Section 306.47 - General Provisions(a) The CSU must be open and provide services to individuals 24-hours a day, seven days a week, including admissions, based on the CSU's capability and capacity.(b) The CSU must develop, and the medical director must approve, the CSU's written policies and procedures that ensure the CSU's compliance with this subchapter.(c) All staff members must comply with this subchapter and the policies and procedures of the CSU.(d) A CSU administrator, or administrator's designee must take appropriate measures to ensure a staff member's compliance with this subchapter and the policies and procedures of the CSU.(e) A CSU nursing supervisor must ensure all orders issued by a physician, or physician-delegated PA or APRN, for an individual are appropriately implemented pursuant to state nursing licensure requirements.(f) Except as provided by § 306.51 of this subchapter (relating to Admission Criteria) or applicable state law, a physician may delegate any of the medical services described in this subchapter in accordance with Texas Occupations Code Chapter 157, Subchapter A.(g) A CSU must comply with the following HHSC rules:(1) Chapter 510 of this title (relating to Private Psychiatric Hospitals and Crisis Stabilization Units);(2) 25 TAC Chapter 404, Subchapter E (relating to Rights of Persons Receiving Mental Health Services);(3) 25 TAC Chapter 415, Subchapter A (relating to Prescribing Psychoactive medication);(4) 25 TAC Chapter 415, Subchapter F (relating to Interventions in Mental Health Services);(5) 25 TAC Chapter 414, Subchapter I (relating to Consent to Treatment with Psychoactive Medication--Mental Health Services);(6) 25 TAC Chapter 417, Subchapter K (relating to Abuse, Neglect and Exploitation in TDMHMR Facilities); and(7) 22 TAC Chapter 174, Subchapter B (relating to Mental Health Services).(h) A CSU physician is prohibited from administering:(1) electroconvulsive therapy, a treatment in which controlled, medically applied electrical current results in a therapeutic seizure, usually attenuated by anesthesia and muscle relaxants; and(2) a chemical or gaseous agent used to induce a seizure for therapeutic purposes, instead of, or as a substitute for, electroconvulsive therapy.26 Tex. Admin. Code § 306.47
Adopted by Texas Register, Volume 46, Number 21, May 21, 2021, TexReg 3261, eff. 5/27/2021