Article 2. Medically Managed Withdrawal Services
12VAC35-105-1055. Description of level of care provided.
Article 2
Medically Managed Withdrawal Services
In the service description the provider shall describe the level of services and the medical management provided.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1060. Cooperative agreements with community agencies.
The provider shall establish cooperative agreements with other community agencies to accept referrals for treatment, including provisions for physician coverage if not provided on-site, and emergency medical care. The agreements shall clearly outline the responsibility of each party.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002; amended, Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1070. Observation area.
The provider shall provide for designated areas for employees and contractors with unobstructed observation of individuals.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002.
12VAC35-105-1080. Direct-care training for providers of detoxification services.
A. The provider shall document staff training in the areas of:
1. Management of withdrawal; and
2. First responder training.
B. Untrained employees or contractors shall not be solely responsible for the care of individuals.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002; amended, Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1090. Minimum number of employees or contractors on duty.
In detoxification service locations, at least two employees or contractors shall be on duty at all times. If the location is within or contiguous to another service location, at least one employee or contractor shall be on duty at the location with trained backup employees or contractors immediately available. In other managed withdrawal settings the number of staff on duty shall be appropriate for the services offered and individuals served.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002; amended, Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1100. Documentation.
Employees or contractors on each shift shall document services provided and significant events in the individual's record.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002; amended, Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1110. Admission assessments.
During the admission process, providers of managed withdrawal services shall:
1. Identify individuals with a high-risk for medical complications or who may pose a danger to themselves or others;
2. Assess substances used and time of last use;
3. Determine time of last meal;
4. Administer a urine screen;
5. Analyze blood alcohol content or administer a breathalyzer; and
6. Record vital signs.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002; amended, Virginia Register Volume 28, Issue 05, eff. December 7, 2011.
12VAC35-105-1120. Vital signs.
A. Unless the individual refuses, the provider shall take vital signs:
1. At admission and discharge;
2. Every four hours for the first 24 hours and every eight hours thereafter; and
3. As frequently as necessary, until signs and symptoms stabilize for individuals with a high-risk profile.
B. The provider shall have procedures to address situations when an individual refuses to have vital signs taken.
C. The provider shall document vital signs, all refusals and follow-up actions taken.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002.
12VAC35-105-1130. Light snacks and fluids.
The provider shall offer light snacks and fluids to individuals who are not in danger of aspirating.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 18, Issue 18, eff. September 19, 2002.