Don Dale Primary Health Correctional Precinct Induction … · 2017-12-13 · for both the adolescents and their parents, provides individual counselling and support, conducts a thorough

ATTACHMENT CC 8.4

TOP END HEALTH SERVICES

Don Dale Correctional

Precinct Health Centre

Primary Health Care Branch

Induction Package

Top End Primary Health

Care Branch

Level 2C Casuarina Plaza

Casuarina NT 0811

Building Better Care - Better Health - Better Communities Together

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I Contents

TO BE filled out when document finished


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Introduction to Primary Health Care

Today in Australia there is a broad consensus that primary health care is to be defined comprehensively rather than narrowly, especially when it comes to improving the health of disadvantaged populations such as that of Aboriginal and Torres Strait Islander people. The Australian Primary Health Care Research Institute for example, uses the following definition of primary health care:

"Sociaffy ayyroyriate, universa{{y accessi6{e, scientifica{{y souna first {eve{ care yroviaea 6y a suita6{y trainee( workforce suyyortea 6y integratea referra{ systems ana in a way tfiat gives priority to those most in neec[, maximises community ana indlvtaua{ selfre{iance ana yartici_pation ana invo{ves co{fa6oration witli otlier sector."

It includes the following:

• Health promotion • Illness prevention • Care of the sick • Advocacy • Community development

For further information on the core functions of primary health care please see;

http://www.lowitja.org.au/sites/default/files/docs/Core PHC Functions Framework Oct 2011 %5Bl%5D.pdf


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Introduction to Don Dale Detention Centre

The Don Dale Juvenile Detention Centre was officially opened on the 23 of December 2014 and is located at 90 Tivendale Road, Berrimah NT.

The Detention Centre has a 56 bed Capacity for male and female inmates specifically 40 male and 16 female beds, the inmates are aged from 10 - 17 years old.

Don Dale Road Map and Don Dale Detention Site Map

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All inmates have the opportunity to participate in education and rehabilitation programs aimed at addressing offending behaviours and providing coping and life skills to successfully reintegrate into community.

The following programs are offered to inmates at Don Dale Detention Centre:

• Safe Sober Strong The Safe Sober Strong Program is a psycho-educational offence-related program designed to be flexible to meet the needs of a wide range of offenders with different sentence lengths. The program includes modules that address problem areas related to reoffending. The program is available to male and female prisoners who are sentenced or on remand, and is also available to youth detainees.

• Step-Up-Youth Violence Program With the support of the Ian Potter Foundation and the Department of Health and Human Services, this program continues to grow after receiving ongoing funding from the department. Based on a United States program called Step Up, this CAFS program provides intensive outreach work to adolescents aged 12 to 18 years and


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their families to address the violence and abuse perpetrated by the adolescents. In addition to the outreach work, the program delivers a 10-week group work program for both the adolescents and their parents, provides individual counselling and support, conducts a thorough assessment of the behaviour of the adolescents and develops a referral pathway to other community-based support services

• CHART (change habits and Reach Targets) CHART is based on the guiding principle that reducing the young person's offending behaviour is the prime focus of youth justice intervention. It is designed to support consistent and improved interventions to reduce the risk of reoffending. CHART is not just a program but is also a way of working. The program is evidence based and informed by research on effective correctional programming. Research suggests that offending-focused programs work best when they involve action, participation, skills training and discussion linked to these activities. CHART includes all of these elements in every session.

CHART has five aims: • To provide an evidence-based practical resource for working one-to-one with young

people • To provide a program that is directly relevant to key criminogenic needs and is

designed for sequential, structured, offending-focused, one-to-one work • To use a problem-solving framework of assessment, objective setting, action

(learning and practice) and evaluation as the key change process. • To provide a user-friendly program that recognises young people's rights and

responsibilities, and which can be used in an anti-discriminatory way. • To be a portable resource for use with young people when in the community and in

custody

• Love Bites LOVE BITES is an extremely successful school-based Domestic and Family Violence and Sexual Assault prevention program that evolved on the Mid North Coast of NSW. LOVE BITES is based on best practice standards for education programs as recommended by the Federal Government funded Australian Domestic and Family Violence Clearing House and other leading academics in the area of violence against women.

