Requesting clarification on “at the start of services” time frame. Recommend revising to “within 24 hours of admission to services.”
Requesting clarification on “at the time of admission” time frame, and recommend revising to read “within 24 hours of admission” in order to complete admission intake to services in a manner that is person-centered and trauma-informed for the individual receiving services, to be cognizant of prescriber availability, and to align with established ARTS requirements.
Recommend revising to include having access to a licensed psychiatrist or psychiatric nurse practitioner via telephone 24/7, not exclusively in-person or telemedicine.
Taking nursing workforce challenges into consideration, would recommend LPNs work under indirect supervision of an RN to include 24/7 access to the RN supervisor, on-going in person supervision, and on-going review of documentation.
If an individual meets RCSU MNC outlined in this manual, they would not meet discharge criteria from a hospital to step down. Recommend revising MNC to be more inclusive of psychiatric step-downs.