24 Miss. Code. R. 2-50.2 - Staffing and Observation
A. Agency providers
providing Level 2-WM: Ambulatory Withdrawal Management with Extended On-Site
Monitoring is withdrawal management combined with a PHP program in which the
person must first be evaluated by a physician before admission. The physician
creates a set of standing orders based on objective and subjective signs and
symptoms by which a nurse administers medication, if required, to manage
withdrawal symptoms. The person must see the nurse each day prior to the start
of the PHP program until withdrawal is completed. Risks and benefits of this
level of WM:
1. Risks for this level of
withdrawal management are more psychosocial, related ASAM Dimension 4 Readiness
to change, ASAM Dimension 5 Relapse, Continued Use and Continued Problem
Potential, Dimension 6, Recovery Environment.
(a) Benefits for this level of withdrawal
cost-savings over inpatient detox; and
(b) Many people who complete detoxification
do not enter continued treatment for their SUD. They are likely to return to
drinking or using again, require detoxification again, and repeat the cycle;
escalating costs and reduce opportunity for recovery.
B. Agency providers providing
Level 3.2-WM: Clinically Managed Residential Withdrawal Management Services
must provide a level of services designed to assist people in a safe manner
through withdrawal without the need for on-site medical and nursing personnel.
Services must contain the following:
1.
Appropriately credentialed personnel who are trained to provide physician
approved protocols and recognize signs and symptoms of alcohol and drug
intoxication, withdrawal, and appropriate monitoring of those conditions.
Employees must:
(a) Observe and supervise the
person;
(b) Determine the person's
appropriate level of care; and
(c)
Facilitate the person's transition to continuing care.
2. Twenty-four (24) hours a day medical
evaluation and consultation.
3. A
written agreement or contract with a local hospital able to provide Medically
Managed Withdrawal Management Services as defined by the ASAM.
4. The employee supervising self-administered
medications must be appropriately licensed or credentialed by the State of
Mississippi.
C. Agency
providers providing Level 3.7-WM: Medically Monitored Inpatient Withdrawal
Management Services. This level of Withdrawal Management most commonly occurs
in conjunction with Level 3.7 Medically Monitored High Intensive Inpatient
(Residential) Services. This service provides care to people whose withdrawal
signs and symptoms are sufficiently severe to require 24-hour care delivered by
medical professionals and RN coverage. Services must include the following:
1. Services staffed by a physician or
appropriately licensed employee performing the duties as a physician under a
collaborative agreement or other requirements of the Medical Practice
Act.
2. Physician or licensed
designee must be available 24 hours a day by telephone.
3. People must be assessed by a physician or
licensed designee within 24 hours of admission or earlier if medically
necessary.
4. A RN or other
licensed and credentialed nurse is available to conduct a nursing assessment on
admission.
5. Documentation of
hourly observation of the people receiving services during the first 24 hours
of the withdrawal management. Agency providers providing this service must have
a written plan describing the handling of medical emergencies, which includes
the roles of employees and physicians.
6. Must have an interdisciplinary team of
appropriately trained employees available to assess and treat the person's
needs.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.