The North Carolina Department of Juvenile Justice and Delinquency Prevention
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Services by County
   
   
North Carolina Government At Your Service
 
Departmental Policies

  Medical Policies
acrobat document YD/YC 3.10 Drug and Alcohol Screening
acrobat document
 YD/YC 5.1 Health Authority
acrobat document YD/YC 5.2 Health Delivery System Reporting
acrobat document YD/YC 5.3 Administration of Treatment
acrobat document YD/YC 5.4 Health Care Specialist
acrobat document YD/YC 5.5 Medical Personnel and Facilities
acrobat document YD/YC 5.6 First Aid Kits
acrobat document YD/YC 5.7 Reporting Communicable Diseases
acrobat document YD/YC 5.7.1 Human Immunodeficiency Virus (HIV)
 & Acquired Immune Deficiency Syndrome (AIDS)
acrobat document YD/YC 5.7.2 Hepatitis B Virus
acrobat document YD/YC 5.7.3 Control Measures for Communicable Disease
acrobat document YD/YC 5.8 Communication of Medical Information
acrobat document YD/YC 5.9 Admissions
acrobat document YD/YC 5.10 Access to Health Care
acrobat document YD/YC 5.11 Non-Emergency Sick Call
acrobat document YD/YC 5.12 Medical Emergencies: Emergency Plan
acrobat document YD/YC 5.12.1 Notification of Parent/Legal Guardian
of Juvenile Medical Emergency or Death
acrobat document YD/YC 5.13 Medications
acrobat document YD/YC 5.13.1 Medications: EpiPen Auto-Injector (Administration)
acrobat document YD/YC Post-Test EpiPen Auto Injector Post-Test
(Gauge Policy Knowledge Base After Training).
acrobat document YD/YC 5.13.2 Psychotropic Drugs and Drugs Requiring Parenteral Administration
acrobat document YD/YC 5.13.3 Staff Training for Administering Medications
acrobat document
 YD/YC 5.13.4 Universal Childhood Vaccine Distribution Program
acrobat document YD/YC 5.13.5 Controlled Substances
acrobat document YD/YC 5.14 Medical Records
acrobat document YD/YC 5.15 Obtaining Consent for Medical Treatment
acrobat document YD/YC 5.16 Pregnancy
acrobat document YD/YC 5.17 Prohibition of Medical Experimentation
acrobat document YD/YC 5.18 Health Trained Staff
acrobat document YD/YC 5.19 Urine Drug Screening
   
