67:61:18:02.  Medical evaluations and vital signs. A medically-monitored, inpatient treatment program must meet the following requirements:

    (1)  At the time of admission, each client's blood pressure, pulse, and respiration must be evaluated by staff trained to perform these tests and recorded in the client's case record;

    (2)  Within eight hours after admission, each client must receive a medical evaluation conducted by a registered nurse or a licensed practical nurse. The results of this medical evaluation must be provided to the program physician. The program physician shall assess whether the client needs an immediate and more extensive examination before determining the appropriateness of the admission. The program physician's approval must be documented in the client's case record.

    The medical evaluation requires:

        (a)  A second reading of the client's blood pressure, pulse, and respiration;

        (b)  An assessment of the client's mental and emotional status;

        (c)  The identification of bruises, lacerations, cuts, wounds, and other medical conditions;

        (d)  Documentation of current medication use and medications being carried by the client; and

        (e)  Documentation regarding any history of diabetes; seizure disorders, including epilepsy; delirium tremens; and any history of having undergone convulsive therapies; and

    (3)  Within seventy-two hours after admission, the program must have completed the client's blood count and urinalysis tests and provided the client with a complete physical examination by, or under the supervision of, a licensed physician, who shall also evaluate the results of the tests conducted.

    Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.

    General Authority: SDCL 34-20A-27.

    Law Implemented: SDCL 34-20A-27(1)(4)(6).