reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0010 - Administrator

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each hospital
			 shall employ or contract with a chief executive officer (CEO) or administrator
			 who is responsible for the operation of the hospital and hospital based
			 services in a manner commensurate with the authority conferred by the governing
			 body, supports the delivery of high quality hospital care and services and
			 ensures compliance with all hospital policies and applicable state and federal
			 laws and regulations. In determining the appropriate number of facilities for
			 which a CEO or administrator is responsible, the governing body of the hospital
			 or health system should consider distance between hospitals and the size and
			 complexity of each facility.
(2)
			 For hospitals with attached long-term care facilities, the CEO may function as
			 administrator of both the hospital and the long-term care facility.
(3) The hospital shall notify the Oregon
			 Health Authority, in writing, of the voluntary or involuntary termination of
			 the CEO or administrator as well as the appointment of a new CEO or
			 administrator.
Statutory/Other Authority: ORS
				  441.025
Statutes/Other Implemented: ORS
				  441.055
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0020 - Medical Staff

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The medical
			 staff is responsible for reviewing the professional practices of the hospital
			 for the purpose of reducing morbidity and mortality and for the improvement of
			 patient care, and is accountable to the governing body.
(2) The hospital's medical staff organized
			 pursuant to OAR
			 333-505-0005(1)
 
			 shall include Medical Doctors and Doctors of Osteopathy, and may include other
			 licensed health care practitioners as permitted by the governing
			 body.
(3) The medical staff shall
			 adopt and enforce by-laws, medical staff policies, and medical staff rules and
			 regulations to carry out its responsibilities. The by-laws, medical staff
			 policies, and medical staff rules and regulations must be approved by the
			 governing body.
(4) By-laws,
			 medical staff policies, and medical staff rules and regulations shall include
			 but are not limited to:
(a) The organization
			 of the medical staff, including qualifications for serving on the medical
			 staff, nominations, election, appointment or removal of officers, and periodic
			 review of its members;
(b) Criteria
			 for credentialing health care practitioners and the process for applying for
			 credentials;
(c) Criteria for
			 restricting or terminating hospital privileges and the process for restricting
			 or terminating hospital privileges;
(d) A process for periodically reviewing the
			 procedures for granting, restricting, or terminating hospital privileges to
			 ensure that procedures are being followed;
(e) Procedures for insuring that licensed
			 health care practitioners with hospital privileges are acting within their
			 scope of practice and acting consistent with the privileges granted;
(f) Procedures for the acceptance of verbal
			 orders by those individuals authorized by law or their scope of practice to
			 accept verbal orders;
(g) Criteria
			 for tissue specimens and appliances that are subject to a macroscopic or
			 microscopic pathology examination;
(h) Procedures for responding to medical
			 emergencies, including contacting at least one physician in the event of a
			 medical emergency; and
(i)
			 Procedures for notifying patients orally and in writing of any financial
			 interest as required by ORS 441.098.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0030 - Organization, Hospital Policies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 hospital's internal organization shall be structured to include appropriate
			 departments and services consistent with the needs of its defined
			 community.
(2) A hospital shall
			 adopt and maintain clearly written definitions of its organization, authority,
			 responsibility and relationships.
(3) A hospital shall adopt, maintain and
			 follow written patient care policies that include but are not limited to:
(a) Admission and transfer policies that
			 address:
(A) Types of clinical conditions not
			 acceptable for admission;
(B)
			 Constraints imposed by limitations of services, physical facilities or staff
			 coverage;
(C) Emergency
			 admissions;
(D) Requirements for
			 informed consent signed by the patient or legal representative of the patient
			 for diagnostic and treatment procedures; such policies and procedures shall
			 address informed consent of minors in accordance with provisions in ORS
			 109.640,
			 109.670, and
			 109.675;
(E) Requirements for identifying persons
			 responsible for obtaining informed consent and other appropriate disclosures
			 and ensuring that the information provided is accurate and documented
			 appropriately in accordance with these rules and ORS
			 441.098; and
(F) A process for the internal transfer of
			 patients from one level or type of care to another;
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0033 - Patient Rights