  Medical Forms
acrobat document
 YC/M 001 Admission History and Physical Examination
acrobat document YC/M 003 Intake Health Assessment (for males)
acrobat document YC/M 004 Intake Health Assessment (for females)
acrobat document YC/M 005 Juvenile Access to Medical Services - Sick Call
acrobat document YC/M 006 What Every Juvenile Should Know About HIV/AIDS
acrobat document YC/M 007 Verification of What Every Juvenile Should
Know about HIV/AIDS
acrobat document YC/M 008 was replaced by YD/M 001,
Medical Screening Interview
acrobat document YC/M 009 Medical Treatment Plan
acrobat document YC/M 010 Laboratory Results
acrobat document YC/M 011 Nurses' Notes
acrobat document YC/M 012 Health Care Provider's Medical Orders
acrobat document YC/M 013 Medication Administration Record
acrobat document YC/M 014 Record of Medication Administered by Staff
acrobat document YC/M 016 Report of an Illness/Injury
acrobat document YC/M 017 Special Dietary Request
acrobat document YC/M 018 Diabetic Record
acrobat document YD/M 019 Body Check Injury Verification
acrobat document YC/M 020 Controlled Substance Inventory
acrobat document YC/M 021 Needle Inventory
acrobat document YC/M 022 Sharps Inventory
acrobat document
 YC/M 023 First Aid Kit Inventory
acrobat document YC/M 024 Medical Services Information
acrobat document YC/M 025 Permission for Release of Patient Information
acrobat document YC/M 026 Insurance Authorization
acrobat document YC/M 027 Medical Discharge Summary
acrobat document YC/M 028 Release Pregnant Delinquent Female
acrobat document YC/M 029 Health Care Statistics
acrobat document YC/M 030 Communicable Disease Statistical Report
acrobat document YC/M 031 Urine Drug Screen Report
acrobat document YC/M 032 Pregnant Juvenile Report
acrobat document YC/M 033 Internal Monitoring Checklist
acrobat document YC/M 034 Verification of Counseling for HIV/AIDS
acrobat document YC/M 035 Verification of Counseling for Hepatitis B
acrobat document YC/M 036 Nursing Orientation
acrobat document YC/M 037 Request for An Appointment With A Nurse Form
acrobat document YC/M 037a Request for An Appointment With A Nurse
acrobat document YC/M 038 Camp Woodson Medical and Physical Examination
acrobat document YC/M 039 Orientation/Annual HIV/STD Education Training
acrobat document YC/M 040 Annual HIV/STD Education Training
acrobat document YC/M 041 Juveniles on Psychotropic Medications
acrobat document YC/M 042 Transfer Medical Checklist
acrobat document YC/M 043 Medical Referral
word document YC/M 044 Physicians' Progress Notes
word document YC/M 044b Psychiatric Screening and Assessment
acrobat document YC/M 045 Approval for Treatment
acrobat document YC/M 046 Inventory of Prescription Medication Purchased for Students
acrobat document YC/M 047 Record of Hours Worked
acrobat document YC/M 048 Health Care Provider Sign In Sheet
acrobat document YC/M 050 Health Care Transfer Summary
acrobat document YC/M 051 Request for Urine Drug Screening and Test Results
acrobat document YC/M 052 Nursing Report to Service Planning Team
acrobat document YC/M 053 Four Minute Response Drill Report
word document YC/M 054 Medication Administration Error Report
acrobat document YC/M 055 Plan of Corrective Action for
Medication Administration Error
acrobat document YC/M 056 Medication Error Summary Report
acrobat document YC/M 058 Alcohol Test Results
acrobat document YC/M 059 Drug and Alcohol Test Results Monthly Report
acrobat document YC/M Chart I Two-Step Tuberculin Skin Testing
acrobat document YC/M SD009 Youth Development Training Course Record
acrobat document YC/M 100 Parent and/or Guardian Information
on Antianxiety Medications Form
acrobat document YC/M 101 Parent and/or Guardian Information on Beta Blockers Form
acrobat document YC/M 102 Parent and/or Guardian Information on BuSpar Form
acrobat document YC/M 103 Parent and/or Guardian Information on Catapres Form
acrobat document YC/M 104 Parent and/or Guardian Information on Celexa Form
acrobat document YC/M 105 Parent and/or Guardian Information on Concerta Form
acrobat document YC/M 106 Parent and/or Guardian Information on Depakote Form
acrobat document YC/M 107 Parent and/or Guardian Information on Desyrel Form
acrobat document YC/M 108 Parent and/or Guardian Information on Effexor Form
acrobat document YC/M 109 Parent and/or Guardian Information on Klonopin Form
acrobat document YC/M 110 Parent and/or Guardian Information on Lithium Form
acrobat document YC/M 111 Parent and/or Guardian Information on Neuroleptics Form
acrobat document YC/M 112 Parent and/or Guardian Information on Paxil Form
acrobat document YC/M 113 Parent and/or Guardian Information on Prozac Form
acrobat document YC/M 114 Parent and/or Guardian Information on Serzone Form
acrobat document YC/M 115 Parent and/or Guardian Information on Stimulants Form
acrobat document YC/M 116 Parent and/or Guardian Information on Tegretol Form
acrobat document YC/M 117 Parent and/or Guardian Information on Tenex Form
acrobat document YC/M 118 Parent and/or Guardian Information on Tricyclics Form
acrobat document YC/M 119 Parent and/or Guardian Information on Wellbutrin Form
acrobat document YC/M 120 Parent and/or Guardian Information on Zoloft Form
acrobat document YC/M 121 Parent and/or Guardian Information on Zyprexa Form
acrobat document YC/M 122 Parent and/or Guardian Information on Anticonvulsants Form
acrobat document YC/M 123 Parent and/or Guardian Information on Luvox Form
acrobat document YC/M 124 Parent and/or Guardian Information on Remeron Form
acrobat document YC/M 125 Parent and/or Guardian Information on Strattera Form
acrobat document YC/M 126 Parent and/or Guardian Information on Abilify Form
acrobat document YC/M 127 Parent and/or Guardian Information on Lexapro Form
acrobat document YC/M 128 Parent and/or Guardian Information on Keppra Form
acrobat document YC/M 129 Parent and/or Guardian Information on Cymbalta Form
acrobat document YC/M 130 Parent and/or Guardian Information on Lunesta Form
acrobat document

YC/M 131 Parent and/or Guardian Information on Benztropine
acrobat document YC/M 150 Cardiac Science Powerheart AED Daily Maintenance
acrobat document YC/M 151 Cardiac Science Powerheart AED Monthly Maintenance
acrobat document YC/M 152 Cardiac Science Powerheart AED Annual Maintenance
acrobat document YD M 001 Medical Screening Interview
acrobat document YD/M 002, Medical Alert
   
  Other Forms
acrobat document
 Youth Development Health Care Policy Statement of Understanding Attachment
acrobat document YC/M 106 Report of Theft or Loss of Controlled Substance
acrobat document YC/M 226 Application for Reregistration
acrobat document YC/M 3405 TB Screening Form
acrobat document YC/M 3974 Wasted Expired Vaccine Form
acrobat document YC/M 4041 Vaccine Administration Record
acrobat document YC/M 2124 Communicable Disease Card Instructions
acrobat document Exceptional Children Procedures
acrobat document Frozen Vaccines Temperature Storage Log
acrobat document VAL116 Vaccines Administered Log
acrobat document Refrigerated Vaccines Temperature Log
acrobat document Diptheria, Tetanus and Pertussus Vaccines Information Sheet
acrobat document Hepatitis B Vaccine Information Sheet
acrobat document Mumps, Measles and Rubella Vaccine Information Sheet
acrobat document Characteristics and Content DMM Issue


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