104 CMR 33.02 - Designation of Physicians and Qualified Advanced Practice Registered Nurses Pursuant to M.G.L. c. 123, Section 12(b)
(1)
Designated Physicians and
Designated Qualified Advanced Practice Registered Nurses (APRN). A
Designated Physician is a physician who satisfies the requirements established
by 104 CMR 33.02(1)(b) for purposes of authorizing admissions pursuant to
M.G.L. c. 123, § 12(b). A Designated Qualified APRN is an advanced
practice registered nurse who satisfies the requirements established by 104 CMR
33.02(1)(c) for purposes of authorizing admissions pursuant to M.G.L. c. 123,
§ 12(b).
(a) A public or private
facility which admits patients under M.G.L. c. 123, § 12 may designate
physicians or Qualified APRNs on its medical staff as Designated Physicians or
Designated Qualified APRNs to authorize admissions to such facility for up to
three days under M.G.L. c. 123, § 12(b).
(b) To be eligible for designation under 104
CMR 33.02, a physician shall demonstrate an understanding of the legal and
clinical requirements for hospitalization under M.G.L. c. 123, § 12(b);
and
1. shall be certified or eligible to be
certified by the American Board of Psychiatry and Neurology, or shall have had
six months accredited residency training in psychiatry, or shall be enrolled in
and working at an accredited psychiatry residency training site;
2. shall be privileged to admit to the
facility; and
3. shall be licensed
to practice medicine under M.G.L. c. 112.
(c) To be eligible for designation under 104
CMR 33.02, a Qualified APRN shall demonstrate an understanding of the legal and
clinical requirements for hospitalization under M.G.L. c. 123, § 12(b);
and
1. shall be licensed under M.G.L. c. 112,
§ 80B and authorized by the Board of Registration in Nursing to practice
as a Psychiatric APRN, including authorization to practice as a Psychiatric
Mental Health Clinical Nurse Specialist; and
2. shall be privileged to admit to the
facility.
(d)
Designations shall be made and renewed at such periods of time as may be
established by the facility for such medical staff designations.
(e) Authorization for admission pursuant to
M.G.L. c. 123, § 12(b) shall be made upon such form as is prescribed by
the Commissioner.
(f) Where
extenuating circumstances exist, the Commissioner may, after consultation with
the Deputy Commissioner for Clinical and Professional Services, from time to
time waive the qualification requirements set forth in 104 CMR 33.02(1)(b)1.
and (c)1. Requests for waiver shall detail the circumstances justifying such
waiver. If the Department grants a waiver, it shall attach such conditions
regarding training, experience, supervision, and consultation that it deems
necessary to safeguard the admission process pursuant to M.G.L. c. 123, §
12(b).
Notes
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