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A hospital
			 shall comply with the requirements for patients' rights as set forth in
			 42 CFR
			 482.13.
(2) As used in sections (3) through (9) of
			 this rule:
(a) "Patient" means a patient
			 admitted to a hospital or seeking medical evaluation and care in an emergency
			 department who needs assistance to effectively communicate with hospital staff,
			 make health care decisions, understand health care information, or engage in
			 activities of daily living due to a disability, including but not limited to:
(A) A physical, intellectual, behavioral or
			 cognitive impairment;
(B) Deafness,
			 being hard of hearing or other communication barrier;
(C) Blindness;
(D) Autism; or
(E) Dementia;
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0036 - Hospital Requirements During Emergency Impacting Standard of Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule does
			 not circumvent or supersede Centers for Medicare and Medicaid Services (CMS)
			 requirements to meet the needs of the facility and care of patients.
(2) For purposes of this rule:
(a) "Crisis standards of care" means policies
			 or standards adopted by a hospital to be implemented during an emergency to
			 make triage decisions, such as but not limited to Oregon Health Authority
			 adopted crisis standards of care and related tools.
(b) "Emergency" includes but is not limited
			 to a federal emergency declaration, Governor's declared emergency, a
			 determination by the state Public Health Director under ORS
			 431A.015(1), an
			 epidemic as that is defined in ORS
			 431A.005, or any other
			 unforeseen event that results in an increased need for scarce hospital
			 resources or a significant reduction of health care staff.
(c) "Hospital" has the meaning given that
			 term in ORS 442.015, but does not include a
			 Special Inpatient Care Facility as that term is defined under OAR
			 333-071-0205.
(d) "Support person"
			 has the meaning given that term in OAR 333-505-0033.
(e) "Triage decisions" means the decisions
			 necessary to provide equitable prioritization of critical care resources for
			 patients during an emergency.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0040 - Personnel

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A hospital
			 shall:
(a) Maintain a sufficient number of
			 qualified personnel to provide effective patient care and all other related
			 services.
(b) Have written
			 personnel policies and procedures that are available to personnel.
(c) Provide orientation for new
			 employees.
(d) Have an annual
			 continuing education plan.
(e) Have
			 a job description for each position that delineates the qualifications, duties,
			 authority and responsibilities inherent in each position.
(f) Provide an annual work performance
			 evaluation for each employee with appropriate records maintained.
(g) Have an employee health screening program
			 for the purpose of protecting patients and employees from communicable
			 diseases, including but not limited to requiring tuberculosis testing for
			 employees in accordance with OAR 333-505-0070.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0055 - Discharge Planning Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this rule:
(a) For purposes of subsection (2)(a) of this
			 rule "lay caregiver" means an individual who, at the request of a patient,
			 agrees to provide aftercare to the patient in the patient's
			 residence.
(b) For purposes of
			 subsection (2)(b) of this rule, "lay caregiver" means:
(A) For a patient who is younger than 14
			 years of age, a parent or legal guardian of the patient;
(B) For a patient who is 14 years of age or
			 older, an individual designated by the patient or a parent or legal guardian of
			 the patient to the extent permitted under ORS
			 109.640 and
			 109.675.
(c) "Mental health treatment" includes
			 treatment for mental health, mental illness, addictive health and addiction
			 disorders.
(d) "Peer support" means
			 a peer support specialist, peer wellness specialist, family support specialist
			 or youth support specialist as those terms are defined in ORS
			 414.025 and who are certified in
			 accordance with OAR chapter 950, division 060.
(e) "Publicly available" means posted on the
			 hospital's website and provided to each patient and to the patient's lay
			 caregiver in written form upon admission to the hospital or emergency
			 department and upon discharge from the hospital or release from the emergency
			 department. The written form provided to a patient and lay caregiver may be a
			 summarized version of the policy that is clear and easily understood, for
			 example in the form of a brochure.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0060 - Quality Assessment and Performance Improvement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The governing body of a hospital must
			 ensure that there is an effective, written, facility-wide quality assessment
			 and performance improvement program to evaluate and monitor the quality and
			 appropriateness of patient care.
(2) All organized services related to patient
			 care, including services furnished by a contractor, must be
			 evaluated.
(3) Written
			 documentation of quality assessment and performance improvement activities
			 shall be recorded at least quarterly.
(4) Healthcare associated infections, adverse
			 drug reactions, errors in administration of drugs, and blood and blood product
			 transfusions must be evaluated.
(5)
			 All medical and surgical services performed in the hospital must be evaluated
			 as they relate to appropriateness of diagnosis and treatment.
(6) The hospital must have an ongoing plan,
			 consistent with available community and hospital resources, to provide and make
			 available social work, psychological, and educational services to meet the
			 medically-related needs of its patients.
Stat. Auth.: ORS 441.055
Stats. Implemented: ORS
				  441.025
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0070 - Infection Control and Prevention

