26 Tex. Admin. Code § 306.87 - Protection of an Individual Receiving Crisis Stabilization Unit Services
(a) At the time an individual is admitted, a
CSU nursing supervisor or designee must implement the level of monitoring
ordered by the physician, or physician-delegated PA or APRN, based on the
individual's needs and in accordance with this section, 25 TAC §
415.260(relating to Initiation of
Restraint or Seclusion in a Behavioral Emergency), and §415.266 (relating
to Observation, Monitoring, and Care of the Individual in Restraint or
Seclusion Initiated in Response to a Behavioral Emergency).
(b) All CSU staff must contribute to the
protection of individuals by:
(1) modifying
the CSU environment based on the individual's needs, including:
(A) providing furnishings that do not present
safety hazards to the individual;
(B) securing or removing objects that are
hazardous to the individual;
(C)
installing any necessary safety devices; and
(D) making roommate assignments and other
decisions affecting the interaction of the individual with other individuals,
based on individual needs and vulnerabilities;
(2) monitoring the individual in accordance
with the physician's, or physician-delegated PA's or APRN's, order and CSU
written policies and procedures; and
(3) documenting the individual's level of
monitoring ordered by the physician, or physician-delegated PA or APRN, in the
individual's medical record.
(c) A CSU medical director must ensure:
(1) each level of monitoring is defined in
the CSU's policies and procedures, including a description of the
responsibilities of staff members for each level of monitoring identified;
and
(2) implementation of the level
of monitoring ordered by the physician, or physician-delegated PA or APRN,
based on the individual's needs.
(d) In accordance with Texas Health and
Safety Code §
321.002, a CSU
administrator or administrator's designee, must keep children and adolescents
separate from adults.
(e) All CSU
staff must maintain an individual's confidential information in accordance with
the Health Insurance Portability and Accountability Act rules and 1 TAC Chapter
390, Subchapter A (relating to Standards Relating to the Electronic Exchange of
Health Information). CSU staff must:
(1) be
knowledgeable of and obey all current state and federal laws and regulations
relating to confidential information regarding the provision of services;
and
(2) not disclose confidential
information without the express written consent of the individual, and
individual's LAR or adult caregiver, if applicable, except as permitted by the
Health Insurance Portability and Accountability Act or other law.
(f) Qualified CSU staff must
adhere to transportation requirements provided in accordance with 25 TAC §
404.156(relating to Additional
Rights of Persons Receiving Residential Mental Health Services at Department
Facilities) and Texas Health and Safety Code §
574.045 and
§
574.0455 if
the CSU provides transportation.
Notes
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