Header:
NEW YORK CODES, RULES AND REGULATIONS
TITLE 14. DEPARTMENT OF MENTAL HYGIENE
CHAPTER XXV. DIVISION OF SUBSTANCE ABUSE SERVICES
PART 1034. REQUIREMENTS FOR THE OPERATION OF INPATIENT SUBSTANCE ABUSE TREATMENT AND REHABILITATION PROGRAMS
Date:
08/31/2009
Document:
ยง 1034.3 Admission procedures
(a) The medical director, other physician, or other appropriate medical staff, must assess the patient's substance abuse and dependence, the need for medical management of his or her substance abuse or dependence, and the need for the level of treatment provided by the inpatient substance abuse treatment and rehabilitation program. Patients who are not in need of medical management of their substance abuse and dependence and patients in need of longer term substance abuse treatment are not appropriate for admission to an inpatient substance abuse treatment and rehabilitation program.
(b) A complete medical history, substance abuse history and brief assessment of mental status of each applicant must be conducted by appropriate clinical staff.
(c) Within seven days before admission or 24 hours after admission, each applicant must have a complete medical history and physical examination performed by a physician or other medical staff member authorized by law to conduct such examination. Included in the examination must be an investigation of the possibility of infectious disease, pulmonary, cardiac, liver, abnormalities; dermatologic sequelae of addiction, and tetanus immunization review. In addition, the following laboratory tests must be conducted:
(1) complete blood count and differential;
(2) serological test for syphilis;
(3) routine and microscopic urinalysis;
(4) urine screening for drugs;
(5) intradermal PPD, given and interpreted by the medical staff; and
(6) EKG, chest X-ray, pregnancy test, if the examining physician determines that such are necessary.
(d) No later than 72 hours after admission, a complete, narrative, psychosocial history must be prepared for each patient. This narrative must build on the information obtained in the initial interview and must include a psychosocial diagnosis to form the basis for preparing the treatment plan.
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