New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.22 - POLICIES AND PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
The CTC shall establish written policies and procedures that
				  are reviewed annually and approved by the governing body, which govern the
				  CTC's operation. The administrator shall ensure that these policies and
				  procedures are adopted, administered and enforced to provide quality services
				  in a safe environment. At a minimum, the CTC's written policies and procedures
				  shall include how the CTC intends to comply with all requirements of these
				  regulations and address:
A. the
				establishment, composition, and responsibilities of the governing
				body;
B. administration including
				the minimum qualifications of the administrator, the process to hire an
				administrator, and define the administrator's authority, responsibility, and
				accountability including plans for the administrator's absence;
C. quality assurance and improvement
				systems;
D. incident management
				system;
E. the maintenance of the
				CTC, equipment and supplies; inspection and maintenance of emergency equipment;
				maintenance of emergency supplies; maintenance, upkeep and cleaning of the
				building(s) and equipment; fire and emergency evacuation procedures; and proper
				disposal of waste liquids used for cleaning contaminated areas;
F. quality of care and services including
				appropriate and inappropriate admission and discharge criteria; and client risk
				assessment;
G. referral of clients
				for services; transfer of clients to a hospital or other CTC or program;
				ambulance transfer services; and emergency procedures and resuscitative
				techniques;
H. infectious waste and
				biohazard disposal in accordance with all applicable statutes and
				regulations;
I. infection control
				and prevention;
J. staffing plan,
				personnel records, and personnel including written job descriptions for all
				staff with necessary qualifications consistent with these rules; minimum
				staffing; and staff development;
K. maintenance of the client health record
				including protection of client confidentiality and privacy as required by law;
				secure release of medical information and records; and safe handling and
				storage of client records including appropriate document destruction
				procedures;
L. the retention,
				maintenance, security and destruction of client, personnel and CTC
				records;
M. research procedures for
				any research being conducted at the CTC in compliance with these
				regulations;
N. dietary services
				including: meal service; staff inservice training; dietary records; clean and
				sanitary conditions; and food management;
O. housekeeping services to keep the CTC
				safe, clean, and free of hazards and clutter;
P. laundry services for the CTC's laundry and
				resident's laundry including handling, process and storage of clean and dirty
				laundry;
Q. pharmacy practices
				including the storage, administration, and disposal of medications; medication
				management; and documentation;
R.
				laboratory services;
S. client's
				personal belongings including locked storage and contraband;
T. client rights;
U. safety management plan including, but not
				limited to, risk assessment, control of potentially injurious items, crisis
				prevention and intervention, physical restraint, and mitigation of high risk
				behaviors including suicide and assault. The safety plan shall follow a least
				to most restrictive sequence;
V.
				authorized entry to or exit from the CTC including the residential and
				outpatient components;
W.
				withdrawal management services; and
X. primary source verification of licenses,
				credentials, experience and competence of staff.