902 KAR 20:111.
Medical detoxification services.
RELATES TO: KRS
216B.010-216B.131, 216B.990(1), (2)
AUTHORITY: KRS 216B.040, 216B.105
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
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.
"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.
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.
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
(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
(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.
facility shall have the following equipment immediately available:
parenteral treatment equipment;
pharmaceutical supplies to include tranquilizers, anticonvulsants, oral and
equipment including masks and cannulae for administration of oxygen and suction
(d) An emergency
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.)