reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.800 - ADMISSION (I) › Section 61-93.800.802 - Residential Facilities

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Residential Facilities shall not admit any person who, because of acute mental
				illness or intoxication, presents an immediate threat of harm to him or herself
				and/or others
B. Parental consent
				shall be obtained for all persons under eighteen (18) years of age prior to
				admission to a Residential Facility. If any court of competent jurisdiction
				declares a person under eighteen (18) years of age an emancipated Minor, such
				person may be admitted to the Facility without parental consent.
C. Residential Treatment Programs shall not
				admit any person needing Withdrawal Management services, hospitalization, or
				nursing home care.
D. Withdrawal
				Management Programs.
1. Appropriate admission
				to a Facility providing Withdrawal Management shall be determined by a licensed
				or certified Counselor and subsequently shall be authorized by a Physician or
				other Authorized Healthcare Provider in accordance with Section 1100.
2. Withdrawal Management Programs shall not
				admit any person needing hospitalization, Residential Treatment Program, or
				nursing home care.
3. Parental
				consent shall be obtained for all persons under eighteen (18) years of age
				prior to admission to a Residential Treatment Program. If any court of
				competent jurisdiction declares a person under eighteen (18) years of age an
				emancipated Minor, then such person may be admitted to the program without
				parental consent.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.800 - ADMISSION (I) › Section 61-93.800.803 - Opioid Treatment Programs

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Persons shall not be admitted to the Opioid Treatment Program to receive
				opioids for pain management only. Appropriate referrals by the Opioid Treatment
				Program Physician shall be made as necessary, e.g., pain management
				specialist.
B. No person under
				eighteen (18) years of age shall be admitted to an Opioid Treatment Program
				unless a parent, legal guardian, or responsible adult consents in writing to
				such treatment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.901 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall provide Patient care and services , including routine and emergency
				medical care , as identified in the Patient record and as ordered by a
				Physician or other Authorized Health Care Provider. Care and services shall be
				provided and coordinated among those responsible during the treatment process
				and modified as warranted based on any changing needs of the Patient, and
				detailed in the Individual Plan of Care. (I)
B. Care, treatment, and services shall be
				rendered effectively and safely in accordance with orders from Physicians,
				other Authorized Healthcare Providers, and certified and/or licensed
				Counselors, and precautions taken for Patients with special conditions, e.g.,
				pacemakers, wheelchairs, etc. (I)
C. The Facility shall document that Patients
				were offered the opportunity to participate in Aftercare and/or Continuing Care
				programs offered by the Facility or through referral. (II)
D. In the event of closure of a Facility for
				any reason, the Facility shall ensure continuity of treatment and/or care by
				promptly notifying the Patient's attending Physician or other Authorized
				Healthcare Provider or Counselor and arranging for referral to other Facilities
				at the direction of the Physician or other Authorized Healthcare Provider or
				Counselor. The facility shall document the notification and referral in the
				Patient's medical record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.902 - Residential Facilities. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Patients shall receive assistance in activities of daily living as documented
				in the Individual Plan of Care.
B.
				Patients shall be provided necessary items and assistance to maintain their
				personal hygiene.
C. Opportunities
				shall be provided for participation in religious services. Assistance in
				obtaining pastoral counseling shall be provided upon request by the
				Patient.
D. Precautions shall be
				taken for the protection of the personal possessions of the Patients, including
				their personal funds. The Facility may secure the personal funds of the Patient
				provided the Patient authorizes the Facility to do so. The Facility shall
				maintain an accurate accounting of the funds, including evidence of purchases
				by Facility on behalf of the Patients. No personal monies shall be given to
				anyone, including family members, without written consent of the Patient. If
				money is given to anyone by the Facility, a receipt shall be
				obtained.
E. Residential Treatment
				Programs shall document in the Patient's medical record that the Facility has
				provided or made available the following:
1.
				Specialized professional consultation, supervision, and direct affiliation with
				other levels of treatment;
2.
