Tenn. Comp. R. & Regs. 0940-01-02-.04

Current through June 10, 2024

Section 0940-01-02-.04 - PROCEDURES FOR EMERGENCY ADMINISTRATION OF MEDICATION UNDER RULE 0940-1-1-05

(1) When a physician determines that emergency medication may be administered under rule 0940-1-1 - .05, the physician shall document:

(a) what less restrictive measures were considered;

(b) the reasons for ordering the medication, documenting the existence of at least one of the three criteria below:

1. an immediate threat of serious physical harm to the patient or to others caused by the violent behavior of the patient,

2. an immediate threat to the patient of deteriorating physical well-being with risk to life or long term health caused by the effects of mental illness, or

3. actual violent behavior by the patient causing substantial property damage; and

(c) the patient's behavior, distinguishing between what the physician personally observed and that observed by other staff.

(2) The pertinent documentation and authorization shall be recorded on the Emergency Medication Form.

(3) By the end of the next regular working day the physician shall provide a copy of the Emergency Medication Form to:

(a) the patient's clinical chart,

(b) the Medical Director, and

(c) the Patient Rights Advisor.

(4) Within twenty-four hours of the issuance of the order or, if such period expires on a weekend or a legal holiday, by the end of the next regular working day, the PRA shall:

(a) interview the patient, and

(b) submit comments and recommendation on the PRA Form to:

1. The patient's clinical chart, and

2. The Medical Director.

(5) The patient, the PRA, or the physician may request a review by the TRC. The PRA shall immediately request a review by the TRC if the patient requests that it be done.

(6) Within twenty-four hours of receipt of a request for review of emergency medication or, if such period expires on a weekend or a legal holiday, by the end of the next regular working day, the TRC or designated members shall interview or examine the patient. The TRC shall review the patient's chart under the same procedures as for administration of medication under rule 0940-1-2-.06 to persons who are not capable of giving informed consent.

Tenn. Comp. R. & Regs. 0940-01-02-.04

(For Administrative History prior to February, 1985 see page 1.001). New rule filed January 9, 1985; effective February 8, 1985.

Authority: T.C.A. §§ 33-1-203 through 33-1-205, 33-3-104 and 33-3-105.