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Document Citation:
Wis. Adm. Code DHS 75.05
Header:
WISCONSIN ADMINISTRATIVE CODE
DEPARTMENT OF HEALTH SERVICES
CHAPTER DHS 75 COMMUNITY SUBSTANCE ABUSE SERVICE STANDARDS
Date:
08/31/2009
Document:
Wis. Adm. Code DHS 75.05 (2011)
DHS 75.05 Emergency outpatient service.
(1) SERVICE DESCRIPTION. An emergency outpatient service operates an emergency phone service and provides on-site crisis intervention to deal with all outpatient emergencies related to substance abuse, including socio-emotional crises, attempted suicide and family crises; provides the examination required under s. 51.45 (11) (c), Stats.; and, if needed, provides or arranges for transportation of a patient to the emergency room of a general hospital for medical treatment.
(2) REQUIREMENTS. To receive certification from the department under this chapter, an emergency outpatient service shall comply with all requirements included in s. DHS 75.03 that apply to an emergency outpatient service, as shown in Table 75.03, and, in addition, an emergency outpatient 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.
(3) REQUIRED PERSONNEL. (a) An emergency outpatient service shall have staff available who are capable of providing coverage for an emergency phone service and for providing on-site crisis intervention.
(b) A service shall have a written plan for staffing the service and shall document that all of the following have been taken into consideration:
1. The nature of previously observed and anticipated emergencies and the probability of emergencies as related to geographical, seasonal, temporal and demographic factors.
2. The adequacy of the emergency communication system used by the service when consultation is required.
3. The types of emergency services to be provided.
4. The skills of staff members in providing emergency services.
5. Difficulty in contacting staff members.
6. The estimated travel time for a staff member to arrive at an emergency care facility or at the location of an emergency.
(4) SERVICE OPERATIONS. (a) An emergency outpatient service shall provide emergency telephone coverage 24 hours per day and 7 days a week, as follows:
1. The telephone number of the program shall be well-publicized.
2. A log shall be kept of all emergency calls as well as of calls requesting treatment information. For each call, the log shall describe all of the following:
a. The purpose of the call.
b. Caller identification information, if available.
c. Time and date of call.
d. Recommendations made.
e. Other action taken.
(b) A service shall have written procedures that ensure prompt evaluation of both the physiological and psychological status of the individual so that rapid determination can be made of the nature and urgency of the problem and of the type of treatment required.
(c) A service shall have written procedures for dealing with anticipated medical and psychiatric complications of substance abuse emergencies.
(d) A service shall either be able to provide medical support for substance abuse-related emergencies on-site or have the capability of transporting the individual to a local hospital or other recognized medical facility.
(e) If the emergency outpatient service is not a part of a general hospital, the service shall enter into a formal agreement with a local hospital for the hospital to receive referrals from the service on a 24-hour basis and provide services with the same standards of care prevailing for emergency cases treated in the hospital that are not related to substance abuse.
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