				Arrangements for appropriate laboratory and toxicology tests as
				needed;
3. Counselors to assess and
				treat Patients for Substance Use Disorders and obtain and interpret information
				regarding the needs of the Patients;
4. Counselors to provide a planned regimen of
				twenty-four (24) hour professionally-directed evaluation, care, and treatment
				services for persons with Substance Use Disorders and their families to include
				individual, group, and/or family counseling directed toward specific Patient
				goals indicated in his or her Individual Plan of Care;
5. Educational guidance and educational
				program referral when indicated; and
6. Vocational counseling for any Patient when
				indicated. For those not employed, Staff and/or Volunteers shall facilitate the
				Patient's pursuit of employment search;
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.903 - Facilities Providing an Opioid Treatment Program

Current through Register Vol. 48, No. 6, June 28, 2024
A. Services (II).
1. Services shall be directed toward reducing
				or eliminating the use of illicit Controlled Substances, criminal activity, or
				the spread of infectious disease while improving the quality of life and
				functioning of the Patient. Opioid Treatment Programs shall follow
				rehabilitation stages in sufficient duration to meet the needs of the Patient.
				These stages include initial treatment, early stabilization, long-term
				treatment, medical maintenance, and immediate emergency treatment when
				needed.
2. The Opioid Treatment
				Program shall directly provide, contract, or make referrals, for services based
				upon the needs of the Patient.
3.
				As part of Substance Use Disorder rehabilitative services provided by the
				Opioid Treatment Program, each Patient shall be provided with individual,
				group, and family counseling as based on needs identified during the
				assessment. The frequency and duration of counseling provided to Patients shall
				be determined by the needs of the Patient and be consistent with the Individual
				Plan of Care. Counseling shall address, as a minimum:
a. Treatment and recovery objectives included
				in the Individual Plan of Care, as well as education regarding HIV, Hepatitis,
				and other infectious diseases. HIV testing shall be made available as
				appropriate, while maintaining Patient confidentiality;
b. Concurrent substance misuse;
c. Involvement of family and significant
				others with the informed consent of the Patient;
d. Providing treatment groups; and
e. Guidance in seeking alternative therapies,
				if applicable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.904 - Substance Use Testing for Opioid Treatment Programs (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Substance use testing shall be used as a
				clinical tool for the purposes of diagnosis and in the development of
				Individual Plans of Care.
B.
				Substance use testing for the presence of Opioid Treatment Program Medication,
				benzodiazepines, cocaine, opiates, marijuana, amphetamines, and barbiturates,
				as well as other substances, when clinically indicated by the Opioid Treatment
				Program Physician, shall be conducted at a frequency as determined by the
				Opioid Treatment Program.
C.
				Results of substance use testing shall be addressed by the primary Counselor
				with the Patient, in order to intervene in Controlled Substance use
				behavior.
D. The Opioid Treatment
				Program shall establish and implement written testing procedures, including
				random collection of substance testing samples, to effectively minimize the
				possibility of falsification of the sample, to include security measures for
				prevention of tampering.
E.
				Patients granted take home dosages shall undergo random substance use testing
				on a monthly basis. For Patients whose substance use testing reports indicate
				positive results for any illicit substances, non prescription Medications, or a
				negative result of Opioid Treatment Program Medication, the frequency for
				substance use testing shall be determined by the Opioid Treatment Program
				Physician or other Authorized Healthcare Provider. Documentation of the
				rationale for the frequency shall be documented in the Patient's medical
				record.
