N.D. Admin Code 75-09.1-08-05 - Referral to acute care criteria

A social detoxification program shall refer a client to an acute care facility or consult with a physician upon an increase in score to greater than a seven CIWA-Ar score scale or when a client has any one or more of the following symptoms:

1. Seizures or a history of seizures;

2. Current persistent vomiting or vomiting of blood;

3. Current ingestion of vomit into lungs;

4. Clouded sensorium such as gross disorientation or hallucination;

5. A temperature higher than one hundred and one degrees Fahrenheit [38.1 degrees Celsius] taken orally;

6. Abnormal respiration such as shortness of breath or a respiration rate greater than twenty-six breaths per minute;

7. Elevated pulse such as a heart rate greater than one hundred twenty beats per minute or arrhythmia;

8. Hypertension such as blood pressure greater than one hundred sixty over one hundred twenty;

9. Sudden chest pain or other sign of coronary distress or severe abdominal pain;

10. Recent head injury or any trauma other than minor;

11. Unconscious and not arousable; or

12. Other signs of significant illness such as jaundice, unstable diabetes, acute liver disease, severe allergic reaction, progressively severe Antabuse reaction, poisoning, progressively worsening tremors, chills, severe agitation, exposure, internal bleeding, shock, uncontrollable violence, suicidal or homicidal ideations.

Notes

N.D. Admin Code 75-09.1-08-05

Effective October 26, 2004.

General Authority: NDCC 50-06-16, 50-31

Law Implemented: NDCC 50-31