Section 0940-05-47-.04 - PERSONNEL AND STAFFING REQUIREMENTS(1) Direct services must be provided by qualified alcohol and drug abuse personnel.(2) All direct service staff in facilities providing alcohol and drug outpatient treatment detoxification services 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 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 must have medical or nursing personnel to conduct a medical screening of service recipients to evaluate and confirm that detoxification in an outpatient setting is relatively safe for that service recipient.(7) Facilities providing Level II-D services with extended on-site monitoring must have medical or nursing personnel available for daily (seven days per week) monitoring, assessment, and management of symptoms of withdrawal and intoxification.(8) The facility must provide at least two (2) on-duty and on-site staff members 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).(9) 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(10) 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 deescalate anger and aggression in service recipients.(11) The facility must follow current TB Guidelines for screening and testing employees for TB infection.Tenn. Comp. R. & Regs. 0940-05-47-.04
Original 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;33-2-403; and Executive Order Number 44 (February 23, 2007).