F. Only those laboratories
				certified in accordance with the federal Clinical Laboratories Improvement
				Amendments shall be utilized by the Opioid Treatment Program for
				urinalysis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.905 - Orientation for Patients Admitted to an Opioid Treatment Program

Current through Register Vol. 48, No. 6, June 28, 2024
Patient orientation shall be accomplished within seven (7)
				  calendar days of admission and documented in the Patient record. The
				  orientation shall include:
A. Opioid
				Treatment Program guidelines, rules, and regulations;
B. Confidentiality;
C. Substance use testing procedure;
D. Administering Opioid Treatment Program
				Medication;
E. Signs and symptoms
				of an overdose and when to seek emergency assistance;
F. Discharge procedures;
G. Treatment phases;
H. HIV/AIDS information and education;
I. Patient rights (See Section
				1000);
J. The nature of Substance
				Use Disorders and recovery including misunderstandings regarding methadone or
				other opioid treatment Medication; and
K. For pregnant Patients, risk to the unborn
				child.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.906 - Transportation

Current through Register Vol. 48, No. 6, June 28, 2024
Residential Facilities shall provide or assist in securing
				  local transportation for Patients for emergent or non-emergent health reasons
				  to health care providers such as, but not limited to, Physicians, dentists,
				  physical therapists, or for treatment at renal dialysis
				  clinics.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.907 - Safety Precautions and Restraints (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Periodic or continuous mechanical,
				physical, or chemical restraints during routine care of a Patient shall not be
				used, nor shall Patients be restrained for Staff convenience or as a substitute
				for care or services. However, in cases of extreme emergencies when a Patient
				is a danger to him or herself or others, mechanical and/or physical restraints
				may be used as ordered by a Physician or other Authorized Healthcare Provider,
				and until appropriate medical care can be secured. Only those devices
				specifically designed as restraints may be used.
B. Emergency restraint orders shall specify
				the reason for the use of the restraint, the type of restraint to be used, the
				maximum time the restraint may be used, and instructions for observing the
				Patient while restrained, if different from the Facility's written procedures.
				Patients certified by a Physician or other Authorized Healthcare Provider as
				requiring restraint for more than twenty-four (24) hours shall be transferred
				to an appropriate Facility.
C.
				During emergency restraint, Patients shall be monitored at least every fifteen
				(15) minutes and provided with an opportunity for motion and exercise at least
				every thirty (30) minutes. Prescribed Medications and treatments shall be
				administered as ordered, and Patients shall be offered nourishment and fluids
				and given bathroom privileges.
D.
				The use of mechanical restraints shall be documented in the Patient's record,
				and shall include the date and time implemented, the length of time restrained,
				observations while Patient is restrained.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.908 - Services for Minors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. In
				Residential Facilities, Minors shall be housed separately from adults except in
				Facilities providing services for Parents with children.
B. In those instances where Minors are
				served, the Facility shall ensure that the special needs of these Patients are
				addressed, including, but not limited to, education-related
				considerations.
C. The Facility
				shall ensure treatment and counseling are conducted to meet the physical,
				mental, and emotional developmental needs of the Minor.
D. The Facility shall refer Minors who
				require special medical needs to a Physician who has clinical experience with
				Minors and dependency. The Facility shall monitor Minors for treatment
				reactions that may be developmentally detrimental. A plan shall be in place in
				the event that special medical care is required.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.900 - PATIENT CARE, TREATMENT, AND SERVICES › Section 61-93.900.909 - Referral Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Referrals
				for care and/or services shall not be made to unlicensed Facilities if such
				Facilities are required to be licensed. (II)
B. The Facility shall provide information
				regarding appropriate self-help groups to Patients and encourage their
				participation in such activities, and document the information was provided in
				the Patient's record.
C. The
				facility shall maintain documentation of the rationale for the denial of
				admission and referral for services offered to the Patient as
				applicable.
D. A community resource
				file shall be developed, maintained, and used for proper Patient referral and
				placement. The file shall include a listing of services, fees, hours of
				operation, and contact person as well as material to be provided to the
				Patient. The Facility shall provide the Patient with information and offer
				referral for community resources such as transportation, hospital emergency
				services, and ambulance services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1000 - PATIENT RIGHTS AND ASSURANCES › Section 61-93.1000.1001 - Informed Consent (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Upon
				admission, there shall be a written, signed, and dated informed consent between
				the Patient and the Facility. The informed consent shall include at least the
				following:
1. An explanation of the specific
				care, services, and/or equipment provided by the Facility, such as,
				administration of Medication, provision of special diet as necessary,
				assistance with bathing, toileting, feeding, dressing, and mobility;
2. Discharge and transfer provisions to
				include the conditions under which the Patient may be Discharged, and the
				agreement terminated, and the disposition of personal belongings; and
3. Documentation of the explanation of the
				Patient's rights (see Section 1002) and the grievance procedure.
4. Each person enrolling in an Opioid
				Treatment Program shall be notified of the autopsy provision in South Carolina
				Code Section 44 53 750 as a part of such person's informed consent.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1000 - PATIENT RIGHTS AND ASSURANCES › Section 61-93.1000.1002 - Patient Rights (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Patient
				rights shall be guaranteed and prominently displayed in a public area.
				Documentation of the explanation of the Patient's Bill of Rights shall be
				maintained in the Patient's medical record. The Patient rights shall include:
1. The opportunity to participate in the
				Individual Plan of Care;
2.
				Informed consent for treatment;
3.
				Grievance and/or complaint procedures, including the address and phone number
				of the Department, and a provision prohibiting retaliation should the grievance
				right be exercised;
4.
				Confidentiality of Patient records;
5. Respect for the Patient's property
				(Residential Facilities Only);
6.
				Freedom from Abuse, Neglect, and Exploitation; (I)
7. Privacy in visits unless contraindicated
				in the recovery and treatment process or as ordered by a Physician or other
				Authorized Healthcare Provider;
8.
				Privacy during treatment and while receiving personal care; and
9. Respect and dignity in receiving care,
				treatment, and services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1000 - PATIENT RIGHTS AND ASSURANCES › Section 61-93.1000.1003 - Discharge and Transfer

Current through Register Vol. 48, No. 6, June 28, 2024
A. Unless
				a Patient is under court order or detained subject to a pending judicial
				process, a Patient may be transferred or Discharged only for medical reasons,
				the welfare of the Patient, the welfare of other Patients of the Facility, lack
				of progress or participation in treatment, or successful completion of the
				program. He or she shall be given written notice of Discharge except when the
				health, safety, or well-being of other Patients of the Facility would be
				endangered.
B. When a Patient is
				transferred from one Facility to another, a transfer summary, to include copies
				of relevant documents, shall be forwarded to the receiving Facility within a
				time-period as determined by the Facility but not to exceed seventy-two (72)
				hours from transfer. The Facility shall ensure that Medication, personal
				possessions and funds of the Patient are forwarded to the receiving Facility
				and/or site in a manner that ensures continuity of care and/or treatment and/or
				services and maximum convenience to the Patient.
C. A Patient transferring from another Opioid
				Treatment Program shall have a Physical Examination upon admission and have his
				or her dose determined by a Physician prior to receiving the first
				dosage.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1100 - PATIENT PHYSICAL EXAMINATION

Current through Register Vol. 48, No. 6, June 28, 2024
A. Residential
			 Facilities. A Physical Examination shall be completed by a Physician or other
			 Authorized Healthcare Provider for Patients within thirty (30) calendar days
			 prior to admission or two (2) business days of admission for Patients .
			 Physical Examinations conducted by Physicians or other Authorized Healthcare
			 Providers licensed in other states are permitted for new admissions under the
			 condition that the Patient undergoes a second Physical Examination by a South
			 Carolina licensed Physician or other Authorized Healthcare Provider within
			 thirty (30) calendar days of admission to the Facility. The Physical
			 Examination shall address:
1. The
			 appropriateness of level of services;
2. Identification of special conditions
			 and/or care required;
3. A
			 tuberculin skin test, as described in Section 1702, unless there is a
			 previously documented positive reaction;
4. If a Patient or potential Patient has a
			 communicable disease, the Facility shall follow the recommendations made by a
			 Physician or other Authorized Healthcare Provider in order to:
a. Ensure that the Facility has the
			 capability of providing adequate care and preventing the spread of that
			 condition, and that Staff and Volunteers are adequately trained; or
b. Transfer the Patient to an appropriate
			 Facility, if necessary; and
5. A substance use test. Following the test,
			 the Physician or Authroized Healthcare Provider shall determine the frequency
			 of subsequent testing based on the Patient's clinical presentation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1201 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including Controlled Substances, medical supplies, and those items necessary
				for the rendering of first aid shall be properly managed in accordance with
				local, state, and federal law and regulations, which includes the securing,
				storing, and administering, dispensing, and delivering of medications, medical
				supplies, and biologicals, their disposal when discontinued or outdated, and
				their disposition at Discharge, death, or transfer of a Patient. All Facilities
				that manage Medication of Patients shall comply with this section.
B. Applicable reference materials published
				within the previous three (3) years shall be available at the Facility in order
				to provide Staff and/or Volunteers with adequate information concerning
				Medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1202 - Medication Orders (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medication, including oxygen, shall be administered and delivered to Patients
				only upon orders of a Physician or other Authorized Healthcare Provider.
				Medications accompanying Patients at admission may be administered and/or
				delivered to Patients, provided the Medication is in the original container and
				the order/authorization is subsequently obtained as a part of the admission
				Physical Examination. If there are concerns regarding whether or not such
				Medications should be administered and/or delivered due to the condition or
				state of the Medication, e.g., old, expired, makeshift labels, or the condition
				or state of health of the newly-admitted individual, Staff and Volunteers shall
				consult with or make arrangements to have the Patient examined by a Physician
				or other Authorized Healthcare Provider, or at the local hospital emergency
				room prior to administering or delivering any Medications.
B. All orders (including verbal orders) shall
				be signed and dated by a Physician or other Authorized Healthcare Provider
				within a time-period as designated by the Facility, but no later than
				seventy-two (72) hours after the order is given.
C. In an Opioid Treatment Program, all orders
				shall be documented, signed, and dated by the Opioid Treatment Program
				Physician. The Opioid Treatment Program Physician shall determine the initial
				and subsequent dosage and schedule, and prescribe such dose and schedule to
				include changes by verbal or written order to the pharmacist and Licensed
				Nurse. However, the verbal order shall be documented, signed, and dated by the
				Opioid Treatment Program Physician within seventy-two (72) hours.
D. Orders for Controlled Substances shall be
				authenticated by the prescribing Physician or designee.
E. Medications and medical supplies ordered
				for a specific Patient shall not be administered and/or delivered to any other
				Patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1204 - Pharmacy Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				pharmacy within the Facility shall be provided by or under the direction of a
				licensed pharmacist in accordance with accepted professional principles and
				appropriate federal, state, and local laws and regulations.
B. Facilities that maintain stocks of
				Medications and biologicals for Patient use within the Facility shall obtain
				and maintain from the South Carolina Board of Pharmacy a valid, current,
				non-dispensing drug outlet permit that is displayed in a conspicuous location
				in the Facility.
C. Labeling of
				Medications dispensed to Patients shall be in compliance with local, state, and
				federal laws and regulations applicable to retail pharmacies.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1205 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications for Patients shall be obtained from a permitted pharmacy or
				Authorized Healthcare Provider as allowed by law on an individual prescription
				basis. These Medications shall bear a label affixed to the container that
				reflects at least the following: name of pharmacy, name of Patient, name of the
				prescribing Physician or other Authorized Healthcare Provider, date and
				prescription number, directions for use, and the name and dosage unit of the
				Medication. The label shall be brought into accord with the directions of the
				Physician or other Authorized Healthcare Provider each time the prescription is
				refilled. Medication containers having soiled, damaged, incomplete, illegible,
				or makeshift labels shall be returned to the pharmacy for re-labeling or
				disposal.
B. Medications for each
				Patient shall be kept in the original container(s) including unit dose systems;
				there shall be no transferring between containers or opening blister packs to
				remove Medications for destruction or adding new Medications for
				administration, except under the direction of a pharmacist. In addition, for
				those Facilities that utilize the unit dose system or multi-dose system, an
				on-site review of the Medication program by a pharmacist shall be conducted on
				at least a quarterly basis to ensure the program has been properly implemented
				and maintained. For changes in dosage, the new packaging shall be available in
				the Facility no later than the next administration time subsequent to the
				order. This shall be documented and signed by the pharmacist.
C. Medications for Patients shall be obtained
				from a permitted pharmacy or prescriber on an individual prescription basis.
