DHS 75.08 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00.
DHS 75.09 DHS 75.09 Residential intoxication monitoring service.
DHS 75.09(1)(1)Service description. A residential intoxication monitoring service provides 24-hour per day observation by staff to monitor the safe resolution of alcohol or sedative intoxication and to monitor for the development of alcohol withdrawal for intoxicated patients who are not in need of emergency medical or psychological care. The service is provided in a supportive setting that includes provision of nourishment and emotional support.
DHS 75.09(2) (2)Requirements. To receive certification from the department under this chapter, a residential intoxication monitoring service shall comply with all requirements included in s. DHS 75.03 that apply to a residential intoxication monitoring service, as shown in Table 75.03, and, in addition, a residential intoxication monitoring service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.09(3) (3)Organizational requirements. Before operating or expanding a residential intoxication monitoring service, a facility shall be approved under ch. DHS 124 as a hospital, licensed under ch. DHS 83 as a community-based residential facility, certified under ch. DHS 82 or licensed under ch. DHS 88 as an adult family home.
DHS 75.09(4) (4)Required personnel.
DHS 75.09(4)(a) (a) A service shall have at least one staff person trained in the recognition of withdrawal symptoms on duty 24 hours per day, 7 days per week.
DHS 75.09(4)(b) (b) A service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.09(5) (5)Service operations.
DHS 75.09(5)(a) (a) Screening. A patient shall be screened by medical personnel before admission to the service, unless the service has documentation of the patient's current physical condition.
DHS 75.09(5)(b) (b) Prohibited admissions. No person may be admitted if any of the following apply:
DHS 75.09(5)(b)1. 1. His or her behavior is determined by the service to be dangerous to self or others.
DHS 75.09(5)(b)2. 2. He or she requires professional nursing or medical care.
DHS 75.09(5)(b)3. 3. He or she is incapacitated by alcohol and is placed in or is determined to be in need of protective custody by a law enforcement officer as required under s. 51.45 (11) (b), Stats.
DHS 75.09(5)(b)4. 4. He or she is under the influence of any substance other than alcohol or a sedative.
DHS 75.09(5)(b)5. 5. He or she requires restraints.
DHS 75.09(5)(b)6. 6. He or she requires medication normally used for the detoxification process.
DHS 75.09(5)(c) (c) Observation. Trained staff shall observe a patient and record the patient's condition at intervals no greater than every 30 minutes during the first 12 hours following admission.
DHS 75.09(5)(d) (d) Emergency medical treatment. A service shall have a written agreement with a general hospital for the hospital to provide emergency medical treatment of patients. Escort and transportation shall be provided as necessary to a patient who requires emergency medical treatment.
DHS 75.09(5)(e) (e) Medications.
DHS 75.09(5)(e)1.1. A service shall not administer or dispense medications.
DHS 75.09(5)(e)2. 2. When a patient has been admitted with prescribed medication, staff shall consult with the patient's physician or other person licensed to prescribe and administer medications to determine the appropriateness of the patient's continued use of the medication while under the influence of alcohol or sedatives.
DHS 75.09(5)(e)3. 3. If approval for continued use of prescribed medication is received from a physician, the patient may self-administer the medication under the observation of service staff.
DHS 75.09(5)(f) (f) Discharge plan. A service shall develop with each patient a discharge plan for the patient which shall address the patient's follow-up service needs determined by application of approved patient placement criteria administered by the service, and the provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.09 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DHS 75.10 DHS 75.10 Medically managed inpatient treatment service.
DHS 75.10(1)(1)Service description. A medically managed inpatient treatment service is operated by a general or specialty hospital, and includes 24-hour nursing care, physician management and the availability of all other resources of the hospital.
DHS 75.10(2) (2)Requirements. To receive certification from the department under this chapter, a medically managed inpatient treatment service shall comply with all requirements included in s. DHS 75.03 that apply to a medically managed inpatient treatment service, as shown in Table 75.03, and, in addition, a medically managed inpatient treatment service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.10(3) (3)Organizational requirements. Before operating or expanding an inpatient treatment service, a facility shall do all of the following: