Minnesota Department of Corrections
AUTHORITY: Minn. R. 5206
PURPOSE: To prevent the spread of the Lyme disease spirochete in department correctional facilities.
APPLICABILITY: All facilities
DIRECTIVE: The department will provide education and appropriate personal protective equipment to prevent the spread of Lyme disease. All confirmed cases will be reported to the Minnesota Department of Health.
Lyme disease - an acute and/or chronic inflammatory infection transmitted by a tickborne spirochete (deer tick). There is no human to human transmission.
A. Facility safety administrators, in conjunction with facility infection control nurses, will coordinate Lyme disease training with staff and offenders working in high risk areas, including the following information:
1. Use protective clothing, including light colors when available, long sleeves and pants with pant legs tucked into stockings.
2. Use tick repellent containing diethyltoluamide (25%-30% DEET) onto exposed skin.
3. Observe skin frequently for signs of ticks.
4. If tick is attached, remove with a tweezers using steady traction applied close to the skin.
5. Wear gloves if removing an attached tick from another person.
6. Wash DEET-containing products off skin as soon as possible after task completion.
7. Identify high risk areas (wooded, shaded, tick infested areas).
B. Offender Crew Supervisors will:
1. Provide training (as above) to offenders working in high risk areas during daily talks;
2. Maintain control of, and dispense tick repellant, including instruction on application;
3. Instruct offenders to make a timely report on tick bites to the crew supervisor and health services for medical attention;
4. Inform offenders to bring the tick(s) to health services whenever possible; and
5. Inform facility Human Resources Management and seek outside medical attention if the crew supervisor gets infected from a deer tick bite.
C. Health Services nursing staff will:
1. Provide offender assessment and referral to practitioner if indicated;
2. Wear gloves when removing ticks; and
3. Provide offender education as indicated.
D. Health Services medical practitioner will:
1. Evaluate and treat offenders as indicated, and
2. Report diagnosed cases to the Minnesota Department of Health.
REFERENCES: ACA Standards 4-4361, 4-4355, 1-ABC-4E-43, 1-ABC-4E-41.
SUPERSESSION: Division Directive 500.550, "Lyme Disease," 8/7/07.
All facility policies, memos, or other communications whether verbal, written, or transmitted by electronic means regarding this topic.
Nanette M. Larson, Director