				These Medications shall bear a label affixed to the container that reflects at
				least the following: name of pharmacy, name of Patient, name of the prescribing
				Physician or dentist, date and prescription number, directions for use, and the
				name and dosage unit of the Medication.
D. When a Physician or other legally
				Authorized Healthcare Provider changes the dosage of a Medication, such
				information shall be documented in the Medication administration record and a
				label that does not obscure the original label shall be attached to the
				container that states, "Directions changed; refer to MAR and Physician or other
				Authorized Healthcare Provider orders for current administration
				instructions."
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1206 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications may be stored in a separate locked box within a refrigerator at or
				near the Medication storage area, either behind a locked door or the
				refrigerator shall be locked.
B.
				Controlled Substances and ethyl alcohol shall be stored in accordance with
				applicable state and federal laws. A record of the stock and distribution of
				all Controlled Substances shall be maintained in such a manner that the
				disposition of any particular item may be readily traced.
C. Medications shall be stored:
1. Separately from poisonous Controlled
				Substances or body fluids;
2. In a
				manner which provides for separation between topical and oral Medications, and
				which provides for separation of each individual Patient's
				Medication.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1207 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The Facility shall release Medications to the Patient upon Discharge, unless
				specifically prohibited by the ordering Physician or Authorized Healthcare
				Provider.
B. Patient's Medications
				shall be destroyed by the Facility Administrator or his or her designee or
				returned to dispensing pharmacy when:
1.
				Medication has deteriorated or exceeded its safe shelf-life; and
2. Unused portions remain due to death,
				Discharge, or discontinuance of the Medications. Medications that have been
				discontinued by order may be stored for a period not to exceed thirty (30)
				calendar days provided they are stored separately from current
				Medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1208 - Opioid Treatment Program Take-home Medication (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Opioid Treatment Program Medication,
				including guest and take-home doses, shall be administered to Patients in
				single doses. Take-home bottles shall be labeled in accordance with federal and
				state law and regulations and shall contain necessary cautionary statements;
				caps shall be childproof.
B.
				Take-home Opioid Treatment Program Medication may be given to Patients who
				demonstrate a need for a more flexible schedule in order to enhance and
				continue the rehabilitative process. However, since Opioid Treatment Program
				Medication is an opioid subject to misuse if not managed properly, precautions
				shall be taken to prevent its potential misuse. The Opioid Treatment Program
				Physician shall ensure that take-home Medication is given to those Patients who
				meet the following criteria for eligibility:
1. Adherence to Opioid Treatment Program
				rules, regulations, and policies;
2. Length of time in the Opioid Treatment
				Program and level of maintenance treatment;
3. Presence of Opioid Treatment Program
				Medication in substance use testing;
4. Potential complications from concurrent
				health problems;
5. Lengthy travel
				distance to the Facility; and
6.
				Progress in maintaining a stable lifestyle as evidenced by:
a. Absence of misuse of opioids and
				non-opioids;
b. Absence of alcohol
				misuse, or determination that the using alcohol and is in treatment for the
				alcohol misuse problem;
c.
				Regularity of attendance at the Opioid Treatment Program, to include required
				counseling sessions;
d. Absence of
				serious behavior problems, including loitering at the Opioid Treatment
				Program;
e. Absence of known recent
				criminal activity;
f. Employment,
				school attendance, or other appropriate activity; and
g. Assurance that take-home Medication can be
				securely transported and stored by the Patient for his or her use
				only.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1209 - Opioid Treatment Program Guest-Dosing (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. When a Patient is separated from his or
				her Opioid Treatment Program for an extended period, and the Patient is in the
				vicinity of another Licensed Opioid Treatment Program, guest-dosing may occur
				provided there is: (I)
1. Authorization in
				writing from the sending Opioid Treatment Program Physician or other Authorized
				Healthcare Provider; and
2.
				Information from the sending Opioid Treatment Program to include at least the
				following: Patient name, identifying information, means of identity
				verification, dates of guest-dosing, amount of each day's dose, number of
				take-home doses (if any), urinalysis history, and any other information
				requested by the authorizing treatment Opioid Treatment
				Program.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1210 - Security of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The areas where Opioid Treatment Program stock Medications are maintained or
				administered shall be secured. Access to Controlled Substances, which include
				Opioid Treatment Program Medications, shall be limited to persons licensed or
				registered to order, administer, or dispense those Medications.
