12VAC35-46-830. Documenting crisis intervention and clinical emergency services.
A. The provider shall develop and implement a method for documenting the provision of crisis intervention and clinical emergency services. Documentation shall include the following:
1. Date and time;
2. Nature of crisis or emergency;
3. Name of resident;
4. Precipitating factors;
5. Interventions/treatment provided;
6. Employees or contractors involved;
7. Outcome; and
8. Any required follow-up.
B. If a crisis or clinical emergency involves a resident who receives medical or mental health services, the crisis intervention documentation shall become part of his record.
C. There shall be written policies and procedures for referring to or receiving residents from:
1. Hospitals;
2. Law-enforcement officials;
3. Physicians;
4. Clergy;
5. Schools;
6. Mental health facilities;
7. Court services;
8. Private outpatient providers; and
9. Support groups or others, as applicable.
Statutory Authority
§§ 37.2-203 and 37.2-408 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 25, Issue 21, eff. August 6, 2009.