devised so that a nurse will always be available to substitute for a regularly-scheduled nurse who becomes ill or for some other reason does not report for work.
C. An administrator shall be hired by Allegheny County to establish (1) a program for identifying and segregating from the general population those inmates in need of care or protection due to mental illness and (2) for implementing the provisions in Section II of this Order. Such administrator may not at the same time be employed by the Behavior Clinic, shall be subject to approval by the Court, shall be answerable to the Court, and shall make written reports to the Court on or before the following dates: July 3, 1980; September 3, 1980; November 3, 1980; February 3, 1981; and May 4, 1981. Although answerable to the Court, the administrator will be expected to cooperate with the jail physician. The administrator shall have any of the following credentials: (1) Board Certification in Psychiatry with experience in corrections or at a state mental hospital; or (2) a Ph.D. in Clinical Psychology with three years experience in corrections or at a state mental hospital; or (3) a Masters degree in Social Work with five years experience in psychiatric social work. This may be a part-time position but no less than 15 hours per week. Within three weeks after hiring, but no later than July 3, 1980, the administrator shall make written recommendations to the Court on further staff necessary to implement this order.
D. There shall be established within the jail a reception and screening center where all new admittees will be seen by appropriate jail personnel, including a nurse, and where a medical and psychiatric history shall be taken. All new admittees to the jail shall be housed in the reception unit for a minimum of 48 hours following admission.
E. If qualified medical personnel at the jail determine that an inmate should be transferred to a mental health institution rather than remain confined at the jail, appropriate proceedings shall be instituted within 72 hours of that decision.
No inmates may be housed in the jail after August 16, 1980, unless the defendants cause the following to occur within 120 days of the date of this order (on or before August 15, 1980):
A. An area separate from the general jail population shall be established to house: (1) inmates who, in the view of the medical or psychiatric staff, are seriously disturbed and require observation, protection, or restricted confinement to prevent harm to themselves or others; (2) inmates who have been committed to mental institutions and are awaiting transfer; and (3) inmates who are receiving psychotropic medication and who, in the view of the medical or psychiatric staff, require observation or monitoring. The details for implementing this provision, and the mental health unit's relation to the existing hospital, shall be within the discretion of the new administrator.
B. Two psychiatrists shall be hired, each on a part-time basis, but so that one shall always be on call for emergencies. The psychiatrists shall be independent of the Behavior Clinic and shall be employees of the jail. It will be their responsibility to prescribe and monitor psychotropic medication of inmates, to enter diagnoses on medical charts, and to make recommendations to the jail on the appropriate placement of inmates within or outside the jail.
C. In addition to the staffing requirements of our previous orders at least one guard and one nurse shall be assigned to the mental health housing unit for each shift. At no time shall the mental health housing unit be left unguarded.
D. The administrator, in cooperation with the warden, shall establish and reduce to writing systems consistent with this opinion for handling the following procedures at the jail:
1. dispensing of medication;