B. Immediately after administering, the
				remaining contents of the containers shall be purged to prevent the
				accumulation of residual Opioid Treatment Program Medications. The Opioid
				Treatment Program shall ensure that take-home Medications bottles are returned
				to the Opioid Treatment Program. All used containers, as well as take-home
				bottles given to Patients, shall be made inaccessible to unauthorized
				individuals. Used containers shall be disposed of by the Opioid Treatment
				Program.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1300 - MEAL SERVICE › Section 61-93.1300.1301 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				Facilities that prepare food on-site shall be approved by the Department, and
				shall be regulated, inspected, and graded pursuant to R.61-25, Retail Food
				Establishments. Facilities preparing food on-site, licensed for sixteen (16)
				beds or more subsequent to the promulgation of this regulation shall have
				commercial kitchens. Existing Facilities with sixteen (16) licensed beds or
				more may continue to operate with equipment currently in use; however, only
				commercial kitchen equipment shall be used when replacements are necessary.
				Those Facilities with fifteen (15) beds or less shall be regulated pursuant to
				R.61-25 with certain exceptions in regard to equipment (may utilize domestic
				kitchen equipment).
B. When meals
				are catered to a Facility, such meals shall be obtained from a food service
				establishment permitted by the Department, pursuant to R.61-25 and there shall
				be a written executed contract with the food service establishment on file in
				the Facility.
C. All food to be
				served to Patients shall be transported, received, stored, and handled in
				accordance with R.61-25. Washing and sanitation of all food contact and
				non-food contact surfaces, equipment, and utensils shall meet the standards
				required by R.61-25. A handwash lavatory shall be provided in the food service
				area equipped with liquid soap and a hand drying provision. Hand sanitizers
				shall not be used in lieu of liquid soap.
D. If food is prepared at a central kitchen
				and delivered to separate Facilities or separate buildings and/or floors of the
				same Facility, provisions shall be made and approved by the Department for
				proper maintenance of food temperatures and a sanitary mode of
				transportation.
E. Food shall be
				prepared by methods that conserve the nutritive value, flavor, and appearance.
				The food shall be palatable, properly prepared, and sufficient in quantity and
				quality to meet the daily nutritional needs of the Patients in accordance with
				written dietary policies and procedures. Efforts shall be made to accommodate
				the religious, cultural, and ethnic preferences of each individual Patient and
				consider variations of eating habits, unless the orders of a Physician or other
				Authorized Healthcare Provider contraindicate.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1300 - MEAL SERVICE › Section 61-93.1300.1302 - Food and Food Storage (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Residential Facilities shall maintain at least a one (1)-week
				  supply of staple foods and a two (2)-day supply of perishable foods on the
				  premises. Supplies shall be appropriate to meet the requirements of the menu
				  and special diets.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1300 - MEAL SERVICE › Section 61-93.1300.1303 - Meals and Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Residential
				Facilities shall serve a minimum of three (3) nutritionally-adequate meals in
				each twenty-four (24)-hour period unless otherwise directed by the Patient's
				Physician or other Authorized Healthcare Provider. Not more than fourteen (14)
				hours shall elapse between the serving of the evening meal and breakfast the
				following day. (II)
B. Specific
				times for serving meals shall be established, documented on a posted menu, and
				followed.
C. Suitable food and
				snacks shall be available and offered between meals at no additional cost to
				the Patients. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1300 - MEAL SERVICE › Section 61-93.1300.1304 - Meal Service Personnel for Residential Facilities (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The health,
				disease control, and cleanliness of all those engaged in food preparation and
				serving shall be in accordance with R.61-25.