• Guiding Circles Guiding Circles is an interactive, flexible, and fun holistic career development program designed to guide individuals toward career paths. The workbooks combine a traditional Aboriginal worldview with contemporary career development concepts to help you achieve career satisfaction, break down cultural barriers, and better understand Aboriginal workforce challenges.


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Educators, career development practitioners and human resource managers find that Guiding Circles awakens the individual's sense of self-esteem and selfawareness to uncover personal talents transferable to a future career.

This happens through activities that help them tell their story and relate life experiences to career planning. Youth and adults can become engaged in school or life-long learning as they discover their potential career options and see the relevance of education to job opportunities. The 'rings of influence' delivered through the series gives individuals hope for a rewarding career. Career/Life Planning is a lifelong journey-not a final destination.

• Alcohol and Other Drugs Youth !Daisy) Program.

This program aims to support young people who are affected by alcohol and other drugs and their families by providing information, counselling and case management.

The program also aims to:

• Reduce the incidence and uptake of alcohol and other drug use among young people in Darwin, Palmerston and the rural area

• Increase community knowledge of the issues for young people who use alcohol and other drugs

• Increase the community's capacity to respond to these issues.

DAISY operates within a harm minimisation model and believes that a respectful, supportive and empathic relationship is important for young people.


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· Governance

Our Vision

Healthy Territorians engaged and living in Healthy Communities.

Our Mission

We promote, protect and improve the health and wellbeing of all Territorians in partnership with individuals, families and the community.

Our Values

We are driven by public sector values: Commitment to service, ethical practice, respect, accountability, impartiality and diversity.

• We Care About People We care about our patients, our clients and their families, our staff and the community to which we belong, and all our actions are underpinned by our commitment to equity.

• We are Accountable We are accountable for ourselves and our behaviours and take responsibility for our decisions; we seek to deliver measurable improvements in health outcomes, and ensure the best use of resources to achieve our goals.

• We are relevant today and ready for tomorrow and into the future We are committed to responding to health needs today and building capacity for tomorrow; we strive to continuously improve our knowledge and experience and be open to change.

• We are committed to high quality care We are passionate about delivering high quality and safe care; our services are underpinned by evidence based, appropriate and effective practice.

• We value our partnerships • We recognise and value the importance of strong links with our partners - public,

non-government and private organisations; we work together with a shared purpose in delivering integrated quality care.

• Integrity We uphold honesty, respect and professionalism in all that we do.


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TOP END HEAL TH SERVICES

Health and Demographic Profile of Children in Detention in the Northern Territory

Young Offenders and children in Detention are a population with special needs, requiring the same range of services as adults, delivered in an age appropriate way. The prevalence of alcohol and drug abuse in this population is high. "The young People in Custody Health Survey 2003, reported a strong correlation between alcohol and offending behaviour with 60% being affected by drugs and alcohol at the time of offence, 69% of the offenders reporting harmful levels of use of alcohol plus smoking and 98% having used illicit drugs".

• Demographically the offender population is predominantly male aged between 10 -17yrs old.

• High proportion is Indigenous (around 40%) but may be as high as 90% of the total offender population.

From July 2013 and June 2014 Indigenous youth made up an average of 96% in total offender population.

Pooulation Health Profile

Young offenders and children on remand are a population with special needs, requiring the same range of services as adults delivered in an age appropriate way.

The prevalence of alcohol and drug abuse in this population is high. "The Young People in Custody Health Survey 2003, reported a strong correlation between alcohol and offending behaviour with 60% being affected by drugs or alcohol at the time of the offence, 69% of offenders reporting harmful levels of use of alcohol plus smoking and 98% having used illicit drugs".

