MEDICAL DEPARTMENT STAFF AND CONSULTANTS

A. Department Philosophy
In addition to servicing and treating health problems, the medical component of the Hillcrest program, teaches the students to maintain a healthy life-style, to recognize illness when it occurs, and to appropriately access community medical systems when necessary.
HEC provides nursing coverage at all campuses. Each campus nursing department consists of a registered nurse as head nurse and staff nurses, consisting of registered nurses and licensed practical nurses. A Coordinator of Nursing Services oversees the campus nursing services.

B. Health Care Providers
Physicians on staff of Hillcrest Educational Centers include a Director of Psychiatry and Consultant Psychiatrists; a Medical Director and one or more Consultant Physicians and Nurse Practitioners. On an as needed basis, the agency uses the services of specializing physicians who maintain private practices in the community. Additional, non-routine medical treatment is provided when indicated by order of the medical director. In addition, as noted above, Hillcrest provides nursing coverage at all campuses.
The agency also has healthcare related consultants on staff including a Registered Dietitian.

C. On-Call Nursing Coverage Procedure
On-call nursing coverage is provided when there is not a nurse physically present on campus. The on-call nurse, when contacted, will make a medical assessment of the situation based upon the information provided by campus staff. Based on the information provided, the on-call nurse will either give instructions to the staff or will travel to the campus to make an in person assessment of the situation.
On-call nurses can give phone authorization for administration of certain medications. This policy does not include medications that have to be signed for or IM medications. It is also limited to medications approved in the standing orders.
The on-call nurse will return to campus under circumstances including, but not limited to, the following:
1. Assessment of illness or injury in which an adequate medical judgment cannot be made through telephone consultation.
2. Medical or psychiatric situations requiring the administration of medication by a licensed nurse.
3. Immediate assessment following student incidents involving sexually inappropriate behavior that warrants physical assessment.
4. Immediate assessment following suspected physical abuse.
5. If injury occurs or may have occurred during a physical intervention.
6. The request of the Program Director/Manager or on-call administrator.
7. Restraint situations requiring the assessment of an independent licensed practitioner.