SECTION 749.1189. At the time of an emergency admission, what information must I document in the child's record?

At the time of the emergency admission you must document in the child's record:

(1) A brief description of the circumstances necessitating the emergency admission;

(2) The date of admission;

(3) Allergies, such as food, medication, sting, and skin allergies;

(4) Chronic health conditions, such as asthma or diabetes;

(5) Known contraindications to the use of restraint;

(6) Identification of the child's high-risk behaviors, if applicable, and the safety plan employees and caregivers will implement related to the behaviors;

(7) If a suicide risk screening is required at admission and the child is screened as having a high or potential risk of suicide:

(A) The identification of any risk factors or warning signs of suicide, if applicable and not already identified in paragraph (6) of this section; and

(B) The safety plan employees and caregivers will implement related to the risk factors and warning signs;

(8) The results of the suicide screening at admission, if required; and

(9) For the purpose of providing treatment services:

(A) A brief description of the child's history;

(B) The child's current behavior; and

(C) Your evaluation of how the placement will meet the child's needs and best interests.

Source Note: The provisions of this §749.1189 adopted to be effective January 1, 2007, 31 TexReg 7469; amended to be effective September 1, 2010, 35 TexReg 7522; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended to be effective September 19, 2022, 47 TexReg 5490