SECTION 450:18-9-3. Staff privileging

(a)   Each facility shall have policies and procedures for documenting and verifying the training, experience, education, and other credentials of service providers prior to their providing treatment services for which they were hired.

(b)   Each facility shall have written policies and procedures and operational methods for evaluating the professional qualifications of service providers providing treatment services, including those who perform these evaluations and the verification process and the granting of privileges.

(c)   All service providers shall be documented as privileged prior to performing treatment services.

(d)   The evaluation and verification of professional qualifications includes, but is not limited to, the review and verification of:

(1)   Professional licensures;

(2)   Professional certifications; and

(3)   Other qualifications as set forth in the position's job description.

(e)   Each facility shall minimally perform an annual review of current licensure, certifications, and current qualifications for privileges to provide specific treatment services.

(f)   Initial in-service training and annual in-service training updates for all personnel employed by the treatment facility, as well as volunteers, shall cover, at a minimum:

(1)   Most current version of the ODMHSAS Bill of Rights;

(2)   Person and family centered services;

(3)   The prevention of violence in the workplace;

(4)   Confidentiality requirements;

(5)   Cultural competency;

(6)   Expectations regarding professional conduct;

(7)   Fire and safety;

(8)   AIDS and HIV precautions and infection control;

(9)   Oklahoma Child Abuse Reporting and Prevention Act, 10 O.S. §§ 7101-7115;

(10)   Trauma informed; and

(11)   Age and developmentally appropriate trainings, where applicable.

(g)   Compliance with 450:18-9-3 may be determined by a review of the following:

(1)   Policies and procedures;

(2)   Clinical supervision manuals;

(3)   Minutes of privileging meetings;

(4)   Personnel records;

(5)   Interviews with staff; and

(6)   Other facility documentation.

[Source: Added at 13 Ok Reg 2769, eff 7-1-96; Amended at 19 Ok Reg 2375, eff 7-1-02; Amended at 22 Ok Reg 2109, eff 7-1-05; Amended at 24 Ok Reg 2580, eff 7-12-07; Amended at 27 Ok Reg 2237, eff 7-11-10; Added at 35 Ok Reg 1821, eff 10-1-18]