| (a) The CSU must be open and provide services to individuals
24-hours a day, seven days a week, including admissions, based on
the CSU's capability and capacity.
(b) The CSU must develop, and the medical director
must approve, the CSU's written policies and procedures that ensure
the CSU's compliance with this subchapter.
(c) All staff members must comply with this subchapter
and the policies and procedures of the CSU.
(d) A CSU administrator, or administrator's designee
must take appropriate measures to ensure a staff member's compliance
with this subchapter and the policies and procedures of the CSU.
(e) A CSU nursing supervisor must ensure all orders
issued by a physician, or physician-delegated PA or APRN, for an individual
are appropriately implemented pursuant to state nursing licensure
requirements.
(f) Except as provided by §306.51 of this subchapter
(relating to Admission Criteria) or applicable state law, a physician
may delegate any of the medical services described in this subchapter
in accordance with Texas Occupations Code Chapter 157, Subchapter
A.
(g) A CSU must comply with the following HHSC rules:
(1) Chapter 510 of this title (relating to Private
Psychiatric Hospitals and Crisis Stabilization Units);
(2) 25 TAC Chapter 404, Subchapter E (relating to Rights
of Persons Receiving Mental Health Services);
(3) 25 TAC Chapter 415, Subchapter A (relating to Prescribing
Psychoactive medication);
(4) 25 TAC Chapter 415, Subchapter F (relating to Interventions
in Mental Health Services);
(5) 25 TAC Chapter 414, Subchapter I (relating to Consent
to Treatment with Psychoactive Medication--Mental Health Services);
(6) 25 TAC Chapter 417, Subchapter K (relating to Abuse,
Neglect and Exploitation in TDMHMR Facilities); and
(7) 22 TAC Chapter 174, Subchapter B (relating to Mental
Health Services).
(h) A CSU physician is prohibited from administering:
(1) electroconvulsive therapy, a treatment in which
controlled, medically applied electrical current results in a therapeutic
seizure, usually attenuated by anesthesia and muscle relaxants; and
(2) a chemical or gaseous agent used to induce a seizure
for therapeutic purposes, instead of, or as a substitute for, electroconvulsive
therapy.
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