Primary Health Services will address these issues;

• Mental illness including anxiety, depression, psychosis, suicidal ideation

• Drug addiction • Harmful levels of alcohol consumption

• Chemical substance abuse

• Blood born viruses mainly Hepatitis B/C • Sexually transmitted diseases

• Dental Disease

• Ear Disease

• Smoking

• Pregnancy • Coordinate and administer Immunisation(s) according to individual Schedule(s)

utilising CDC (Centre for Disease Control Darwin) for histories and following treatment guidelines and treatment protocol


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Health Care Imperatives

There is a duty to the community to ensure that potentially poor health practices in prisons do not increase the prevalence of disease in the community when Juvenile's with communicable diseases and high risk behaviours are released, health services will be of a standard that is commensurate with those provided in the community;

• To ensure that the health status of any Juvenile/client is not worsened by their incarceration

• To recognise and treat existing and new illnesses and ailments • To take the opportunity to assess and manage health conditions and influence

risky behaviours

Health Service Philosophy for Juveniles in Detention

As long as custodial systems for Juveniles exist, they should aim to maximise young people's chances of rehabilitation and integration into society.

The fundamental principles of this philosophy may be found in the Design Guidelines for Juvenile Justice Facilities in Australia and New Zealand, where it is stated that all young people in custody are entitled to;

• A safe and secure environment • Living conditions that meet duty of care requirements • Privacy and dignity • Programs and services that meet individual educational vocational and gender

age related needs

Cultural Awareness

Cultural Awareness and Sensitivity

The Don Dale Detention Precinct population is represented by up to 90% of inmates who are Aboriginal and or Torres Strait Islander. Therefore awareness of cultural sensitivities is a must as many Juveniles have English as their second, third or even fourth understood language. The Northern Territory Department of Health has an Aboriginal Cultural Security Policy that outlines our commitment to Aboriginal cultural Security.


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Common Abbreviations Used in Correctional Settings

Alice Springs Correctional Centre

Darwin Correctional Centre

NTDCS Northern Territory Department of Correctional Services

I FMHS Forensic Mental Health Services

UIS Integrated Justice Information System

I PHCM Primary Health Care Manager

ASM Area Service Manager

Royal Darwin Hospital

ASH Alice Springs Hospital

I PCIS Primary Care Information System

CCIS Communi Care Information S stem

CDC Centre for Disease control

HCSCC Health and Community Services Complaints Commission

CPO Chief Prison Officer

RMP Rural Medical Practitioner


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Don Dale Detention Centre Organisational Structure as of 27 /07 /2016

Senior Case Manager P3

Case Manager P2

Case ManagerAOS

Forensic Psvcholoe:ist SPl

Cultural Advisor A04

Sport& Rec officer A04

Case Management Support Officer A04

General Manager

Deputy Suoerintendent

Assistant General Manager ASYDC

Case Manager AOS

SYJOASYDC

YJO/CO ASYDC

SYJOYouth Justice Court

YJOYouth Justice Court

Visitors Bookings/ Admin Assist A03

SYJO HSU

YJO Gate Comms YJO HSU

Admin Coordinator A06

Visitors Bookine:s A03

Shift Supervisor Accommodation

SYJO Accommodation

YJO

YJO Admissions/Transports


Security Systems ManagerT6

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Communication

Confidentiality

You must maintain strict confidentiality in terms of everything you see and hear during the course of your employment within the correctional environment.

You may not discuss any details relating to an inmate or aspects of their care with any outside agencies without authorisation. Likewise, do not discuss any details regarding security arrangements or routines within the correctional centre with members of the public.

Disclosure of Information to Correctional Staff

Inmates have the same rights to privacy regarding their medical information as members of the community; however sometimes it is necessary to inform corrections staff of health issue an inmate has in order for them to manage them appropriately. For example, if an inmate was a poorly controlled epileptic, corrections would need to be notified so they are not placed in a cell by themselves, or given a top bunk. Inmates sign a release of information form on admission for this purpose.

In the event of an occupational exposure sustained by a correctional officer, correctional officers do not have an automatic right of access to an inmate's medical file to ascertain their blood born virus status. Written permission from the inmate must still be sought. Their post exposure prophylaxis and testing will be managed by RDH emergency and the Infection Control Unit, not by correctional health staff.

