67 : 61 : 17 : 05 . Monitoring and documentation of client's condition. The clinically-managed, residential detoxification program shall establish a policy and procedure concerning the steps staff shall take when assessing and monitoring a client's physical condition and responding to medical complications throughout the detoxification process.

1. (1) Blood pressure, pulse, and respiration:

   1. (a) At admission;
   2. (b) At least two times in the first eight hours after admission and at a greater frequency depending on the degree of the client's hypertension or hypotension; and
   3. (c) At least once every eight hours thereafter;
2. (2) Physical, mental, and emotional state, including presence of confusion, anxiety, depression, hallucinations, restlessness, sleep disturbances, tremors, ataxia, or excessive perspiration; and

3. (3) Type and amount of fluid intake.

   Any staff member who assesses, monitors, or responds to a client's condition, must be trained to perform those functions.

Staff shall closely monitor the condition of each client during detoxification and document the following information in the client's case record:

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

General Authority: SDCL 1-36-25 , 34-20A-27 .

Law Implemented: SDCL 34-20A-27 .

Prior versions effective: 2016-12-05.