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DHS 75.05(4)(a)2.e. e. Other action taken.
DHS 75.05(4)(b) (b) A service shall have written procedures that ensure prompt evaluation of both the physiological and psychological status of the individual so that rapid determination can be made of the nature and urgency of the problem and of the type of treatment required.
DHS 75.05(4)(c) (c) A service shall have written procedures for dealing with anticipated medical and psychiatric complications of substance abuse emergencies.
DHS 75.05(4)(d) (d) A service shall either be able to provide medical support for substance abuse-related emergencies on-site or have the capability of transporting the individual to a local hospital or other recognized medical facility.
DHS 75.05(4)(e) (e) If the emergency outpatient service is not a part of a general hospital, the service shall enter into a formal agreement with a local hospital for the hospital to receive referrals from the service on a 24-hour basis and provide services with the same standards of care prevailing for emergency cases treated in the hospital that are not related to substance abuse.
DHS 75.05 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00.
DHS 75.06 DHS 75.06 Medically managed inpatient detoxification service.
DHS 75.06(1)(1)Service description. A medically managed inpatient detoxification service provides 24-hour per day observation and monitoring of patients in a hospital setting, with round-the-clock nursing care, physician management and availability of all other resources of the hospital.
DHS 75.06(2) (2)Requirements. To receive certification from the department under this chapter, a medically managed inpatient detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to a medically managed inpatient detoxification service, as shown in Table 75.03, and, in addition, a medically managed detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.06(3) (3)Required personnel.
DHS 75.06(3)(a) (a) A medically managed inpatient detoxification service shall have a staffing pattern that is consistent with s. DHS 124.13 requirements.
DHS 75.06(3)(b) (b) The service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.06(4) (4)Service operations.
DHS 75.06(4)(a) (a) A medically managed inpatient detoxification service shall have written agreements with certified substance abuse service providers or systems to provide rehabilitative substance abuse care if determined necessary by substance abuse screening and the application of approved patient placement criteria administered by the service.
DHS 75.06(4)(b) (b) A service shall have written policies and procedures for the management of belligerent and disturbed patients, which shall include transfer of patients to another appropriate facility if necessary.
DHS 75.06(4)(c) (c) A service shall develop with each patient a detoxification plan and a discharge plan for the patient that addresses the patient's follow-up service needs determined by application of approved patient placement criteria, and the provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.06 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) (a) made under s. 13.92 (4) (b) 7. Stats., Register November 2008 No. 635.
DHS 75.07 DHS 75.07 Medically monitored residential detoxification service.
DHS 75.07(1)(1)Service description. A medically monitored residential detoxification service is a 24-hour per day service in a residential setting providing detoxification service and monitoring. Care is provided by a multi-disciplinary team of service personnel, including 24-hour nursing care under the supervision of a physician. Included is the provision of an examination in accordance with s. 51.45 (11) (c), Stats., and transportation, if needed, to an emergency room of a general hospital for medical treatment.
DHS 75.07(2) (2)Requirements. To receive certification from the department under this chapter, a medically monitored residential detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to a medically monitored detoxification service, as shown in Table 75.03, and, in addition, a medically monitored residential detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.07(3) (3)Organizational requirements. Before operating or expanding a medically monitored residential detoxification service, a facility shall be approved under ch. DHS 124 as a hospital or licensed under ch. DHS 83 as a community-based residential facility.
DHS 75.07(4) (4)Required personnel.
DHS 75.07(4)(a) (a) A medically monitored residential detoxification service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.07(4)(b) (b) The service shall have a nursing director who is a registered nurse.
DHS 75.07(4)(c) (c) A registered nurse shall be available on site on a 24-hour basis.
DHS 75.07(4)(d) (d) A physician shall be available on site [on call] on a 24-hour basis.
DHS 75.07 Note Note: The department's intent is that physicians will be on call rather than on site.
DHS 75.07(5) (5)Service operations.
DHS 75.07(5)(a) (a) A physician shall review and document the medical status of a patient within 72 hours after admission.