Media Enquiries

When there are high profile inmates located within the centre, they tend to generate a large amount of media interest. Occasionally, calls from journalists and other organisations will be received by the health centre. In all such instances, refer them to the Primary Health Care Manager, who will put them in touch with the NTDCS (Northern Territory Department of Correctional Services) media liaison. Do not engage with the caller. Do not confirm that the person they are calling in regards to is in custody.

Enquiries from Legal Representatives

Please refer all correspondence and phone calls from lawyers and legal representatives to the Primary Health Care Manager. Even if the inmate has signed a release of information document authorising you to speak with their legal team or give them copies of their medical records, there is a process to be followed in obtaining medical information for the purposes of court proceedings. You are not permitted to write reports or recommendations on behalf of an inmate to a court or parole board.


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1 · Communication Cont.

Complaints Management

Inmates have a right to lodge a complaint regarding health services like any other member of the community accessing a health service. Inmates are able to lodge a complaint via the Request for Medical Treatment Form, which is forwarded to the PHCM (Primary Health Care Manger) who will then investigate the validity of the complaint and feed back to the inmate.

The Health Care Complaints Commission and Office of the Ombudsman

The HCSCC is an independent statutory body that acts in the public interest by resolving complaints made about the provision of a health or community service.

Staff are not to formally respond to complaints made by the inmates to these bodies. You may be asked to provide information to the Primary Health Care Manager that will assist them in responding to the complaint, but please do not do it yourself or attempt to resolve the complaint with the inmate directly. Refer all such enquiries from the HCSCC or the Ombudsman to the Primary Health Care Manager or the Area Service Manager.

Disclosure of Close Relationships

Should you become aware that a close friend, relative, spouse/former spouse or someone you have more than a passing association with (house mate, business partner, someone with whom you are involved in legal proceedings etc.) is an inmate within the centre, you must let corrections know in order to avoid any appearance of impropriety. An email directly to the Chief Prison Officer (CPO) of Security is sufficient.

Healthcare Obligations to Corrections Staff

Routine Medical Care is not provided to employees of the Northern Territory Department of Correctional Services (NTDCS) by prison health Staff. This includes;

• Work Cover Certificates • Medical Certificates • Prescription Medicines • Vaccinations

If an officer or NTDCS staff member requires any medical treatment other than first aid in the event of an accident, illness or injury sustained in the workplace, they are to be directed to attend their own General Practitioner in the community or the Emergency Department at RDH.


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Communication Cont.

Use of Interpreters

As in any clinical setting, it is your obligation to ensure the patient has understood information you have supplied to them. If you have any doubt as to the ability to communicate with an inmate where English is not their first language, interpreter services can be accessed either in person or via telephone.

AUSLAN for hearing impaired inmates Aboriginal Interpreter Service Interpreter & Translating Service NT (ITSNT)

1800246985 89-998353 89-998506

If an interpreter is used for a consultation, please record this in PCIS.

Health Service Delivery

Clinic Time: Monday to Sunday

Nurse on Site: 0930am - 1430pm

Nurse Contact (outside hours) at DCP. Via Ext. 27487. 0700 - 0930 - 1530 - 2130.

After hours (On Call Nurse) Via Ext. 87489. 2130 - 0700 hrs.

Usual Health Centre Routine

0930 Essential Checks/Morning Medication round

1030 Review of Muster Sheet/ generate a recall report

1130 List of clients given to Senior Youth Officer(s)

1230 Clinic

1330 Clinic

1430 Put all trolleys away tidy up close clinic


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Health Service Delivery

All staff working at Don Dale medical clinic are required to;

• Maintain accurate client demographic data on the electronic Medical Record System

(PCIS) Primary Care Information Services.

• Run Recall Reports and manage children according to the CARPA Standard

Treatment Manual (6th Edition).

• Identify manage and initiate relevant 'Care Plan' for children with Chronic health

conditions and make appropriate referrals.

• Perform Adult Health Checks Individual assessment (ages 15 -49yrs) according to

CARPA pg. 258

• Promote/Support and deliver Healthy School Age Kids Program (HSAK) as part of

'The Child and Youth Health Strategy' for Primary Health Care NT.

