24 Miss. Code. R. 2-35.5 - Clinical Management
A. Each holding
facility must have written procedures and documentation for clinical management
of people who are involved in or have been involuntarily civilly committed and
awaiting transportation. These procedures shall include, but not be limited to,
the following:
1. Immediately upon arrival of
the person to the holding facility, all mental health screening information
(pursuant to civil commitment procedures) must be made available to the holding
facility personnel.
2. Immediately
upon arrival or within 24 hours, a medical screening should be conducted and
documented by a RN or nurse practitioner that includes, at a minimum, the
following components:
(a) Vital signs (at a
minimum: body temperature, pulse/heart rate, respiratory rate, and blood
pressure);
(b) Accu-Chek monitoring
for people with diabetes;
(c)
Medical/drug history;
(d) Allergy
history; and
(e) Psychiatric
history (refer to Pre-affidavit Screening form).
B. Clinical Management of the person being
held must include:
1. Within 72 hours of
admission, people should be assessed by a physician (preferably a psychiatrist)
or a nurse practitioner.
2.
Twenty-four (24) hour crisis/on-call coverage by a physician or psychiatric
nurse practitioner.
3. Availability
of ordered pharmacologic agents within 24 hours.
4. Timely administration of prescribed
medication, in accordance with the scope of practice of the appropriate
licensure board.
5. Access to
medical services for pre-existing conditions that require ongoing medical
attention (e.g., high blood pressure, diabetes, etc.).
6. Immediate availability of a limited supply
of injectable psychotropic medications, and medications for urgent management
of non-life-threatening medical conditions (e.g., insulin, albuterol inhalers,
and medications used for withdrawal management).
7. Ongoing assessment and monitoring for
people with mental illness or substance use considered by medical or
psychiatric personnel to be at high risk.
8. Training/certification of employees in
prevention/management of aggressive behavior program (refer to Chapter
12).
9. Procedures for maintenance
of people's records, including:
(a)
Documentation of information by professional personnel across
disciplines;
(b) Documentation of
physician's orders; and
(c) Basic
personal data and information that ensures rapid emergency contact, if
needed.
Notes
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