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A hospital shall establish and maintain
			 an active facility-wide program for the control and prevention of infection.
			 This program shall, at a minimum, include the following:
(a) Identification of existing or potential
			 infections in patients, employees, medical staff, and health care practitioners
			 with hospital privileges;
(b)
			 Control of factors affecting the transmission of infections and communicable
			 diseases;
(c) Provision for
			 orienting and educating all medical staff, health care practitioners with
			 hospital privileges and employees on the cause, transmission and prevention of
			 infections; and
(d) Collection,
			 analysis and use of data relating to infections in the hospital.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0075 - HIV Post-Exposure Prophylaxis

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Effective January 1, 2024, a hospital
			 must adopt, maintain, and implement a policy for the dispensing of human
			 immunodeficiency virus (HIV) post-exposure prophylaxis or therapies to a
			 patient for occupational or nonoccupational exposure to HIV.
(2) The policy must conform to the following
			 guidelines except for as otherwise provided in section (3) of this rule:
(a) Centers for Disease Control and
			 Prevention, U.S. Department of Health and Human Services, Updated Guidelines
			 for Antiretroviral Postexposure Prophylaxis after Sexual, Injection Drug Use,
			 or Other Nonoccupational Exposure to HIV, United States, 2016.
(b) Centers for Disease Control and
			 Prevention, Updated U.S. Public Health Service Guidelines for the Management of
			 Occupational Exposures to HIV and Recommendations for Postexposure
			 Prophylaxis.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0080 - Tuberculosis Control

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in
			 this rule, "person" means any:
(a) Hospital
			 employee;
(b) Hospital
			 contractor;
(c) Health care
			 practitioner granted privileges by the hospital; or
(d) Hospital volunteer or student.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0090 - Request for Tissues and Organs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A hospital administrator or his or her
			 designee shall contact the appropriate organ or tissue procurement organization
			 when a patient dies at the hospital or when a patient's death is
			 imminent.
(2) After consultation
			 with an organ or tissue procurement organization, the hospital administrator or
			 his or her designee shall communicate with the patient or legal next-of-kin and
			 request that the patient's organs and tissue be donated as an anatomical gift,
			 unless:
(a) The medical record shows that the
			 patient has made an anatomical gift;
(b) The appropriate procurement organizations
			 or the medical examiner has ruled out the potential donor based on accepted
			 medical standards;
(c) The legal
			 next-of-kin are not available because:
(A)
			 They cannot be located in a timely manner after reasonable effort by the
			 procurement organizations or the hospital; or
(B) They are mentally incompetent.
(d) In the opinion of the
			 attending physician after consulting with the procurement organization, it is
			 determined that the request would contribute toward the severe emotional
			 distress of the patient or legal next-of-kin.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0100 - Training for Requestors