• Provide individual feedback and education to children in detention to promote

healthy lifestyle choices

• Coordinate and manage children 'At Risk' setting up relevant care plans/referrals

and liaising with Forensic Mental Health Team (FMH).

• Provide Orientation to 'other' team/staffmember(s) in Don Dale clinic management

• Provide Support and education to staff members by liaising with Program Leaders

Medical Records and Documentation

PCIS - Primary Care Information System

What is PCIS? The Primary Care Information System Commonly known as PCIS is a client focused health information system tailored for the Northern Territory Remote Health Centres.

PCIS provides and electronic 'Whole of life' Client Health Record with optimal security and privacy of clients information and is purpose built to address cultural sensitivities.

PCIS allows providers to prescribe medications electronically using the Hatrix MedChart interface (with reference to CARPA protocols), view pathology results sent direct for the lab via the eResults features, send secure messages to other providers about a client via the Inbox, and receive Discharge summaries and Outpatient appointments from DoH hospitals in the Territory.


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It incorporates Care Plans, Document storage, and a range of reports and reporting options.

PCIS also interfaces with the Shared Electronic Health Record (SEHR) which facilitates the adoption of common standards by all e-health systems so that vital health information can be securely exchanged between health care providers such as doctors, specialists, pharmacists, hospitals and so on.

As at 30th June 2010 there are 57 DoH and NGO Health Centres using PCIS.

PCIS training is available to all new staff and should be completed within the first month of staff commencement. PCIS Training

CARESYS and Jadecare Clinical Workstation

Caresys is an episodic database for client admitted or seen in hospital. The Administration officer has read only access in Caresys. Jadecare clinical work station is a client data base for clients admitted or seen in hospital, the PHCM or Team Leader of each stream has access to this database.

On Call Arrangements

Remote Health provides the support of 24 hour Management on Call phone service for all staff in operational areas. The number for Top End Remote Health Staff (including correctional health Staff) to call is the RDH switchboard, who will connect you through to the on call Rural Medical Practitioner (RMP): PH: 8922 8888.

This service has been established for the support of staff in a crisis situation, but also includes the capacity to authorise activities outside of normal business hours (e.g. Urgent

• unplanned travel), the notification of significant events (e.g. Workplace injury or a death in custody) or for staff to seek management advice and information on any matter that they are concerned about and are unable to obtain clarity form other sources. If you are unsure as to whether a particular issue warrants a call to the on call (RMP), then it is recommended that you call regardless.

After Business hours

There is an on call component to your role as a Registered Nurse within the corrections environment. If you are rostered as being on call and are contacted by a correctional officer after hours regarding an inmate, you should give consideration to;

• Whether the issue can be dealt with during normal clinic hours the following day; • The distance you need to travel to get to the prison in order to assess the inmate -

and the resulting time it may take for an ambulance to arrive/hospital transfer to take place if you decide that this is warranted.


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TOP ENDHEALTH SER\/ICES

Common sense must be used in deciding what warrants attending the prison after hours. Itis acknowledged that making an assessment regarding an inmate over the phone based onthe observations of a correctional officer at the scene can be difficult. Use the TelephoneTriage Tool to document your phone conversation. If, after taking all the above factors intoconsideration you are not comfortable that the inmate can wait until the next day to beseen in the health centre, contact the RMP on call via RDH switchboard and relay therelevant information to them. It is better to err on the side of caution and refer them to thelocal ED for assessment.

Accepting call outs for non-urgent issues is contrary to remote health policy and should bediscouraged. It creates unrealistic expectations of you and your co-workers by correctionalofficers and inmates. What is an EMERGENCY?

The process that correctional officers follow with regards to contacting a health staffmember after hours is outlined below.

