NAC449.15345. Health services.

     1. Each facility shall provide health services which ensure that each client receives treatment, prescribed medication, adequate diets and other health services consistent with the program administered by the facility.

     2. There must be policies and procedures designed to ensure the early detection of complications or conditions considered to be common among alcohol and drug abusers. The policies and procedures must be developed with assistance from and approved by the medical director of the facility.

     3. Before a client is admitted to a facility, a general medical and drug history of the client must be taken by a physician or designated member of the nursing staff of the facility. The history must include, without limitation:

     (a) Drugs used in the past;

     (b) Drugs used recently;

     (c) Drugs of preference;

     (d) Frequently used drugs;

     (e) Drugs used in combination;

     (f) Dosages used;

     (g) Date of first usage;

     (h) Incidents of overdose, withdrawal or adverse drugs reactions; and

     (i) Previous history of treatment.

     4. Except as otherwise provided in this subsection, a physical examination and review of the medical and drug history of a client must be conducted by a physician, registered nurse or physician assistant within 48 hours after the client is admitted to a facility. If the assessment performed by a physician or a member of the nursing staff before a client is admitted to the facility concludes that a physical examination of the client should be completed within less than 48 hours after the client is admitted to the facility to ensure that the needs of the client are met, the physical examination must be conducted within the time recommended in the assessment.

     5. Each facility must be able to provide directly, or through written arrangements, laboratory tests as requested by a physician or federal regulations.

     6. Referral to an outside health resource must be made only if the resource is able to accept the client. Any records that accompany the client must be either expurgated of any sensitive material or be available only to persons authorized to receive the information under the direction of the physician or administrator. Except where an emergency that threatens a life exists and except as otherwise provided in NAC 449.15329, no information may be released without the prior consent of the client or his or her guardian.

     7. Each facility shall have written policies and procedures defining the appropriate action to be taken when a medical emergency arises. The policies and procedures must be reviewed and approved by the medical director of the facility.

     8. Each member of the staff of a facility must be qualified by the American Red Cross or another similar nationally recognized agency to administer cardiopulmonary resuscitation.

     9. Each client of a facility shall, within 5 days after admission, undergo a Mantoux tuberculin skin test. If the client has no documented history of a two-step Mantoux tuberculin skin test and has not had a single Mantoux tuberculin skin test within the 12 months preceding admission to the facility, the client shall undergo a two-step Mantoux tuberculin skin test.

     10. First-aid supplies must be maintained and readily available at each facility.

     (Added to NAC by Bd. of Health by R129-99, 11-29-99, eff. 1-1-2000)