Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 35 - Designated Mental Health Holding Facilities
Rule 24-2-35.5 - Clinical Management

Universal Citation: MS Code of Rules 24-2-35.5

Current through September 24, 2024

A. Each holding facility must have written procedures and documentation for clinical management of people who are involved in or have been involuntarily civilly committed and awaiting transportation. These procedures shall include, but not be limited to, the following:

1. Immediately upon arrival of the person to the holding facility, all mental health screening information (pursuant to civil commitment procedures) must be made available to the holding facility personnel;

2. Immediately upon arrival or within twenty-four (24) hours, a medical screening should be conducted and documented by a registered nurse or nurse practitioner that includes, at a minimum, the following components:
(a) Vital signs (at a minimum: body temperature, pulse/heart rate, respiratory rate, and blood pressure);

(b) Accu-Chek monitoring for people with diabetes;

(c) Medical/drug history;

(d) Allergy history; and,

(e) Psychiatric history (refer to pre-evaluation form).

B. Clinical Management of the person being held must include:

1. Within seventy-two (72) hours of admission, people should be assessed by a physician, preferably a psychiatrist or a nurse practitioner;

2. Twenty-four (24) hour crisis/on-call coverage by a physician or psychiatric nurse practitioner;

3. Availability of ordered pharmacologic agents within twenty-four (24) hours

4. Timely administration of prescribed medication in accordance with the MS Nursing Practice Act;

5. Access to medical services for pre-existing conditions that require ongoing medical attention (e.g., high blood pressure, diabetes, etc.);

6. Immediate availability of a limited supply of injectable psychotropic medications, medications for urgent management of non-life threatening medical conditions (e.g., insulin, albuterol inhalers and medications used for withdrawal management);

7. Ongoing assessment and monitoring for people with mental illness or substance use considered by medical or psychiatric personnel to be at high risk;

8. Training/certification of employees in prevention/management of aggressive behavior program; and,

9. Procedures for maintenance of people's records, including:
(a) Documentation of information by professional personnel across disciplines;

(b) Documentation of physician's orders; and,

(c) Basic personal data and information that ensures rapid emergency contact, if needed.

Section 41-4-7 of the Mississippi Code, 1972, as Amended

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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