411-090-0180 Resident Services in a Ventilator Assisted Program Unit (1) Individuals who are dependent on invasive mechanical ventilation as a means of life support and individuals who are transitioning from mechanical ventilation, may participate in the Ventilator Assisted Program. (2) Individuals who are dependent on BiPAP or CPAP due to acute respiratory failure or exacerbation of chronic illness, may participate in the Ventilator Assisted Program for a period of time as determined by a physician or Pulmonologist. (3) At time of move-in, the facility must make reasonable attempts to identify the customary routines of each resident and the resident's preferences in how services may be delivered. Minimum services to be provided include: (a) Assistance with activities of daily living that addresses the needs of each resident dependent on invasive mechanical ventilation as a means of life support. These services must meet or be in addition to the requirements in the licensing rules for the facility. Services must be provided in a manner that promotes resident choice, dignity, and sustains the resident's abilities. (b) Health care services provided in accordance with the licensing rules of the facility, along with the following additional health services: (A) Lab services related to the Ventilator Assisted Program. (B) Speech services related to the Ventilator Assisted Program. (C) Respiratory therapy related to the Ventilator Assisted Program. (c) Physician provided oversight of the resident who is dependent on invasive mechanical ventilation as a means of life support. A physician may delegate a task in a Ventilator Assisted Program Unit only if it is for tasks within the scope of a Respiratory Therapists or Registered Nurses license. (d) The Ventilator Assisted Program Licensed Respiratory Therapist may participate in the delivery of unit services that are ancillary to respiratory care for the residents, including, but not limited to social work, discharge planning, and training of primary caregivers or family members in care of discharged residents. (4) An RN shall ensure completion and documentation of a comprehensive assessment of the resident's capabilities and needs as described in 411-086-0060(1). (5) The facility shall establish a care plan for long-term respiratory stability for individuals and utilize mechanical ventilation capacity efficiently and effectively. (a) The goal is to wean individuals from mechanical ventilator dependency, when medically appropriate, and to transition them into a lower level of care. (b) The facility shall be proactive in identifying an individual's potential to be weaned and in applying weaning techniques according to evidence-based, nationally accepted practice guidelines. (6) The facility shall ensure and document that sufficient ventilator equipment is maintained in good working order as recommended by the manufacturer including, but not limited to: (a) Primary ventilators. (b) Back-up ventilators. (c) Emergency batteries. (d) Oxygen tanks. (e) Suction machines. (f) Nebulizers. (g) Manual resuscitator. (h) Pulse oximetry monitoring equipment. (i) Nutrient infusion pumps. (j) Any medically necessary durable medical equipment (DME) and supplies. (7) The facility shall maintain and keep general maintenance records on all ventilators and general equipment. Resident in-room specific records must be maintained and provided to the Department when requested. Statutory/Other Authority: ORS 409.050, 410.070, 441.055, 441.615 Statutes/Other Implemented: ORS 409.050, 410.070, 441.055, 441.615 History: APD 9-2019, adopt filed 01/31/2019, effective 02/01/2019