Observations
The facility 's Patient Handbook, Diversion Control Plan and Criteria for Reduced Attendance Schedule documents were reviewed on December 12, 2016. The facility failed to develop written policies and procedures relating to the rescinding of take-home medication privileges.
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Plan of Correction
Tadiso prepared a policy for rescinding take home medication. The Medical Director and Operations Director were responsible for writing the policy. The Medical Director is responsible for enforcing the policy. The policy will go into effect 1/23/2017. All patients granted take home privileges will provide a signature, verifying their receipt of the policy.
Policy on Revocation of Take-home Medication Written: January 12, 2017
Tadiso reserves the right to revoke take-home medication for the following reasons:
- Recent abuse of drugs (narcotic or non-narcotic) including alcohol
- Missing more than 90% of scheduled counseling time
- Missing more than 90% of scheduled medication days
- Serious behavioral issues at the clinic
- Recent criminal activity
- If you are caught loitering or selling drugs on Tadiso's property or a three block radius of Tadiso
- Any disruptions identified that make for an unstable home environment or unstable social relationships
- Medication has not safely been stored.
- Reports that medication was stolen
- Take-home bottle has been damaged or tampered with
- Failure to return a take-home bottle
- Anytime there is suspicion pertaining to diversion
- Coming to the clinic presenting as "under the influence"
- Prescription medications are not brought in for verification
- The patient refuses to sign releases related to prescription medication
- The patient has been identified as being on the Prescription Monitoring Program
- Anytime a patient is placed on a medically supervised withdrawal
***The Medical Director reserves the right to make all final decisions regarding the re-instatement of any take home privileges which have been rescinded. Each case will be treated individually, regarding the circumstances of the incident resulting in the removal of take home privileges. |