902 KAR 20:111.

Medical detoxification services.

 

      RELATES TO: KRS

216B.010-216B.131, 216B.990(1), (2)

      STATUTORY

AUTHORITY: KRS 216B.040, 216B.105

      NECESSITY,

FUNCTION, AND CONFORMITY: KRS 216B.040 and 216B.105 mandate that the Cabinet

for Human Resources regulate health facilities and health services. This

administrative regulation provides for the licensure requirements of medical

detoxification services.

 

      Section 1.

Definitions. (1) "Detoxification" means the systematic reduction of

the amount of a toxic agent in the body or the elimination of a toxic agent

from the body.

      (2)

"Service" means a medical detoxification service.

 

      Section 2. Scope

of Operation and Services. A facility with a medical detoxification service

provides examination, diagnosis, treatment, and referral for intoxicated

persons and persons evaluated by a physician to be alcoholics or abusers of

other chemical substances in need of detoxification. Medical detoxification

services are provided in a facility licensed as a hospital, psychiatric

hospital or chemical dependency treatment service and are available on a

twenty-four (24) hour basis.

 

      Section 3.

Minimum Standards of Operation. (1) The medical detoxification service shall be

provided on the premises of a facility licensed as a hospital, psychiatric

hospital or chemical dependency treatment service under the applicable health

service and health facility licensure administrative regulations. The service

shall have staff, operating procedures and records appropriate to the licensure

category of the facility providing the service.

      (2) A

psychiatric hospital or chemical dependency treatment service providing medical

detoxification shall have provisions for obtaining emergency medical treatment

through a licensed hospital with an organized emergency department.

      (3) The facility

shall provide extended medical care of the patient within the primary facility

or through cooperative arrangement with or referral to another licensed medical

care facility if services required for the patient are not available in the

primary facility.

      (4) The service

shall be operated by licensed staff trained in alcohol and drug treatment

procedures who receive regular in-service training relating to their job

activities. There shall be at least one (1) person on duty at all times who has

received training in cardiopulmonary resuscitation.

      (5) The service

shall have twenty-four (24) hour capability, and shall provide examination,

diagnosis, treatment, and appropriate referral for all patients.

      (6) A physical

examination shall be conducted prior to commencing detoxification or

administering medications to determine whether the patient requires transfer to

a more appropriate level of care. Admission for inpatient treatment shall be

determined by an attending or examining staff physician. The medical care of

the patient during detoxification shall be directed by a physician.

      (7) Prior to

discharge from the detoxification service an assessment of the patient's

condition shall be conducted to determine an appropriate referral for

continuing care.

      (8) The facility

shall designate the number of beds to be available for detoxification services

and assure space is available with reasonable privacy for examination,

detoxification, observation, evaluation and treatment of the medical alcohol or

drug emergency patient.

      (9) The facility

shall have written affiliation with other licensed alcohol and drug services

available in the community such as: chemical dependency treatment services and

services licensed under 902 KAR Chapter 3 including situation, identification,

and disposition (SID) units, thirty (30) day residential units, halfway houses

and outpatient services.

      (10) The

facility shall have the following equipment immediately available:

      (a) Complete

parenteral treatment equipment;

      (b) Appropriate

pharmaceutical supplies to include tranquilizers, anticonvulsants, oral and

parenteral vitamins;

      (c) Ventilation

equipment including masks and cannulae for administration of oxygen and suction

equipment; and

      (d) An emergency

crash cart.

      (11) The

facility shall have twenty-four (24) hour access to physician services on at

least an on-call basis. (8 Ky.R. 254; eff. 11-5-81; Am. 10 Ky.R. 37; eff.

8-3-83; 18 Ky.R. 827; eff. 10-16-91.)