Medical Support Services

Contact the Nursing Team Leader

Ph: 89287488

MEDCIAL EMERGENCY

000

After hours telephone support concerning an inmate

CONTACT

THE ON-CALL CLINICIAN FOR DARWIN CORRECTIONAL PRECINCT

Ph: 89287489If unable to contact the on-call clinician

CONTACT

REMOTE MANAGER ON CALL

Ph:

If unable to contact the Remote Manger on call contact RMP via RDH switch

Ph:8922 8888


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Deaths in Custody

Under the NT Coroners Act section 12, a person who dies in custody must be reported to the coroner. Under section 4A, the coroner must investigate all reportable deaths.

This does not apply only to suicides and deaths by misadventure - it applies to death by natural causes as well.

In the event that an inmate is pronounced life extinct anywhere in the prison, the body and any medial paraphernalia used in attempt to revive them must be left in situ. Do not remove tubes, cannulas, defibrillator pads, oxygen masks etc.

If the death is a result of a hanging, and the noose is cut in order to facilitate resuscitation efforts, it must be cut in a manner that keeps the ligature knot intact. Correctional officers possess Hoffman knives for this purpose.

In all instances, life preservation and resuscitation efforts take precedence over the needs of Correctional Officers to preserve evidence at the scene.

Full coronial findings are publicly available at;

http: //www.nt.gov.au/justice/ courtsupp/ coroner /inguestlist.shtml

PLEASE TAKE NOTE

Any death in custody requires immediate escalation as a sentinel event. Speak with the Team Leader. Call the Remote Health On-Call Manager to report the event and document as a sentinel event on Riskman. All staff must remain on site at the prison until interviewed by police.


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External Medical Appointments

Inmates are subject to the same waiting periods for specialist appointments at the public hospital as the general community. This may cause frustration and result in complaints being made by inmates if they perceive they are waiting for lengthy periods of time for their appointment. Health Staff will often be asked for updates regarding the date and time of an upcoming external medical appointment. Do not promise an inmate that an appointment will occur at a particular date or time - the appointment may be rescheduled for a variety of reasons beyond the control of the health centre.

It is also not permissible for health staff to tell and inmate the exact date and time of a scheduled attendance at an external appointment. This is due to security reasons.

Inmates going to /returning from Court

Inmates going to court that are on medication if unable to issue prior to going to court can have the missed medication given to the Youth Detention Officers to administer. The inmate should have a hand written Medication Chart while on medication which clearly note(s) the Detainee Name, the IJIS No, Detainee's D.O.B and age. Further the Medication, dosage and administration details should be clearly written by the prescriber and signed by the deliverer, the chart should be placed in a clear plastic folder and given to Youth Correctional Officers.

Inmates returning to Don Dale should have a 'Return to Prison Check' done to check on their mental state. This is because of the fact that there are numerous times where and inmate is vulnerable during their incarceration - one of the most .common being during the court and sentencing process. For many, it causes a great deal of stress, due in part to;

• Recounting the circumstances surrounding their alleged offence; • Being confronted by their victim and/or the victim's family either in person or in the

form of a victim impact statement; • Seeing members of their family in the public gallery of the court house; • Receiving a sentence or period of incarceration they were not expecting.

If the inmate has been handcuffed for extended periods you should also check their wrists to ensure normal range of movement is present.


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Inmates going to/ returning from Medical Escorts

HR

..

Inmate are frequently transported from the correctional centre to local hospitals and other locations for the purpose of accessing services and clinicians they are unable to access at the correctional centre.

Inmates returning form external medical appointments are to be reviewed by a health practitioner. It is important that all inmates returning to the correctional centre after being on escort for medical reasons are assessed and managed appropriately. For this reason, all inmates who fall into this category are seen by a health practitioner when they are returned to the correctional centre. This is important because;

• It allows health staff to ascertain if the inmate has been returned with any medicines that he/she may not be allowed to possess.

• The inmate may have a discharge letter, x-ray films or preoperative/postoperative instructions that health staff need to be aware of;

• The inmate may be unwell or unsuitable to be housed in a particular area of the prison due to their condition on discharge (e.g. If they are using crutches or a wheelchair);

• The inmate may be upset or confused about information received during their appointment or hospitalisation.

