Section 0940-05-42-.24 - INFECTION CONTROL(1) The Facility shall have policies and procedures to be followed for infection control, including:(a) Reporting all suspected or diagnosed cases of infectious disease including tuberculosis, AIDS, and sexually transmitted disease (STD) promptly to the regional health department in accordance with 42 CFR, Part 2; T.C.A. §§ 68-10-101 et seq., 68-9-201 and 68-5-102; and Chapter 1200-14 of the Rules of the Tennessee Department of Health.(b) Management of service recipients who are infected with Hepatitis B or C virus, HIV/AIDS or other STD.(c) Nondiscrimination of employees and service recipients regarding their HIV/AIDS status.(d) Use of standard precautions for prevention of transmission of HIV/AIDS, Hepatitis B or C Virus, and other blood borne pathogens.(e) Infectious disease skin or blood testing will be made on a voluntary basis for any service recipient who requests it, and be documented in appropriate records. If a clinic does not have the capacity to conduct pelvic exams, the clinic shall establish and document a relationship with a community health care provider so that referrals can be made and care can be coordinated.(f) Assurance that a service recipient's HIV, other STD, and tuberculosis status will be kept confidential in accordance with T.C.A. § 33-3-103; Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations at 45 Code of Regulations (CFR) Parts 160 and 164, Subparts A and E; and Confidentiality of Alcohol and Drug Abuse Service Recipient Records regulations at 42 CFR Part 2.(g) Documentation on the establishment of linkages between the Facility and the local health department to ensure service recipients receive appropriate medical care relative to their infection and/or exposure to tuberculosis, Hepatitis B or C; and STD (including HIV), i.e., establish contact between the health department and the Facility to communicate appropriate information to assure that the service recipient receives appropriate care.(h) Informed consent of service recipients before screening and treatment.(i) Conducting case management activities to ensure that individuals receive appropriate treatment services for HIV/AIDS, Hepatitis B or C Virus and other sexually transmitted diseases.(j) Procedures to ensure that the Facility, either directly or through arrangements with other public or private non-profit entities, will make available tuberculosis (TB) services in accordance with current Tennessee TB Guidelines for Alcohol and Drug Treatment Facilities (TB Guidelines), established by the Department of Health TB Elimination Program and the department, including: 1. Counseling the service recipients about TB;2. Screening all service recipients for TB and, if applicable, testing service recipients at high risk for TB to determine whether the service recipients have been infected with TB;3. Providing for or referring the service recipients infected with TB for appropriate medical evaluation and treatment; and4. Conducting case management activities to ensure that service recipients receive such services.Tenn. Comp. R. & Regs. 0940-05-42-.24
Original rule filed September 20, 2012; effective December 19, 2012.Authority: T.C.A. §§ 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2-404.