Okla. Admin. Code § 450:18-5-14

Current through Vol. 42, No. 8, January 2, 2025

Section 450:18-5-14 - Non-medical withdrawal management

(a) Providers of residential treatment services (ASAM Level 3.3 and ASAM Level 3.5) shall provide non-medical withdrawal management as part of their regular service delivery program and facility environment.

(b) Non-medical withdrawal management shall be provided for intoxicated consumers and consumers withdrawing from alcohol and other drugs who present with no apparent medical or neurological symptoms as a result of their substance use disorder.

(c) The facility shall maintain written programmatic descriptions and policy and procedures addressing the following:

(1) Environment: The facility shall monitor and document vital signs, and food and liquids intake.

(2) Staff:

(A) Staff providing non-medical withdrawal management shall be knowledgeable about the physical signs of withdrawal, the taking of vital signs, the implication of those vital signs, and emergency procedures. Service providers shall be trained and competent to implement physician-approved protocols for consumer observation and supervision, determination of appropriate level of care, and facilitation of the consumer's transition to continuing care.

(B) The facility shall document in personnel records all education, training, and experience stated in (A) above prior to staff providing direct care services.

(3) Treatment services: Daily (twenty-four [24] hours a day, seven [7] days a week) substance use disorder withdrawal management treatment services shall be provided, to include oral intake of fluids, three (3) meals a day, and the taking of vital signs (temperature, pulse, respiration rate, blood pressure), and fluid and food intake a minimum of one (1) time every six (6) hours or more often as indicated by the consumer's condition.

Okla. Admin. Code § 450:18-5-14

Adopted by Oklahoma Register, Volume 38, Issue 23, August 16, 2021, eff. 9/15/2021