Medical protocols shall be approved by a medical director under
contract with a program or written reciprocal agreement with a medical
practitioner under managed care. The protocols shall:
(1) Require a medical history be included in
the assessment;
(2) Designate those
medical symptoms and conditions that, when found, require further
investigation, physical examinations, treatment, or laboratory
testing;
(3) Require that
individuals admitted to the program who are currently injecting or
intravenously using a drug, or have injected or intravenously used a drug
within the past 30 days, or who are at risk of withdrawal from a drug, or who
may be pregnant, shall be referred for a physical examination and appropriate
lab testing within 30 days of entry to the program. This requirement may be
waived by the medical director if these services have been received within the
past 90 days and documentation is provided;
(4) Require pregnant women be referred for
prenatal care within two weeks of entry to the program;
(5) Require that the program provide HIV and
AIDS, TB, sexually transmitted disease, Hepatitis, and other infectious disease
information and risk assessment, including any needed referral, within 30 days
of entry;
(6) Specify the steps for
follow up and coordination with physical health care providers in the event the
individual is found to have an infectious disease or other major medical
problem.
Notes
Or. Admin. Code
§
309-018-0185
MHS 10-2013(Temp), f.
8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 3-2014, f. & cert. ef. 2-3-14;
MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18;
MHS
4-2018, amend filed 02/27/2018, effective
3/1/2018
Statutory/Other Authority: ORS
413.042,
428.205 -
428.270,
430.640 &
443.450
Statutes/Other Implemented: ORS
430.010,
430.205 -
430.210,
430.254 -
430.640,
430.850 -
430.955,
443.400 -
443.460,
443.991,
461.549 &
743A.168