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 persons making requests for donations of organs, tissues, and eyes shall have
			 received hospital-provided or procurement organization-provided training in
			 accordance with this rule.
(2)
			 Training for requestors shall include but is not limited to:
(a) The legal requirements of ORS 97.951 through 97.978 and these rules, and the necessity for completion of the portion
			 of the death certificate regarding organ, tissue and eye retrieval.
(b) Specifics of organ tissue and eye
			 donation, including: identification of potential donors; medical uses of
			 donated organs, tissues, and eyes; the history and success of transplant
			 programs; reimbursement mechanisms for expenses relating to organ, tissue, and
			 eye retrieval;
(c) A review of the
			 psychological, social, cultural, ethical and religious factors affecting
			 willingness to donate organs, tissues, and eyes, and resistance to organ,
			 tissue, and eye donation, and a review of materials developed to train
			 individuals to request organ, tissue, and eye donation with reasonable
			 discretion and sensitivity;
(d) The
			 family's right to refuse and the need to respect this right;
(e) The effect on funeral arrangements and
			 cost; and
(f) The importance of
			 consulting with the attending physician.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0110 - Hospital Compliance

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 hospital shall demonstrate compliance with OAR 333-505-0090  and 333-505-0100  by
			 maintaining a file, available for Oregon Health Authority review, including the
			 following:
(a) Training curriculum;
(b) Hospital policy and procedure regarding
			 request and training for tissues, eyes, and organs;
(c) If not included in policy and procedure,
			 criteria for selection of requestor;
(d) Method by which 24-hour scheduling of
			 requestor(s) is established; and
(e) Policies and procedures for communicating
			 with procurement organizations regarding the availability of donor organs,
			 tissues, and eyes.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 505 - HOSPITAL ORGANIZATION AND MANAGEMENT › Section 333-505-0120 - Emergency Contraception

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 hospital providing care to a female victim of sexual assault shall:
(a) Promptly provide the victim with
			 unbiased, medically and factually accurate written and oral information about
			 emergency contraception;
(b)
			 Promptly orally inform the victim of her option to be provided emergency
			 contraception at the hospital; and
(c) If requested by the victim and not
			 medically contraindicated, provide the victim of any child bearing age with
			 emergency contraception immediately at the hospital, notwithstanding ORS
			 147.397 (defining the
			 availability of the Sexual Assault Victims' Emergency Medical Response fund
			 "SAVE Fund").
(d) For purposes of
			 this rule, "emergency contraception" means the use of a drug or device that is
			 approved by the United States Food and Drug Administration to prevent pregnancy
			 after sexual intercourse.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0001 - Applicability

Current through Register Vol. 63, No. 7, July 1, 2024
These rules apply to all hospitals, regardless of
				classification.
Stat. Auth.: ORS 413.042 & 441.055
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0002 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in OAR chapter 333, division 510, the following
				definitions apply:
(1) "Hospital"
			 means a hospital as described in ORS
			 442.015 and an acute inpatient
			 care facility as defined in ORS
			 442.470.
(2) "Nurse manager" means a registered nurse
			 who has administrative responsibility 24 hours a day, 7 days a week for a
			 patient care unit, units or hospital and who is not replaced for short-term
			 scheduled or unscheduled absences.
Statutory/Other Authority: ORS
				  413.042 & ORS
				  441.055
Statutes/Other Implemented: ORS
				  441.179 - 441.192, ORS
				  441.055, ORS
				  441.025 & ORS
				  441.064
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0010 - Patient Admission and Treatment Orders

