California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 4 - Department of Alcohol and Drug Programs › Chapter 4 - Narcotic Treatment Programs › Subchapter 5 - Patient Treatment › Article 3 - Treatment Services › Section 10350 - Administration of Initial Doses of Medication to New Patients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The program
					 physician shall administer or supervise the initial dosage of a medication used in
					 replacement narcotic therapy.
(b) The
					 new patient shall be observed to ingest the initial dose and shall continue to be
					 observed for a period of time prescribed by the medical director or program
					 physician.
(c) If the requirement
					 contained in Subsection (b) of this regulation are delegated to a staff member as
					 authorized by Section
					 11215 of
					 the Health and Safety Code to administer or dispense medications, that staff member
					 shall notify the medical director or program physician immediately of any adverse
					 effects, and document in the patient's record the length of time he/she observed the
					 new patient and the outcome of the observation.
(d) The initial dosage shall be sufficient to
					 control symptoms of withdrawal but shall not be so great as to cause sedation,
					 respiratory depression, or other effects of acute intoxication.
(e) Programs shall specify in their protocols
					 details of planned initial doses.
(f) If
					 a program admits a patient who was receiving replacement narcotic therapy from
					 another program the previous day, the initial dosage level requirement provided in
					 Section 10355 and the observation requirement
					 contained in Subsections (b) and (c) of this regulation do not apply.
1. Change
						without regulatory effect renumbering and amending parts of former section
						10218 to
						10350 filed 6-3-91 pursuant to section
						100, title 1, California Code of
						Regulations (Register 91, No. 34).
2. Amendment of section heading,
						section and NOTE filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No.
						11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency
						language will be repealed by operation of law on the following day.
3.
						Amendment of section heading, section and NOTE refiled 7-8-96 as an emergency;
						operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be
						transmitted to OAL by 11-12-96 or emergency language will be repealed by operation
						of law on the following day.
4. Amendment of section heading, section and
						NOTE refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A
						Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency
						language will be repealed by operation of law on the following day.
5.
						Amendment of section heading, section and NOTE refiled 2-11-97 as an emergency;
						operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be
						transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of
						law on the following day.
6. Certificate of Compliance as to 2-11-97
						order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to
						2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of
						section heading, section and NOTE filed 4-15-97 as an emergency; operative 4-15-97
						(Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by
						8-13-97 or emergency language will be repealed by operation of law on the following
						day.
8. Certificate of Compliance as to 4-15-97 order transmitted to OAL
						6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without
						regulatory effect amending NOTE filed 4-19-2006 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 16).
Note: Authority cited: Sections
						  11755,
						  11835,
						  11839.3
						  and
						  11839.20,
						  Health and Safety Code. Reference: Sections
						  11839.2,
						  11839.3,
						  11839.20
						  and
						  11875,
						  Health and Safety Code.