Section 388-877B-0145 - Secure withdrawal management and stabilization facilities-Standards for administration A secure withdrawal management and stabilization facility must develop policies and procedures to implement all of the following administrative requirements:
(1) Policies to ensure that services are provided in a secure environment. "Secure" means having: (a) All doors and windows leading to the outside locked at all times;(b) Visual monitoring, either by line of sight or camera as appropriate to the individual;(c) Adequate space to segregate violent or potentially violent persons from others;(d) The means to contact law enforcement immediately in the event of an elopement from the facility; and(e) Adequate numbers of staff present at all times that are trained in facility security measures.(2) Designation of a professional person as defined in RCW 71.05.020 in charge of clinical services at that facility.(3) Policies to ensure compliance with WAC 246-337-110 regarding seclusion and restraint.(4) A policy management structure that establishes:(a) Procedures for admitting individuals needing secure withdrawal management and stabilization services seven days a week, twenty-four hours a day;(b) Procedures to ensure that once an individual has been admitted, if a medical condition develops that is beyond the facility's ability to safely manage, the individual will be transported to the nearest hospital for emergency medical treatment;(c) Procedures to assure access to necessary medical treatment, including emergency life-sustaining treatment and medication;(d) Procedures to assure the protection of individual and family rights as described in this chapter and chapters 71.05 and 71.34 RCW;(e) Procedures to inventory and safeguard the personal property of the individual being detained, including a process to limit inspection of the inventory list by responsible relatives or other persons designated by the detained individual;(f) Procedures to assure that a chemical dependency professional and licensed physician are available for consultation and communication with both the individual and the direct patient care staff twenty-four hours a day, seven days a week;(g) Procedures to warn an identified person and law enforcement when an adult has made a threat against an identified victim as explained in RCW 70.02.050 and in compliance with 42 C.F.R. Part 2; and(h) Procedures to ensure that individuals detained for up to fourteen or ninety additional days of treatment are evaluated by the professional staff of the facility in order to be prepared to testify that the individual's condition is caused by a substance use disorder and either results in likelihood of serious harm or the individual being gravely disabled.Wash. Admin. Code § 388-877B-0145
Adopted by WSR 18-01-103, Filed 12/19/2017, effective 1/19/2018