CCHP-CP flashcards
CCHP-CP · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Intake health screening timing
- Receiving screening is completed by qualified health staff shortly after arrival, commonly within two hours, to identify urgent medical, mental health, and suicide risk before housing assignment.
- Comprehensive health appraisal
- A fuller history and physical examination by a qualified clinician, typically required within fourteen days of intake, covering chronic disease, medications, dental, and mental health needs.
- Standard hierarchy in corrections
- Statute outranks regulation, which outranks accreditation standards, institutional policy, and clinical protocol; lower-level rules cannot lawfully contradict higher authority.
- Continuous quality improvement committee
- A multidisciplinary body that meets on a set schedule, reviews defined health indicators, documents corrective actions, and re-measures to confirm improvement.
- Designated health authority
- The individual responsible for all health services in the facility, including policy, staffing, clinical oversight, and compliance with standards and applicable law.
- Health record confidentiality rule
- Health records are kept separate from custody files and disclosed only with valid authorization, legal compulsion, or minimum necessary safety information.
- Mock emergency drill requirement
- Standards require scheduled drills testing emergency response, equipment readiness, and coordination between custody and health staff, with documented participation and critique.
- Controlled substance accounting
- A documented process tracking receipt, administration, witnessed waste, and disposal of controlled medications to prevent diversion and satisfy regulatory and accreditation requirements.
- Deliberate indifference standard
- Eighth Amendment test requiring a serious medical need plus knowledge of and disregard for an excessive risk; negligence or disagreement alone is insufficient.
- Estelle v. Gamble holding
- The Supreme Court held that deliberate indifference to serious medical needs of prisoners violates the Eighth Amendment, establishing a constitutional floor for correctional health care.
- Pretrial detainee standard
- Conditions-of-confinement claims by pretrial detainees are generally analyzed under the Fourteenth Amendment's objective reasonableness standard rather than deliberate indifference.
- PLRA exhaustion requirement
- The Prison Litigation Reform Act generally requires inmates to exhaust available administrative remedies, including health grievances, before filing federal suit.
- Informed consent in custody
- Incarcerated patients retain the right to consent to or refuse treatment; involuntary treatment requires emergency justification or documented due process.
- HIPAA and correctional records
- HIPAA generally does not directly govern prison health records, but state law, ethics rules, and constitutional privacy protections still limit disclosure.
- Public health case for screening
- High turnover and crowding concentrate tuberculosis, HIV, hepatitis C, and sexually transmitted infections, so screening and treatment protect both inmates and the community.
- Duty to protect from harm
- Officials must act on known substantial risks of suicide or violence; failure to respond can create liability separate from medical malpractice.
- Documentation as legal defense
- Contemporaneous, objective, and complete clinical notes are the primary evidence in malpractice and civil rights cases; gaps are construed against the defendant.
- Suicide risk high-risk periods
- Risk peaks in the first days after intake, after court dates, visitation loss, parole denial, and segregation placement, requiring repeated screening at status changes.
- Alcohol withdrawal danger
- Alcohol and benzodiazepine withdrawal can be fatal and require protocol-driven monitoring and treatment; opioid withdrawal is distressing but rarely fatal.
- Medication for opioid use disorder
- Methadone, buprenorphine, or naltrexone is continued or started per clinical indication; abrupt discontinuation of a stable regimen is a clinical and legal risk.
- Continuity of care at intake
- Medications for seizures, diabetes, anticoagulation, and cardiac disease must not be interrupted; intake review must verify and continue essential prescriptions promptly.
- Chronic disease guideline parity
- Hypertension, diabetes, asthma, HIV, and hepatitis C are managed by the same community clinical guidelines; correctional constraints affect logistics, not the standard.
- Segregation mental health review
- Inmates in restrictive housing require documented health and mental health rounds, with criteria for removal when psychiatric deterioration or self-harm risk emerges.
- Discharge planning elements
- A medication supply, prescriptions, appointments, and community treatment linkage are required because the post-release period carries elevated overdose and mortality risk.
- Pregnancy care in custody
- Prenatal care, nutrition, restraint restrictions during labor and postpartum, and coordination with community obstetric services are required clinical elements.
- Sick call triage system
- A written triage process where nursing or mid-level staff screen requests and urgent complaints bypass routine scheduling for same-day clinical evaluation.
- Emergency movement authority
- Health staff must have a defined mechanism to request urgent movement to the clinic that custody cannot unreasonably deny, documented in written policy.
- Medical contraband control
- Medications, syringes, and devices require secure storage, documented chain of custody, and witnessed disposal to prevent diversion and maintain security.
- Restraint health assessment
- Clinical evaluation before, during, and after use of force or restraint where feasible, because positional asphyxia and excited delirium are recognized risks.
- Need-to-know information sharing
- Health discloses only the minimum information custody needs for safety, such as suicide precautions or movement limits; custody does not direct clinical decisions.
- Joint emergency response roles
- Custody secures the scene while health provides clinical care; drills should test both roles, including naloxone administration and cardiac arrest response.
- Interdisciplinary staff training
- Officers learn to recognize medical and mental health emergencies; health staff learn security awareness, personal safety, and contraband recognition.