12 Va. Admin. Code § 5-410-450

Current through Register Vol. 41, No. 2, September 9, 2024
Section 12VAC5-410-450 - Psychiatric service
A. The psychiatric service shall be under the supervision of a physician, licensed by the Board of Medicine, who meets the qualifications of the medical staff bylaws.
B. Psychiatric units shall conform to the applicable licensure requirements pursuant to 12VAC35-105.
C. Every hospital that provides inpatient psychiatric services shall establish written policies for denial of admission of medically stable patients in its psychiatric unit. The policies shall include language that:
1. If a medically stable patient is referred to a hospital's psychiatric unit and denied admission, the referring physician may request direct verbal communication with the on-call physician at the referral hospital; and
2. Prohibits on-call physicians or other hospital staff from refusing a request from the referring physician for direct verbal communication.
D. Every hospital that provides inpatient psychiatric services shall establish a protocol that requires for any refusal to admit a patient for whom there is a question regarding the medical stability or medical appropriateness of admission for inpatient psychiatric services due to a situation involving results of a toxicology screening, the on-call physician in the psychiatric unit to which the patient is sought to be transferred to participate in direct verbal communication, either in person or via telephone, with a clinical toxicologist or other person who is a certified specialist in poison information employed by a poison control center that is accredited by the American Association of Poison Control Centers to review the results of the toxicology screen and determine whether a medical reason for refusing admission to the psychiatric unit related to the results of the toxicology screen exists if requested by the referring physician.

12 Va. Admin. Code § 5-410-450

Derived from VR355-33-500 §2.29, eff. July 28, 1993; amended, Virginia Register Volume 11, Issue 8, eff. April 1, 1995; Volume 22, Issue 8, eff. January 25, 2006; Amended, Virginia Register Volume 34, Issue 11, eff. 2/21/2018; Amended, Virginia Register Volume 35, Issue 04, eff. 11/14/2018.

Statutory Authority: §§ 32.1-12 and 32.1-127 of the Code of Virginia.