Current through all regulations passed and filed through September 16, 2024
(A) To be
designated as a poison prevention and treatment center under rule
3701-41-02 of the Administrative
Code and to maintain the designation, a center shall conform to the standards
of operation prescribed by this rule. A center may provide the services
described in paragraphs (B) and (C) of this rule either directly or through
contract with other entities, as the director considers appropriate.
(B) Each center shall maintain and staff a
twenty-four-hour per day, toll-free telephone line to respond to inquiries and
provide information about poison prevention and treatment and available
services. A center may satisfy the requirement that the telephone line be
toll-free either by maintaining a "1-800" number or accepting collect calls
from within its region.
(C) Each
center shall provide specialized treatment, consultation, information and
educational programs to health care professionals and the public.
(D) Each center shall compile information on
the types and frequency of treatment it provides.
(E) Each center shall have the following
personnel, either on staff or by means of a contract with another entity:
(1) A medical director who:
(a) Is a physician licensed under Chapter
4731. of the Revised Code and board-certified in
medical toxicology;
(b) Has
ongoing interest and expertise in toxicology as evidenced by publications,
research and meeting attendance;
(c) Has a medical staff appointment at a
hospital providing poison treatment services;
(d) Is involved in the management of poisoned
patients; and
(e) Assures that when
he or she is not available to the center, qualified medical toxicology
expertise is provided to the center by other physicians at all times.
(2) A managing director who
:
(a)
Has had
substantial involvement in the operations of an entity providing services
similar to those provided by poison prevention and treatment centers, including
involvement in the areas of clinical toxicology, education and
administration;
(b)
Is licensed nurse, pharmacist, physician, or holds a
degree in a life-science discipline if a diplomate of the American board of
applied toxicology (ABAT);
(c)
If responsible
for toxicological supervision of providers of poison information for the center
is board-certified or board-eligible for ABAT or American board of medical
specialties (ABMS) certification.
(3) Providers of poison information who:
(a) Are registered nurses licensed to
practice nursing as a registered nurse under Chapter 4723. of the Revised Code,
pharmacists licensed under Chapter 4729. of the Revised Code, physicians
licensed under Chapter 4731. of the Revised Code or individuals currently
certified by the "American Association of Poison Control Centers" as
specialists in poison information. The center may use other individuals as
providers of poison information upon a determination by the director of health
that the center has documented that the individual possesses appropriate
equivalent qualifications and training and that the medical director has
approved of the use of the individual as a provider of poison
information;
(b) Are capable of
comprehending and interpreting standard poison information resources and of
transmitting that information in a logical, concise and understandable way to
both health professionals and the public; and
(c) Either are dedicated fully to poison
prevention and treatment center activities during periods when they are
assigned to the center or perform only those other duties that do not interfere
with center activities;
(4) Administrative personnel who are
qualified by training or experience to supervise finances, operations,
personnel, data analysis and other administrative functions of the center. The
administrative personnel may be on the staff of a parent entity of which the
center is a part;
(5) Education
personnel who are qualified by training or experience to provide, under the
supervision of the medical director, educational lectures or materials to
health professionals; and
(6)
Education personnel who are qualified by training or experience to provide
public-oriented presentations on poison prevention and treatment center
awareness, poison prevention and first aid for poisoning. These individuals
shall be capable of providing verbal presentations to public audiences and
shall have sufficient understanding of the material to answer questions from
members of the public accurately.
Nothing in this paragraph precludes staff members of a poison
prevention and treatment center from serving a center in more than one of the
capacities listed by this paragraph.
(F) Each center shall maintain a list of
consultants who are qualified by training or experience to provide specialized
toxicology or patient care information in their areas of expertise. The center
shall document that these consultants have made an expressed commitment to
provide consultation services on an on-call, as-needed basis. The list of
consultants shall be consistent with the type of poisonings encountered in the
area served by the center. Nothing in this paragraph shall be interpreted to
prohibit consultants from charging fees to centers or callers for the provision
of specialized expertise and consultation.
(G) Each center shall take measures to ensure
the confidentiality of information about individuals to whom treatment or
services are provided. These measures shall include but are not limited to:
(1) Assuring that only authorized persons are
allowed in the area or room that is used to store records of persons receiving
services from the center;
(2)
Providing security measures to prevent inadvertent or unauthorized access to
any case records containing sufficient information to identify the individual
receiving services that are maintained in electronic or automated information
systems; and
(3) Otherwise
maintaining records according to procedures established by any applicable state
or federal law.
(H) Each
center shall develop and maintain on the premises of the center a written
manual of policies and procedures that shall include, at a minimum, the
following:
(1) A description of when the
poison information providers are to contact the medical director or other
on-call consultants;
(2)
Descriptions of when first aid procedures are to be recommended to callers and
of how the procedures are to be performed;
(3) A description of how callers are to be
assigned priority for medical treatment or consultation, which may include a
list, if applicable, of common substances with guidelines for when home and
hospital management are appropriate;
(4) Guidelines for follow-up calls to
patients managed at home or referred to a health care provider to determine
case outcome;
(5) Procedure for
handling information calls, animal exposure calls and human exposure
calls;
(6) A schedule for reviewing
and updating all protocols, policies and procedures; and
(7) A procedure for storing, processing,
indexing, retrieving and destroying the center's medical and other case
records.
(I) The center
shall maintain on file a current table of organization that shall display, at a
minimum, the following:
(1) All operating
units of the entity involved in providing poison prevention and treatment
services and all entities providing services for the center through contract
and their interrelationships;
(2)
Lines of responsibility and function for all administrative and service
personnel of the center; and
(3)
Any advisory boards, committees or similar bodies for the center.
(J) Each center shall maintain a
written quality assurance plan which identifies an individual or individuals
responsible for implementation of the plan and collection of necessary
information. The center shall take and document corrective actions to improve
service delivery as needed, based on its monitoring and evaluation under the
quality assurance plan.
