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Policies,Administrative,UWHC,Department Specific,Surgical Services,Administrative

Prisoners, Care of in the Outpatient Surgery Center (1.36)

Prisoners, Care of in the Outpatient Surgery Center (1.36) - Policies, Administrative, UWHC, Department Specific, Surgical Services, Administrative

1.36

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

JUNE 1993
ORIGINAL
 REVISION

DECEMBER 2016
PAGE 1
OF 2
POLICY #

1.36
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER SURGICAL SERVICES -
UH
TITLE
PRISONERS, CARE OF IN THE UNIVERSITY
HOSPITAL OUTPATIENT SURGERY CENTER


I. PURPOSE

To outline care and ensure safety while a prisoner is in the Outpatient Surgery Center (OSC), the University
Hospital.

II. PROCEDURE

A. Security unit, “Outpatient Waiting Area” (OPWA) located on E1/1 receives the majority of prisoners
scheduled for Outpatient Surgery. The phone number to verify the patient’s arrival to “OPWA” is
263-4092. Prisoners may also check-in at the Inpatient Security unit on D4/V6, number to verify is
263-1322
1. The guards escorting the prisoner checks in with OSC to verify the adult prisoner has arrived,
verifies the check in time, and the preassigned room in OSC.
B. Admit and prepare prisoner for surgery.
1. Adult prisoners then report directly to a preassigned room in the OSC, change into a gown and
the mechanical (metal) restraints are replaced with plastic restraints. Attempts are made to use
cubicles #1 and #2 area. Patient satisfaction surveys have identified that the presence of prisoners
in the hospital elicits fear and concern amongst our adult patients and families. We recognize that
prisoners have the right to standard medical care. We also recognize and appreciate the concern
and protection that security personnel provide for our medical center. However, to ensure a
“customer friendly” atmosphere to our patients and their families, we request that prisoners (and
security personnel) maintain a “low key” presence in the OSC. This includes closing the
pre/postop cubicle and PACU drapes whenever possible.
2. Note type of restraints. Due to the potential use of electrocautery during surgery mechanical
restraints must be replaced with plastic if not already done. Depending on the circumstances, the
decision to replace the restraints may be done when the patient is anesthetized.
C. Check prisoner into the OR.
1. The pre-op nurse will provide the escorting officer(s) with a hat, mask, and gloves from the
cabinet in the hallway across from bay 28. Escorting officer(s) should put paper scrub pants,
tops and jackets on (can be put on over existing clothing) before going to the OR. This
preparation should be done before the OR nurse comes to get the patient for surgery.
2. Officers will accompany the prisoners to the OR for induction of general anesthesia for the
duration of the procedure. Once the patient is anesthetized, the escorting officer(s) remains in
the OR suite for procedures where patient is awake. The escorting officer(s) will be directed
outside the surgical suite where one officer will remain to retain visual contact with the inmate.
The escorting officer(s) will stay outside the surgical suite with the blinds on the door open or in
the room if the blinds must be closed. The escorting officer(s) are only permitted to possess their
security equipment and radio in this area. For inmates escorted by two or more officers, one
officer must remain in the OR area at all times. The other escorting officer will be responsible for
providing breaks. Correctional institution staff, when available, will provide relief breaks for all

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

JUNE 1993
ORIGINAL
 REVISION

DECEMBER 2016
PAGE 2
OF 2
POLICY #

1.36
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER SURGICAL SERVICES -
UH
TITLE
PRISONERS, CARE OF IN THE UNIVERSITY
HOSPITAL OUTPATIENT SURGERY CENTER


others. Once the surgery is completed, the escorting officer will enter the surgical suite and
replace the restraints. The inmate will then be transferred to the PACU for postoperative care.
Most OSC-OR surgeries are of short duration. Anesthesia agents used in the OSC-OR facilitate
quick wake up and early discharge. Some prisoners are combative upon emergence from
anesthesia and may require assistance of the officer(s).
4.
4. Restraints that need to be off for surgery are removed after induction by an officer. If the
prisoner will be awake during surgery they will be removed at prep time. Restraints are reapplied
by the officer as soon as possible.
D. Discharge prisoner from Outpatient Surgery when appropriate.
1. After discharge prisoner will return to the receiving unit “OPWA or D4/V6.”.
E. Patients that are at “risk for flight” will have their procedure performed in the Inpatient OR. Preop &
Phase II recovery will be provided on the Security Unit, D4/V6.
1. To ensure a non-threatening, non-intimidating environment to other patients, the Security Unit is
a "locked down" unit offering the most secure environment.

III. REFERENCES

A. State of Wisconsin Department of Corrections Policy DOC 306, SIMP 1
B. Surgical Services Policy 1.06
C. Dress Code in the Department of Surgical Services

REVIEWED BY

Surgical Services Policy and Procedure Committee 12/2016
Terri Parnell, Surgical Services Supervisor, OSC-Ambulatory Care/PACU 12/2016
Lynn Linton, Surgical Services Supervisor, OSC Operating Rooms 12/2016

SIGNED BY

Sandy Schoenmann, BSN, RN
Interim Director, Surgical Services

Jeff Lee, MD
Medical Director, Outpatient Surgery Center