(1) When a physician determines that emergency medication may be administered under Rule 0940-1-1-.05, the physician shall document:
(a) what less restrictive measures were considered,
(b) the reasons for ordering the medication, documenting the existence of at least one of the three criteria below:
1. an immediate threat of serious physical harm to the resident or to others caused by the violent behavior of the resident,
2. an immediate threat to the resident of deteriorating physical well-being with risk to life or long term health caused by the effects of mental illness, or
3. actual violent behavior by the resident causing substantial property damage, and
(c) the resident's behavior, distinguishing between what the physician personally observed and that observed by the other staff.
(2) The pertinent documentation and authorization shall be recorded on the Emergency Medication Form.
(3) By the end of the next regular working day a copy of the Emergency Medication Form shall be provided to:
(a) the resident's clinical chart,
(b) the Medical Director, and
(c) The Behavior Management Committee.
(4) The resident or a clinical professional may request a review by the BMC. A clinical professional shall immediately request a review by the BMC if the resident requests that it be done.
(5) Within twenty-four hours of receipt of a request for review of emergency medication or, if such period expires on a weekend or a legal holiday, by the end of the next regular working day, the BMC or designating members shall review the case.


Tenn. Comp. R. & Regs. 0940-01-03-.04
(For Administrative History prior to February, 1985, see page 1.001). New rule filed January 9, 1985; effective February 8, 1985.

Authority: T.C.A. ยงยง 33-1-203, and 33-3-104 through 33-3-105.

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