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ROBERT L. EHRLICH, JR., Governor
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Ch. 432
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(II) IS NOT RELATED TO THE NATURAL COURSE OF THE
RESIDENT'S ILLNESS OR UNDERLYING DISEASE CONDITION.
(3) "CHANGE IN CONDITION" MEANS A SIGNIFICANT CHANGE IN A
RESIDENT'S PHYSICAL, MENTAL, OR PSYCHOLOGICAL STATUS INCLUDING:
(1) (I) LIFE-THREATENING CONDITIONS;
(2) (II) CLINICAL COMPLICATIONS INCLUDING THE ONSET OF;
(I) AGGRESSIVE OR INAPPROPRIATE BEHAVIOR; OR
(II) SIGNIFICANT SOMATIC SYMPTOMS THAT REQUIRE THE
ASSESSMENT OF OR TREATMENT BY QUALIFIED MEDICAL PERSONNEL;
(3) (III) THE NEED TO DISCONTINUE A MEDICATION OR TREATMENT
BECAUSE OF:
(I) 1. ADVERSE CONSEQUENCES; OR
(II) 2. THE NEED TO BEGIN A NEW FORM OF TREATMENT;
(4) (IV) EVALUATION AT OR ADMISSION TO A HOSPITAL;
(5) (V) ACCIDENTS THAT RESULT IN INJURY INJURIES HAVING THE
POTENTIAL FOR REQUIRING A PHYSICIAN'S INTERVENTION; AND THAT REQUIRE THE
ASSESSMENT OF OR TREATMENT BY QUALIFIED MEDICAL PERSONNEL:
(6) (VI) THE USE OF RESTRAINT OR SECLUSION; AND
(7) (VII) SUICIDE ATTEMPTS.
(B) (1) WITHIN 24 HOURS, IN ACCORDANCE WITH STATE AND FEDERAL
CONFIDENTIALITY LAWS, A RESIDENTIAL TREATMENT CENTER SHALL ATTEMPT TO
NOTIFY A RESIDENT AND A RESIDENT'S REPRESENTATIVE, FAMILY MEMBER, LEGAL
GUARDIAN, OR CUSTODIAN OF:
(1) (I) A CHANGE IN CONDITION;
(2) (II) AN ADVERSE EVENT THAT MAY RESULT IN A CHANGE IN
CONDITION; AND
(3) (III) AN OUTCOME OR CARE THAT RESULTS IN AN UNANTICIPATED
CONSEQUENCE THAT REQUIRES THE ASSESSMENT OF OR TREATMENT BY
QUALIFIED MEDICAL PERSONNEL; OR
(4) (IV) (III) CORRECTIVE ACTION, IF APPROPRIATE.
(2) IF A RESIDENTIAL TREATMENT CENTER SENDS A NOTICE TO AN
INDIVIDUAL UNDER PARAGRAPH (1) OF THIS SUBSECTION. THE INDIVIDUAL MAY
SEND A WRITTEN NOTICE RESPONSE TO THE RESIDENTIAL TREATMENT CENTER
INSTRUCTING THE RESIDENTIAL TREATMENT CENTER THAT:
(I) THE INDIVIDUAL WAIVES THE NOTIFICATION REQUIRED
UNDER PARAGRAPH (1) OF THIS SUBSECTION; OR
- 2243 -
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