B. Dietary services shall be organized with
				established lines of accountability and clearly defined job assignments for
				those engaged in food preparation and serving. There shall be trained Staff
				and/or Volunteers to supervise the preparation and serving of the proper diet
				to the Patients . Patients may engage in food preparation in accordance with
				Facility guidelines; however, trained Staff and/or Volunteers shall
				supervise.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1300 - MEAL SERVICE › Section 61-93.1300.1305 - Menus

Current through Register Vol. 48, No. 6, June 28, 2024
A. Menus shall be
				planned and written at a minimum of one (1) week in advance and dated as
				served. The current week's menu, including routine and special diets and any
				substitutions or changes made, shall be readily available or posted in one (1)
				or more conspicuous places in a public area. All substitutions made on the
				master menu shall be recorded in writing.
B. If the Facility accepts Patients in need
				of medically-prescribed special diets, the menus for such diets shall be
				planned by a professionally qualified Dietitian, or shall be reviewed and
				approved by a Physician or other Authorized Healthcare Provider. The Facility
				shall maintain documentation that each of these menus has been planned by a
				Dietitian, a Physician, or other Authorized Healthcare Provider. At a minimum,
				documentation for each Patient's special diet menu shall include the signature
				of the Dietitian, the Physician, or other Authorized Healthcare Provider, his
				or her title, and the date he or she signed the menu.
C. Records of menus as served shall be
				maintained for at least thirty (30) days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-93.1400.1401 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All Residential Facilities shall develop, by contact and consultation with
				their county emergency preparedness agency, a written plan for actions to be
				taken in the event of a disaster and implement the written plan for actions at
				the time of need. Prior to initial licensing of a Facility by the Department,
				the completed plan shall be submitted to the Department for review. At the time
				of each License renewal, a completed form prescribed and furnished by the
				Department addressing specific components of the plan shall be included with
				each application submitted to the Department. All Staff and Volunteers shall be
				made familiar with this plan and instructed as to any required actions. A copy
				of the plan shall be available for Inspection by the Patient and/or responsible
				party and the Department upon request. The plan shall be reviewed and updated
				Annually, and as appropriate. The Facility shall conduct and document a
				rehearsal of the emergency and disaster evacuation plan at least Annually and
				shall not require Patient participation.
B. The disaster plan for Residential
				Facilities shall include, but not be limited to:
1. A sheltering plan to include:
a. The licensed bed capacity and average
				occupancy rate;
b. Name, address,
				and phone number of the sheltering facility(ies) to which the Patients will be
				relocated during a disaster; and
c.
				A letter of agreement signed by an authorized representative of each sheltering
				facility that shall include: the number of relocated Patients that can be
				accommodated; sleeping, feeding, and medication plans for the relocated
				Patients; and provisions for accommodating relocated staff. The letter shall be
				updated annually with the sheltering facility and whenever significant changes
				occur. For those facilities located in Beaufort, Berkeley, Charleston,
				Colleton, Dorchester, Horry, Jasper, and Georgetown counties, at least one (1)
				sheltering facility must be located in a county other than these
				counties.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-93.1400.1402 - Licensed Capacity During an Emergency (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. In the event that the Facility temporarily
				provides shelter for evacuees who have been displaced due to a disaster, then
				for the duration of that emergency, provided the health, safety, and well-being
				of any Patient is not compromised, it is permissible to temporarily exceed the
				licensed capacity for the Facility in order to accommodate these
				individuals.
B. A Facility desiring
				to temporarily admit Patients in excess of its licensed bed capacity due to an
				emergency shall:
1. Request that the
				Department concur that an emergency situation exists by contacting the
				Department;
2. Determine the
				maximum number of Patients to be temporarily admitted;
3. Establish an anticipated date for
				Discharge of the temporary Patients;
4. Outline how and where the temporary
				Patients will be housed; and
5.
				Contact the county emergency preparedness agency to advise them of additional
				Patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1400 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-93.1400.1403 - Emergency Call Numbers (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Emergency call data shall be posted in a conspicuous place
				  and shall include at least the telephone numbers of fire and police
				  departments, an ambulance service, and the poison control center. Other
				  emergency call information shall be available, to include the names, addresses,
				  and telephone numbers of the Staff to be notified in case of emergency, and the
				  Physician or other Authorized Healthcare Provider on-call.