Section 0940-05-18-.04 - PERSONNEL AND STAFFING REQUIREMENTS IN CRISIS STABILIZATION UNIT FACILITIES(1) The program must have a designated director or administrator who is responsible for the management and operation of the facility.(2) A qualified prescriber, who is authorized to prescribe medications by the Tennessee Board of Medical Examiners or the Tennessee Board of Nursing, must provide general medical services, prescription of medications and treatment. If the qualified prescriber is not a psychiatrist, the qualified prescriber must have psychiatric expertise, as defined by training, education or experience with consultation available from a psychiatrist. The qualified prescriber must be on call twenty-four (24) hours per day and must make daily rounds.(3) At least one registered nurse, nurse practitioner or physician assistant must be on duty and in program twenty-four (24) hours per day, 7 days per week.(4) The on-site and in program ratio of mental health personnel must not be less than one (1) full time equivalent (FTE) staff for every five (5) service recipients present. At no point shall there be fewer than two (2) staff present, one (1) of whom must be staff as identified in (3) above.(5) Mental health services must be provided by mental health personnel with expertise appropriate to the service recipient's needs.(6) At least one (1) on-duty and on-site staff member must be certified in cardiopulmonary resuscitation (CPR) and trained in first aid, the abdominal thrust maneuver and standard precautions for infection control.Tenn. Comp. R. & Regs. 0940-05-18-.04
Original rule filed May 26, 1988; effective July 11, 1988. Amendment filed September 4, 2003; effective November 18, 2003. Amendments filed July 31, 2008; effective October 14, 2008.Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2-404.