W. Va. Code R. § 69-11-10
Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-11-10 - Facility Construction and Renovations; Life Safety Policies and Procedures10.1. Before extensive construction or renovation of a MAT program facility begins, the program shall submit to the Secretary for approval a complete set of the plans for the project, which includes the drawings and specifications for the architectural, structural and mechanical design and work.10.2. The Secretary shall advise the program within 60 days whether approval has been granted. In the event the plans for the project are not approved, the Secretary shall set forth in writing the reasons for the disapproval and provide the program the opportunity to correct any deficiencies. Extensive construction or renovation of a facility may not begin until the Secretary has issued final approved of the plans.10.3. All MAT program facilities shall comply with the current standards of the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101, et seq. (1990), as amended.10.4. All MAT program facilities must meet all other requirements of applicable federal or state regulatory or oversight agencies.10.5. Life Safety Policies and Procedures. 10.5.a. Each MAT program shall develop, implement and maintain policies and procedures regarding the appropriate and safe administration of medications and other medical treatment. The policies and procedures shall:10.5.a.1. Ensure that the correct dose of medication is administered and that appropriate actions are taken if a mistake is made, including a mechanism for reporting unusual incidents to appropriate program staff;10.5.a.2. Establish a current plan of emergency administration of medications in case the program must be closed temporarily, including how patients will be informed of these emergency arrangements;10.5.a.3. Ensure that there is appropriately trained staff on duty at all times who are, at a minimum, proficient in cardiopulmonary resuscitation and reversal of opiate overdose; and10.5.a.4. Ensure that each medication-assisted treatment medication used by the MAT program is administered and dispensed, if applicable, in accordance with its approved product labeling. Dosing, dispensing and administration decisions shall be made by a program physician familiar with the most up-to-date product labeling. These procedures must ensure that any significant deviations from the approved labeling, including deviations with regard to dose frequency, or the conditions of use described in the approved labeling, are specifically documented in the patient's record.10.6. Each MAT program shall develop, implement and maintain policies and procedures regarding safe and effective access to the facility and staff. The policies and procedures shall: 10.6.a. Provide 24-hour, seven day-per-week access to designated program staff, as described in paragraph 9.1.b.4., so that patient emergencies may be immediately addressed and dosage levels verified;10.6.b. Require the program to display in facility offices and waiting areas the names and telephone numbers of individuals or agencies who should be contacted in case of an emergency;10.6.c. Include an up-to-date disaster plan that specifies emergency evacuation procedures, fire drills, and maintenance of fire extinguishers; and10.6.d. Address safety and security issues for patients and staff, including training staff to handle physical or verbal threats, acts of violence, inappropriate behavior, or other escalating and potentially dangerous situations, with emphasis on when security guards or police need to be summoned.W. Va. Code R. § 69-11-10