Section 0940-05-46-.04 - PERSONNEL AND STAFFING REQUIREMENTS(1) Direct treatment and/or rehabilitation services must be provided by qualified alcohol and drug abuse personnel.(2) A physician or a nurse with training and/or experience in child and adolescent development and addiction must be employed or retained by written agreement to serve as medical consultant to the program.(3) If the consulting physician is not a psychiatrist, then the facility must arrange for the regular, consultative, and emergency services of a licensed psychiatrist.(4) Specialized training will be provided to staff on symptoms of addiction, sexuality, reproductive health, and sexually transmitted diseases.(5) At least two (2) staff members must be on-duty at all times who are certified in cardiopulmonary resuscitation (CPR) and trained in first aid, the abdominal thrust technique, and standard precautions for infection control as specified by the Centers for Disease Control (CDC).(6) The facility must provide annual training to all direct care staff on how to manage medical and psychiatric crises.(7) The facility must provide annual training to all direct care staff on issues pertinent to childhood and adolescence such as treatment approaches specific to adolescents and families, family dynamics and family therapy, adolescent growth and development, sexual and physical abuse, gender issues, mental health problems, different cultural and ethical values, psychopharmacology, referral and community resources, cognitive impairments and legal matters.(8) The facility must provide at least three (3) hours of training annually on ethics related to children and adolescents.(9) The facility must have a written weekly schedule of all program services and service recipient activities for each day specifying the type of service/activities and scheduled times.(10) During normal waking hours the program must provide at least one (1) staff person on-duty and on-site for each ten (10) service recipients present. Staff persons counted in the staff-to-service recipient ratio may only be persons who are assigned to provide direct program services as described by written job description. During normal sleeping hours the program must provide two (2) awake direct care staff on-site in each building, or physically separated unit of a building, in which service recipients are housed. Support staff, such as clerical, housekeeping, van and bus driver staff, or students involved in an on-site practicum for academic credit may not be counted in the staff-to-service recipient ratio.(11) Service recipients must be adequately supervised at all times based on environment, circumstance, the service recipient's treatment plan or other specific needs or risks.(12) The facility must provide STD/HIV education to all direct care staff.(13) All new employees, including volunteers, who have routine contact with service recipients, must have a current tuberculosis test prior to direct patient contact.(14) The facility must follow current TB Guidelines for screening and testing employees for TB infection;(15) Employee records must include date and results of TB screening and, if applicable, tuberculin skin test or equivalent used, date and results of tuberculin skin test, date and results of chest x-ray, and any drug treatment for tuberculosis; and(16) The facility must provide annual training to personnel responsible for counseling, screening, and providing case management service to service recipients to prevent the transmission of TB.Tenn. Comp. R. & Regs. 0940-05-46-.04
Original rule filed July 31, 2008; effective October 14, 2008.Authority: T.C.A. §§ 4-4-103, 4-5-202, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, 33-2-403, 33-2-404, and Executive Order Number 44 (February 23, 2007).