Ala. Admin. Code r. 580-9-46-.03

Current through Register Vol. 43, No. 02, November 27, 2024

Section 580-9-46-.03 - Residential Detoxification

(1) Supervised withdrawal from alcohol and drug intoxication for an individual who can safely be treated outside an acute general hospital setting, using medication after medical evaluation and following physician approved guidelines, but who requires 24 hour a day supervision.

(2) Programs providing detoxification services must have coverage by a licensed physician trained in detoxification protocols and/or addiction medicine.

(3) Medical supervision of detoxification must be available twenty-four (24) hours a day, seven (7) days a week.

(4) Criteria for determining the need for detoxification with medication must be described in a written procedure approved by the physician. The procedures must include:

(a) Description of symptoms requiring medical detoxification.

(b) Continuous nursing assessment following admission to the program to determine if there are any changes in detoxification needs.

(5) All clients will be screened by a registered nurse upon admission and will be administered a physical examination by a physician, physician's assistant or certified nurse practitioner within 24 hours of admission.

(6) The program must provide for physical and/or laboratory examination in accordance with the supervising physician's written medical procedures.

(7) There must be written protocols approved by the physician that describe care given during medical detoxification, including administration of medication, monitoring of vital signs, and emergency procedures.

(8) The licensed physician must be consulted prior to the initiation of medical detoxification.

(9) The program must provide and document clinical staff training in all detoxification protocols and emergency procedures.

(10) When detoxification procedures are initiated by phone order with the physician, these must be reviewed and signed by the physician within 24 hours of the initiation of detoxification.

(11) All programs providing detoxification must demonstrate by written document the client's accessibility to a local licensed hospital for the purpose of providing emergency hospital care.

(12) The program shall have transportation available on a 24 hour a day basis for emergency purposes.

(13) The program shall have a full time registered nurse on staff and on-call registered nurse accessibility at all times. Any time the registered nurse is not on site, an L.P.N. will be on site.

(14) The program shall have staff on duty and awake 24 hours a day.

(15) Detoxification programs will provide psychosocial assessment and/or support services to the client and family, when deemed clinically appropriate.

(16) All direct care staff employed in programs providing detoxification shall be provided basic education in methodology of detoxification treatment, the signs and symptoms of withdrawal, and approved intervention techniques.

Ala. Admin. Code r. 580-9-46-.03

New: Filed July 22, 1992. Extended: September 30, 1992. Extended: December 31, 1992. Certified: March 30, 1993. Effective: May 5, 1993.

Author: Substance Abuse Services Division

Statutory Authority:Code of Ala. 1975, § 22-50-11.