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 No patient, including patients admitted for observation status, shall be
			 admitted to a hospital except on the order of an individual who has admitting
			 privileges. The admitting physician, physician associate or nurse practitioner
			 shall provide sufficient information at the time of admission to establish that
			 care can be provided to meet the needs of the patient. Admission medical
			 information shall include a statement concerning the admitting diagnosis and
			 general condition of the patient. Other pertinent medical information, orders
			 for medication, diet, and treatments shall also be provided, as well as a
			 medical history and physical.
(2)
			 Within 24 hours of a patient's admission, a hospital shall ensure that:
(a) The patient's medical history is taken
			 and a physical examination performed, unless:
(A) A medical history and physical
			 examination has been completed within 30 days prior to admission, as provided
			 in the medical staff rules and regulations; or
(B) The patient is readmitted within a
			 month's time for the same or related condition, as long as an interval note is
			 completed.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0020 - Nursing Care Management

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 nursing care of each patient, including patients admitted for observation
			 status, in a hospital shall be the responsibility of a registered nurse
			 (RN).
(2) The RN will only provide
			 services to the patients for which the RN is educationally and experientially
			 prepared and for which competency has been maintained.
(3) The RN shall be responsible and
			 accountable for managing the nursing care of the RN's assigned patients. The RN
			 shall only assign the nursing care of each patient to other nursing personnel
			 in accordance with the patient's needs and the specialized qualifications and
			 competence of the nursing staff available. The responsible RN shall ensure that
			 the following activities are completed:
(a)
			 Document the admission assessment of the patient within four hours following
			 admission and initiate a written plan of care. This shall be reviewed and
			 updated whenever the patient's status changes.
(b) Develop and document within eight hours
			 following admission a plan of care for nursing services for the patient, based
			 on the patient assessment and realistic, understandable, achievable patient
			 goals consistent with the applicable rules in OAR chapter 851, division
			 045.
(c) Observe and report to the
			 nurse manager and the patient's physician or other responsible health care
			 provider authorized by law, when appropriate, any significant changes in the
			 patient's condition that warrant interventions that have not been previously
			 prescribed or planned for:
(A) When the RN
			 questions the efficacy, need or safety of continuation of medications being
			 administered to a patient, the RN shall report that question to the physician
			 or other responsible health care provider authorized by law authorizing the
			 medication and shall seek further instructions concerning the continuation of
			 the medication.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0030 - Nursing Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The hospital
			 shall provide a nursing service department, which provides 24-hour onsite
			 registered nursing care, 7 days per week.
(2) The nursing services department shall be
			 under the direction of a nurse executive who is a registered nurse, licensed to
			 practice in Oregon.
(3) All nursing
			 personnel shall maintain current certification in cardiopulmonary
			 resuscitation.
Stat. Auth.: ORS
				  413.042,
				  441.055
Stats. Implemented: ORS
				  441.160 -
				  441.192
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0040 - Nurse Executive

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The nurse
			 executive position shall be full-time (40 hours per week). Time spent in
			 professional association workshops, seminars and continuing education may be
			 counted as duties in considering whether or not the nurse executive is
			 full-time. If the nurse executive has responsibility for direct patient care
			 activities, sufficient time must be available to devote to administrative
			 duties. For hospitals with attached long-term care facilities, the nurse
			 executive may function as the nurse executive for both the hospital and the
			 long-term care facility.
(2) The
			 nurse executive shall have had progressive responsibility in managing in a
			 health care setting. The nurse executive shall be a registered nurse licensed
			 in Oregon. In addition, the nurse executive must have a baccalaureate degree,
			 other advanced degree, or appropriate equivalent experience, with emphasis in
			 management preferred.
(3) The nurse
			 executive shall have written administrative authority, responsibility, and
			 accountability for assuring functions and activities of the nursing services
			 department and shall participate in the development of any policies that affect
			 the nursing services department. This includes budget formation, implementation
			 and evaluation. The nurse executive shall ensure the:
(a) Development and maintenance of a nursing
			 service philosophy, objective, standards of practice, policy and procedure
			 manuals, and job descriptions for each level of nursing service
			 personnel;
(b) Development and
			 maintenance of personnel policies of recruitment, orientation, in-service
			 education, supervision, evaluation, and termination of nursing service staff or
			 ensure it is done by another department;
(c) Development and maintenance of policies
			 and procedures for determination of nursing staff's capacity for providing
			 nursing care for any patient seeking admission to the facility;
(d) Development and maintenance of a quality
			 assessment and performance improvement program for nursing service;
(e) Coordination of nursing service
			 departmental function and activities with the function and activities of other
			 departments; and
(f) Ensure
			 participation with the administrator and other department directors in
			 development and maintenance of practices and procedures that promote infection
			 control, fire safety, and hazard reduction.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0045 - Posting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
A hospital shall post an anti-retaliation notice on the
				premises that:
(1) Summarizes the
			 provisions of ORS 441.181,
			 441.183,
			 441.184 and
			 441.192;
(2) Is clearly visible; and
(3) Is posted where notices to employees and
			 applicants for employment are customarily displayed.
Statutory/Other Authority: ORS
				  413.042 & ORS
				  441.185
Statutes/Other Implemented: ORS
				  441.185
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0050 - Inservice Training Requirements for Nursing

