West Virginia Code of State Rules
Agency 69 - Health And Human Resources
Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES
Series 69-07 - Regulations of Opioid Treatment Programs
Section 69-7-21 - Life Safety Policies and Procedures

21.1.a. Ensure that the correct dose of medication is administered and that appropriate actions are taken if a mistake is made, including a mechanism for reporting unusual incidents to appropriate program staff;

21.1.b. Establish a current plan for emergency administration of medications in case the program must be closed temporarily, including how patients will be informed of these emergency arrangements;

21.1.c. Ensure that there is appropriately trained staff on duty at all times who are proficient in cardiopulmonary resuscitation and management of opiate overdose; and

21.1.d. Ensure that each opioid treatment medication used by the opioid treatment program is administered and dispensed in accordance with its approved product labeling. Dosing, dispensing and administration decisions shall be made by a program physician familiar with the most up-to-date product labeling. These procedures must ensure that any significant deviations from the approved labeling, including deviations with regard to dose frequency, or the conditions of use described in the approved labeling, are specifically documented in the patient's record.

21.2.a. Provide twenty-four hour, seven day per week access to designated program staff so that patient emergencies may be immediately addressed and dosage levels verified;

21.2.b. Require the program to display in facility offices and waiting areas the names and telephone numbers of individuals or agencies who should be contacted in case of an emergency;

21.2.c. Include an up-to-date disaster plan that specifies emergency evacuation procedures, fire drills and maintenance of fire extinguishers; and

21.2.d. Address safety and security issues for patients and staff, including training staff to handle physical or verbal threats, acts of violence, inappropriate behavior, or other escalating and potentially dangerous situations, with emphasis on when security guards or police need to be summoned.