Section 0940-05-44-.04 - PERSONNEL AND STAFFING REQUIREMENTS(1) Direct services must be provided by qualified alcohol and drug abuse personnel.(2) All medical staff in facilities providing medically monitored detoxification and all direct service staff in facilities providing clinically managed detoxification must receive documented training before having unsupervised direct contact with service recipients. Training topics must include implementing physician-approved protocols for the signs and symptoms of alcohol and other drug intoxification and withdrawal; monitoring withdrawal; assessing appropriate levels of care; supportive care; preparing service recipients for ongoing treatment; and facilitating entry into ongoing care.(3) Facilities providing clinically managed detoxification must provide annual training to all direct service staff on supervising the self-administration of medications.(4) The facility must employ or retain a physician with training or experience in addiction medicine by written agreement to serve as medical consultant to the program.(5) The facility must have a physician, physician assistant, or nurse practitioner available twenty-four (24) hours a day by telephone for medical evaluation and consultation.(6) The facility providing medically monitored detoxification must make available hourly or more frequent monitoring if needed by a licensed nurse.(7) All on-duty and on-site direct care staff must be certified in cardiopulmonary resuscitation (CPR) and trained in first aid, the abdominal thrust and standard precautions for infection control as defined by the Centers for Disease Control (CDC).(8) The facility must provide annual education about sexually transmitted diseases (STD), human immunodeficiency virus (HIV), and acquired immunodeficiency syndrome (AIDS) to all direct care staff.(9) The facility must provide direct care staff with annual training in techniques to screen for potentially aggressive or violent service recipients and training in techniques to de-escalate anger and aggression in service recipients.(10) The facility must maintain a direct-care awake staff to service recipient ratio on-duty and on-site of at least one (1) to twelve (12).(11) The facility must follow current TB Guidelines for screening and testing employees for TB infection.Tenn. Comp. R. & Regs. 0940-05-44-.04
Original rule filed April 27, 2000; effective July 11, 2000. Amendment filed April 30, 2003; effective July 14, 2003. Amendment filed April 20, 2006; effective July 4, 2006. Amendment filed July 18, 2007; effective October 1, 2007. Per Executive Order 44 (February 23, 2007), rule was transferred from 1200-8-23 on May 15, 2008. Repeal and new rule filed January 7, 2009; effective March 23, 2009.Authority: T.C.A. §§ 4-4-103, 4-5-202; 4-5-204; 33-1-302, 33-1-305, 33-1-309; and 33-2-301; 33-2-302;33-2-404; and Executive Order 44 (February 23, 2007).