<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s08d47d63-897e-4865-a416-c9fde681d37fP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s08d47d63-897e-4865-a416-c9fde681d37fC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s08d47d63-897e-4865-a416-c9fde681d37fC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s08d47d63-897e-4865-a416-c9fde681d37fC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s08d47d63-897e-4865-a416-c9fde681d37f000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s08d47d63-897e-4865-a416-c9fde681d37fC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s08d47d63-897e-4865-a416-c9fde681d37fP0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:18:02"><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">67</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">:</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">61</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">:</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">18</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">:</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000000">02</span></a><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000001">.  Medical evaluations and vital signs.</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">A medically-monitored, inpatient treatment</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> program</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> must meet</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> the following</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> requirements</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">:</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    (1)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">At the time of admission, each client's blood pressure, pulse, and respiration</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> must</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> be evaluated by staff trained to perform</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">these tests</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> and recorded in the client's case record</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">;</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    (2)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">Within </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">eight</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> hours after admission, each client </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">must</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> receive a medical evaluation</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">conducted by a</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> registered nurse</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> or </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">a licensed practical nurse</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">. The results of this medical evaluation </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">must</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> be provided</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">to the program physician</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">. The program physician shall assess</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> whether the client needs</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> an </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">immediate and more extensive examination </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">before determining</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> the appropriateness of the</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">admission</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">.</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">T</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">he program physician</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">'</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">s approval </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">must</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> be documented in the client</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">'</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">s case</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">record</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">.</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    The medical evaluation </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">require</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">s:</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">        (</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">a</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">A second reading of </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">the client's </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">blood pressure, pulse, and respiration;</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">        (</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">b</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  An assessment of the client's m</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">ental and emotional status;</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">        (</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">c)  The identification of </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">bruises, lacerations, cuts, wounds, </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">and</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> other medical</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">conditions;</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">        (</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">d</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  Documentation of c</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">urrent medication use and medications</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">being carried by the client; and</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">        (</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">e</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  Documentation regarding a</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">ny history of diabetes</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">;</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> seizure disorders</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">,</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> including epilepsy</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">; </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">delirium tremens</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">;</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> and any history of </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">having undergone </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">convulsive therapies; and</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    (3)</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">  </span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">Within </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">seventy-two</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> hours after admission, </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">the program must</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> have</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> completed the client's</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> blood count and urinalysis</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> tests</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> and</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> provided the client with a</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> complete physical examination by</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">,</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> or under the supervision of</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">,</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> a licensed</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">physician, who shall also evaluate the results of the tests conducted.</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000001">Source:</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">43</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> SDR </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">80</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">, effective </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">.</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000001">General Authority:</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000003">34-20A-27</span></a><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">.</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0">    </span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000001">Law Implemented:</span><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0-000003">34-20A-27</span></a><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">(1)(4)(6)</span><span class="s08d47d63-897e-4865-a416-c9fde681d37fC0">.</span></p><p dir="ltr" class="s08d47d63-897e-4865-a416-c9fde681d37fP0-000004"><span xml:space="preserve" class="s08d47d63-897e-4865-a416-c9fde681d37f000002"> </span></p></div></body></html>