by written contrac tual agreements.  Nothing in this SOP shall be construed to relive the contract medical provider(s) of any obligation and/or responsibility stipulated in their respective contractual agreements. Contract Medical Provider When services are privatized, the contrac t medic al provider(s) ensures that all aspects of this SOP and the appropriate National Com m ission on Correctional Health Care (NCCHC) standards are address ed by institution-specific policy and defined procedures, and that all forms and procedures are subm itted to the department health authority for review and approval prior to implementation. GENERAL REQUIREMENTS Oral Care Oral care under the direction and supervision of a dentist licensed in the state is provided to each inmate. Care is timely and includes immediate access for urgent or painful conditions. There is a system of established priorities for care when, in the dentis t’s judgement, the inmate’s health would be adversely affected. 1. Dental treatment is categorized as emergent or non-emergent services. Emergency Dental Treatment Em ergency dental treatment is available to all inmates and includes, but is not limited to, treatment for the following:  Pain  Infection  Jaw or facial swelling  Bleeding  Injuries  Tooth fracture at gum line Control Number: 401.06.03.036 Version: 5.0 Title: Oral Care Page Number: 3 of 5 Idaho Department of Correction Emergency dental nursing protoc ols are available to assess dental emergenc ies at times when the dental s taff is not available. Appropriate notification to a dental or medical provider is required for dental emergencies that require immediate treatment. If immediate treatment is not required, the inmate is referred to the next available dental c linic . Non-emergency dental treatment Access to non-emergent dental treatm ent will be acc omplished through the submission of a health s ervices request and following the established sick call process. Non-emergent dental treatment inc ludes, but is not limited to, treatment for the following: Restoration (Fillings)  Tooth-colored and silver (amalgam)  Medicated, temporary Extraction  Complicated cases may be referred offsite as determined by the attending dentist. Periodontal Treatment (Gum Disease)  Periodontal treatment will be provided on both an emergent and non-emergent basis as determ ined by the attending dentist. Endodontic Treatment (Root Canal)  Root canal services may be provided at the discretion of the attending dentist based on clinical evaluation and overall oral health.  Pulpotomies (pulp cap) may be provided at the discretion of the attending dentis t based on clinical evaluation and overall oral health. Prosthodontics (Dentures and Partial Dentures)  Does not include bridges or implants.  Providing dentures or partial dentures is at the discretion of the attending dentist.  Eligibility for replacement of dentures or partial dentures is every five years.  Inmates within six months of release may not be eligible for dentures or partial dentures due to the time required to complete the denture process .  Orthodontic services are not provided.  If an inmate has existing orthodontic hardware upon arrival, his treating orthodontist will be contacted by the attending dentist to determine the proper course of action. If the inmate has a long sentence, the usual result is removal of the orthodontic hardware. If removal of the orthodontic hardware is required, the attending dentist will make arrangements for removal. Minor Temporo-Mandibular Joint Treatment  Night guards may be provided at the discretion of the attending dentist. Control Number: 401.06.03.036 Version: 5.0 Title: Oral Care Page Number: 4 of 5 Idaho Department of Correction 2. Dental Services at Intake Oral Screening at Intake An oral s c reening will be performed by a licensed dentist within seven days of adm ission to an IDOC fac ility. The oral screening inc ludes visual examination of the teeth and gum s, noting any obvious abnormalities or inmate complaints. Oral Examination at Intake A licensed dentist will complete a comprehens ive oral examination within thirty days of adm ission. The oral examination will be perform ed on all the hard and s oft tissues and will inc lude the inmate’s dental history, charting of the teeth, health history, home care instructions and access to care instructions. 3. Dental Treatment Plans Each inmate will have his dental conditions explained. The conditions will be prioritized by the attending dentist. Radiographs are appropriately used in the development of the treatment plan. Each inmate should be educ ated in the extent of dental treatment he may expect to rec eive during inc arceration. 4. Outside Dental Consultations/Treatment Consultation with this SOP and all related department-approved forms and/or protoc ols will be monitored via routine reports, program reviews, audits and record reviews conducted by the department health authority or des ignee. COMPLIANCE Compliance with this SOP and all related department-approved forms and/or protocols will be monitored via routine reports, program reviews, audits and record reviews conducted by the department health authority or des ignee. DEFINITIONS Dental: Relating to the teeth and dentistry Dental Treatment: Includes the full range of s ervices that in the supervis ing dentis t's judgment are necess ary for proper mastic ation and m aintaining the inmate’s health status. Health Services Director: The Idaho Department of Correction (IDOC) employee, or designee, who is primarily responsible for overs ight of auditing and monitoring services provided by the contract medical vendor. Oral Care: Includes instruction in oral hygiene, examination, and treatment of dental problems. Instruction in oral hygiene m inimally includes information on plaque control and the proper brushing of teeth. Oral Screening: Includes visual observation of the teeth and gums, and notation of any obvious or gross abnormalities requiring immediate referral to a dentist. Oral Examination by a Dentist: Includes taking or reviewing the inmate’s oral history, an extraoral head and neck examination, charting of teeth, and examination of the hard and soft tissue of the oral cavity with a mouth mirror, explorer, and adequate illumination. Control Number: 401.06.03.036 Version: 5.0 Title: Oral Care Page Number: 5 of 5 Idaho Department of Correction REFERENCES NCCHC Standard P-E-06 – End of Document –