DHS 75.07(5)(b) (b) A service shall have written policies and procedures for the management of belligerent and disturbed patients, which shall include transfer of a patient to another appropriate facility if necessary.
DHS 75.07(5)(c) (c) A service shall have a written agreement with certified substance abuse service providers or systems to provide care after the patient is discharged from the service.
DHS 75.07(5)(d) (d) A service shall have a written agreement with a hospital for the hospital to provide emergency medical services for patients and shall provide escort and transportation to the hospital. If necessary, the service shall also provide escort and transportation for return to the service.
DHS 75.07(5)(e) (e) The service shall develop with each patient a detoxification plan and a discharge plan for the patient that addresses the patient's follow-up service needs, determined from the application of approved patient placement criteria administered by the service, and shall include provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.07(5)(f) (f) A service shall have a treatment room that has in it at least the following:
DHS 75.07(5)(f)1. 1. First aid supplies maintained and readily available to all personnel responsible for the care of patients.
DHS 75.07(5)(f)2. 2. Separate locked cabinets exclusively for all pharmaceutical supplies.
DHS 75.07 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DHS 75.08 DHS 75.08 Ambulatory detoxification service.
DHS 75.08(1)(1)Service description. An ambulatory detoxification service is a medically managed or monitored structured detoxification service on an outpatient basis, delivered by a physician or other service personnel acting under the supervision of a physician.
DHS 75.08(2) (2)Requirements. To receive certification from the department under this chapter, an ambulatory detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to an ambulatory detoxification service, as shown in Table 75.03, and, in addition, an ambulatory detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.08(3) (3)Required personnel.
DHS 75.08(3)(a) (a) An ambulatory detoxification service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.08(3)(b) (b) The service shall have a nursing director who is a registered nurse.
DHS 75.08(3)(c) (c) A registered nurse shall be available on a 24-hour basis.
DHS 75.08(3)(d) (d) A physician shall be available on a 24-hour basis.
DHS 75.08(4) (4)Service operations.
DHS 75.08(4)(a) (a) An ambulatory detoxification service shall provide patients with 24-hour access to medical personnel and a substance abuse counselor.
DHS 75.08(4)(b) (b) The service shall have written agreements with certified substance abuse service providers or systems to provide care after the patient is discharged from the service.
DHS 75.08(4)(c) (c) A physician shall document review of admission data within 24 hours after a person's admission.
DHS 75.08(4)(d) (d) The service shall have a written agreement with a hospital for the hospital to provide emergency medical services for patients and shall provide escort and transportation to the hospital. If necessary, the service shall also provide escort and transportation for return to the service.
DHS 75.08(4)(e) (e) The service shall have a treatment room, which has in it at least the following:
DHS 75.08(4)(e)1. 1. First aid supplies maintained and readily available to all personnel responsible for the care of patients.
DHS 75.08(4)(e)2. 2. Separate locked cabinets exclusively for all pharmaceutical supplies.
DHS 75.08(4)(f) (f) The service shall have written policies and procedures for the management of belligerent and disturbed patients, which shall include transfer of a patient to another appropriate facility if necessary.
DHS 75.08(4)(g) (g) The service shall develop a detoxification plan and a discharge plan for each patient that addresses the patient's follow-up service needs determined by application of approved patient placement criteria administered by the service, and the provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.08 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00.
DHS 75.09 DHS 75.09 Residential intoxication monitoring service.
DHS 75.09(1)(1)Service description. A residential intoxication monitoring service provides 24-hour per day observation by staff to monitor the safe resolution of alcohol or sedative intoxication and to monitor for the development of alcohol withdrawal for intoxicated patients who are not in need of emergency medical or psychological care. The service is provided in a supportive setting that includes provision of nourishment and emotional support.
