<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0 { 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.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0-000004 { 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="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:17:05"><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">67</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">:</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">61</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">:</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">17</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">:</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000000">05</span></a><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000001">.  Monitoring and documentation of client's condition.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> The </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">clinically-managed, residential detoxification </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">program</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">shall establish a policy and procedure concerning the steps staff shall take when</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">assessing and monitoring a client's physical condition and responding to medical</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">complications throughout the detoxification process.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    Staff shall closely monitor the condition of each client during detoxification and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">document the following information in the client's case record:</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    (1)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">  </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">Blood pressure, pulse, and respiration</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">:</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">        (a)  A</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">t admission</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">;</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">        (b)  At least two </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">times in the first eight hours after admission</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> at</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">a greater frequency depend</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">ing</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> on the degree of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">the client's </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">hypertension or hypotension</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> and</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">        (c)  A</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">t least</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">once every eight hours thereafter;</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    (2)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">  </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">Physical, mental, and emotional state, including presence of confusion, anxiety,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">depression, hallucinations, restlessness, sleep disturbances, tremors, ataxia, or excessive</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">perspiration; and</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    (3)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">  </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">Type and amount of fluid intake.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">Any staff member who assesses, monitors, or responds to a client's condition, must be trained to perform those functions</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">43</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> SDR </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">80</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">, effective </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000003">1-36-25</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000003">34-20A-27</span></a><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">    </span><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0-000003">34-20A-27</span></a><span style="white-space: pre-wrap;" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265C0">.</span></p><p dir="ltr" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="s58c6b9b4-d2ac-4dd9-89ae-ad20d187d265000002"> </span></p></div></body></html>