NAC449.74339. General requirements for programs and services.

     1. Each program for the provision of detoxification services, each social model detoxification program or its equivalent and each modified medical detoxification program or its equivalent of a facility must be certified in accordance with the provisions of chapter 458 of NRS and chapter 458 of NAC.

     2. Each component of each program described in subsection 1 must develop objectives that complement the goals of the program.

     3. The facility shall provide for the medical, emergency dental and psychological services needed to fulfill the goals of each program and meet the needs of all of its patients to the extent that is possible, with assistance from available community resources.

     4. Patients who are admitted and receive detoxification services must be provided such services under the direction of a qualified physician licensed in accordance with the provisions of chapter 630 or 633 of NRS.

     5. If a facility provides services through outside sources, formal, written arrangements must be made ensuring that the services are supplied directly by, or under the supervision of, qualified persons.

     6. A facility shall provide case management services as needed by a patient through a social worker or a registered nurse or by written agreement with a social worker or a registered nurse.

     7. A plan for case management must be recorded in the records of a patient and must be periodically evaluated in conjunction with the treatment plan of the patient.

     8. Each facility shall review each program described in subsection 1 at least annually. The review must include, without limitation, an evaluation of:

     (a) The appropriateness of the admission of patients;

     (b) The lengths of stay of patients;

     (c) Planning for the discharge of patients;

     (d) The use of services and utilization of the components of the program;

     (e) The use of outside services; and

     (f) Any unusual incidents that resulted or may have resulted in harm to a patient.

     9. Written reports of the annual reviews conducted pursuant to subsection 8 must be evaluated by the governing body and the administrator. Documentation of the evaluation process must be maintained at the facility. Outcome reports and reports of actions taken must be maintained for a period of at least 6 years.

     10. As used in this section:

     (a) “Detoxification” means the process of eliminating the toxic effects of alcohol and drugs from the body.

     (b) “Social model detoxification program” means a treatment program that concentrates on providing psychosocial services and nonmedical detoxification.

     (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)