DHS 75.09(2) (2)Requirements. To receive certification from the department under this chapter, a residential intoxication monitoring service shall comply with all requirements included in s. DHS 75.03 that apply to a residential intoxication monitoring service, as shown in Table 75.03, and, in addition, a residential intoxication monitoring service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.09(3) (3)Organizational requirements. Before operating or expanding a residential intoxication monitoring service, a facility shall be approved under ch. DHS 124 as a hospital, licensed under ch. DHS 83 as a community-based residential facility, certified under ch. DHS 82 or licensed under ch. DHS 88 as an adult family home.
DHS 75.09(4) (4)Required personnel.
DHS 75.09(4)(a) (a) A service shall have at least one staff person trained in the recognition of withdrawal symptoms on duty 24 hours per day, 7 days per week.
DHS 75.09(4)(b) (b) A service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.09(5) (5)Service operations.
DHS 75.09(5)(a) (a) Screening. A patient shall be screened by medical personnel before admission to the service, unless the service has documentation of the patient's current physical condition.
DHS 75.09(5)(b) (b) Prohibited admissions. No person may be admitted if any of the following apply:
DHS 75.09(5)(b)1. 1. His or her behavior is determined by the service to be dangerous to self or others.
DHS 75.09(5)(b)2. 2. He or she requires professional nursing or medical care.
DHS 75.09(5)(b)3. 3. He or she is incapacitated by alcohol and is placed in or is determined to be in need of protective custody by a law enforcement officer as required under s. 51.45 (11) (b), Stats.
DHS 75.09(5)(b)4. 4. He or she is under the influence of any substance other than alcohol or a sedative.
DHS 75.09(5)(b)5. 5. He or she requires restraints.
DHS 75.09(5)(b)6. 6. He or she requires medication normally used for the detoxification process.
DHS 75.09(5)(c) (c) Observation. Trained staff shall observe a patient and record the patient's condition at intervals no greater than every 30 minutes during the first 12 hours following admission.
DHS 75.09(5)(d) (d) Emergency medical treatment. A service shall have a written agreement with a general hospital for the hospital to provide emergency medical treatment of patients. Escort and transportation shall be provided as necessary to a patient who requires emergency medical treatment.
DHS 75.09(5)(e) (e) Medications.
DHS 75.09(5)(e)1.1. A service shall not administer or dispense medications.
DHS 75.09(5)(e)2. 2. When a patient has been admitted with prescribed medication, staff shall consult with the patient's physician or other person licensed to prescribe and administer medications to determine the appropriateness of the patient's continued use of the medication while under the influence of alcohol or sedatives.
DHS 75.09(5)(e)3. 3. If approval for continued use of prescribed medication is received from a physician, the patient may self-administer the medication under the observation of service staff.
DHS 75.09(5)(f) (f) Discharge plan. A service shall develop with each patient a discharge plan for the patient which shall address the patient's follow-up service needs determined by application of approved patient placement criteria administered by the service, and the provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.09 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DHS 75.10 DHS 75.10 Medically managed inpatient treatment service.
DHS 75.10(1)(1)Service description. A medically managed inpatient treatment service is operated by a general or specialty hospital, and includes 24-hour nursing care, physician management and the availability of all other resources of the hospital.
DHS 75.10(2) (2)Requirements. To receive certification from the department under this chapter, a medically managed inpatient treatment service shall comply with all requirements included in s. DHS 75.03 that apply to a medically managed inpatient treatment service, as shown in Table 75.03, and, in addition, a medically managed inpatient treatment service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.10(3) (3)Organizational requirements. Before operating or expanding an inpatient treatment service, a facility shall do all of the following:
DHS 75.10(3)(a) (a) Submit for approval to the department, a written justification for the service, documenting if the service has been operating, the service's effectiveness and the need for additional inpatient treatment resources in the geographic area in which the service will operate or is operating.
DHS 75.10(3)(b) (b) Notify the county department of community programs under s. 51.42, Stats., in the area in which the service will operate or is operating of the intention to begin to operate or expand the service.
DHS 75.10(3)(c) (c) Be approved as a hospital under ch. DHS 124.
DHS 75.10(4) (4)Required personnel.
DHS 75.10(4)(a) (a) An inpatient treatment service shall have all of the following personnel:
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.