Code of Conduct

This employment instruction is issued in accordance with section 16 of the Public Sector Employment and Management Act (the Act) which provides the Commissioner with the power to make rules, not inconsistent with the Act, relating to the good management of the Public Sector and include Code of Conduct to be observed in the Northern Territory Sector.

http://internal.health.nt.gov.au/SiteCollectionDocuments/Aboriginal%20Policy%20Stakeh older%20Engagement/EI 12 -Code

Aggression Management Policy

The Remote Health Branch Executive Management Team recognises its obligation to provide a safe working environment and to protect staff and clients from harm. It is the policy of DoH to achieve better practice in the prevention and management of occupational violence bullying and harassment. This is further discussed in the Aggression Management Policy and the Anti-Bullying and Workplace Behaviour Strategy. Aggressive and threatening behaviour towards health staff is not tolerated. All incidences of this should be entered into Riskman and will subsequently be forwarded to NTDCS to be placed on the inmates file.


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Occupational Health Safety and Environment

The Department of Health (DoH) has statutory duty of care to ensure the safety, health and welfare of its employees while at work, and to communicate OHSE roles and responsibilities under legislative framework to all employees.

Through the process of consultation with employees and employee representative organisations, the DoH will continue to meet its legislative obligations, and commitment to supporting the health, safety and welfare of all persons in the work place, through the development, implementation and regular review of the Workplace Health and Safety policy.

Legislation & Related Documents

• NT Work Health and Safety Act 2011 (National Uniform Legislation) • NT Workplace Health and Safety Regulations (National Uniform Legislation) • Public Sector Employment and Management Act • AS/NZS 4801:2001 (Occupational Health and Safety management Systems) • AS/NZS 4804:2001 (Occupational Health and Safety management System

Specifications) • Office of the Commissioner for Public Employment Current Workplace Agreements • Northern Territory of Australia (As in Force at 27 February 2012) Workers

Rehabilitation and Compensation Act

The management of work health and Safety is viewed by DoH as a shared responsibility. The success of this policy depends upon both management and employees accepting their respective responsibilities. See link: DoH WH&S: policies, guides and relevant forms.

Management is responsible for;

• the planning, implementation, monitoring and review of WH&SMS, • incorporating the WH&SMS into core business, • timely and effective actions to provide and maintain a safe and healthy workplace

and safe work practices, • promoting occupational health and safety within DoH: and • ensuring contractors engaged by the DoH comply with current WH&S • Legislation

Employees are responsible for;

• Actively promoting WH&S in the work place; • Working in a manner that supports the health, safety and welfare of themselves and

any other persons in the workplace; and • Reporting and , (where it is within their level of competency and it is safe to do so)

addressing unsafe conditions that may have come to their attention • Ensuring the welfare and safety of all persons has been considered prior to their

actions.


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·11:


Riskman and Incident Reporting

When an incident occurs within the correctional centre, it must be reported through the appropriate channels. Some examples of incidents include but are not limited to;

• Medication errors and missing drugs • Episodes of abuse and threatening behaviour;

• Deaths in custody; • Occupational exposures • Near misses • Slips, trips and falls

Correctional health staff are required to utilise the Riskman Incident reporting system. Training is how to use this system and this will be provided to you on commencement.

Confidentiality of incident details must be maintained by ensuring that only factual information that does not attribute blame is documented in Riskman.

Where a serious or significant hazard or incident has impacted on other people or has caused concern within an area, a debriefing will be arranged and offered to staff.

You will need to become cognisant with the following; RISKMAN

Youth "At Risk" Procedure

- PRINCIPLES

Department of Correctional Services and Department of Health will work together to:

• Minimise the number of youth placed "at risk", using de-escalation strategies • Minimise the time youth are held "at risk" through timely assessments

The Youth at Risk procedure is implemented to ensure the safety and security of any youth identified to be "at risk" of self-harm. The Procedure is designed to provide a multidisciplinary assessment of the youth to ascertain the physical health and emotional and mental status of a person placed at risk. Under current legislation the medical officer is in charge of the at risk status and under their direction a youth will remain "at risk" or be taken off "at risk" after consultation with the At Risk Assessment Team (ARAT).


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