Section 0940-05-45-.03 - POLICIES AND PROCEDURES(1) The facility must maintain a written policy and procedure manual which includes the following:(a) A description of the intake, assessment and treatment process;(b) A description of its aftercare service;(c) Exclusion and inclusion criteria for service recipients seeking facility services;(d) Requirements that each employee or volunteer comply with procedures for detection, prevention, and reporting of communicable diseases according to procedures of the Tennessee Department of Health;(e) A policy ensuring that employees and volunteers practice infection control procedures and standard precautions that will protect the service recipient from infectious diseases;(f) A quality assurance procedure which assesses the quality of care at the facility. This procedure must ensure appropriate treatment has been delivered according to clinical practice;(g) Drug testing procedures if used by the facility;(h) 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 of Mental Health and Developmental Disabilities Division of Alcohol and Drug Abuse, 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 by TB for appropriate medical evaluation and treatment; and 4. Conducting case management activities to ensure that service recipients receive such services.(i) Appropriate protocols which guide delivery of treatment and support across a continuum of residential services and reflect the varying severity of illnesses treated and the intensity of services required;(j) Policy and procedures which address the methods for managing disruptive behavior. If restrictive procedures are used to manage disruptive behaviors, these policies and procedures must comply with Chapter 0940-3-9U se of Isolation, Mechanical Restraint, and Physical Holding Restraint in Mental Health Residential Treatment Facilities.Tenn. Comp. R. & Regs. 0940-05-45-.03
Original rule filed April 27, 2000; effective July 11, 2000. Amendment filed March 1, 2007; effective May 15, 2007. On May 15, 2008, rule was transferred from 1200-8-17 per Executive Order 44 (February 23, 2007). Repeal and new rule filed August 27, 2008; effective November 10, 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, 33-2-404, and Executive Order 44 (February 23, 2007).