License holders must maintain a medical-director-approved standardized health data collection tool and written procedures for assessing and monitoring client health. Procedures must address follow-up screening for clients who were intoxicated at intake (conducted 4–12 hours after service initiation), specify physical signs and symptoms requiring nurse or physician consultation or transfer to acute care, designate staff responsible for health monitoring with at least hourly observation, and outline actions for complicating conditions such as pregnancy or other medical conditions.
View official source9530.6550 HEALTH SERVICES. § A. License holders must have a standardized data collection tool for collecting health related information about each client. The data collection tool must be approved and signed by the medical director. § B. License holders must have written procedures for assessing and monitoring client health. § (1) The procedures must be approved by the medical director. § (2) If the client was intoxicated at the time services were initiated, the procedure must include a follow-up screening conducted between four and 12 hours after service initiation that collects information relating to health complaints and behavioral risk factors that the client may not have been able to communicate clearly at service initiation. § (3) The procedures must specify the physical signs and symptoms that, when present, require consultation with a registered nurse or a physician and that require transfer to an acute care medical facility. § (4) The procedures must specify those staff members responsible for monitoring client health and provide for hourly observation, and for more frequent observation if the service initiation assessment or follow-up screening indicates a need for intensive physical or behavioral health monitoring. § (5) The procedures must specify the actions to be taken to address specific complicating conditions including pregnancy or the presence of physical signs or symptoms of any other medical condition.