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The nurse executive or her or his
			 designee shall coordinate all inservice training for nursing. Each year the
			 inservice training agenda shall include at least the following:
(a) Infection control measures;
(b) Emergency procedures including, but not
			 limited to, procedures for fire and other disaster;
(c) Application of physical restraints (if
			 the facility population includes any patient with orders for restraints);
			 and
(d) Other special needs of the
			 facility population.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0060 - Patient Environment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 hospital shall provide for each patient:
(a) A
			 good bed, mattress, pillow with protective coverage, and necessary bed
			 coverings;
(b) Items needed for
			 personal care; and
(c) Separate
			 storage space for clothing, toilet articles, and other personal
			 belongings.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0105

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042, 441.151 &
				  441.154
Stats. Implemented: ORS
				  441.154
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0110

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 & 441.155
Stats. Implemented: ORS
				  441.155
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0115

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 & 441.156
Stats. Implemented: ORS
				  441.156
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0120

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042, 441.154 &
				  441.175
Stats. Implemented: ORS
				  441.154
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0125

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042, 441.155 &
				  441.166
Stats. Implemented: ORS 441.155 &
				  441.166
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0130

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  441.166 & 441.168
Stats. Implemented: ORS
				  441.166 &
				  441.168
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0135

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 & 441.165
Stats. Implemented: ORS 441.155 &
				  441.165
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 510 - PATIENT CARE AND NURSING SERVICES IN HOSPITALS › Section 333-510-0140

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  441.165
Statutes/Other Implemented: ORS
				  441.155,
				  441.165
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 515 - HOSPITAL ENVIRONMENTAL AND MAINTENANCE SERVICES › Section 333-515-0001 - Applicability

Current through Register Vol. 63, No. 7, July 1, 2024
These rules apply to all hospitals, regardless of
				classification.
Stat. Auth.: ORS 441.055
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 515 - HOSPITAL ENVIRONMENTAL AND MAINTENANCE SERVICES › Section 333-515-0005 - Sterilization of Instruments, Equipment and Supplies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) After the discharge of any patient, the
			 bed, bed furnishings, bedside furniture, bed pans, urinals, wash basins,
			 denture cups, drinking glasses, or any similar utensil or piece of equipment
			 used by a patient shall be thoroughly cleaned and disinfected prior to re-use,
			 or disposed of properly. Mattresses shall be professionally renovated when
			 necessary.
(2) Single patient use
			 equipment must be labeled with patient name and room number when the equipment
			 is used in a multi-bed room.
Stat. Auth.: ORS 441.055
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 515 - HOSPITAL ENVIRONMENTAL AND MAINTENANCE SERVICES › Section 333-515-0020 - Sanitary Precautions

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Provision shall be made for the proper cleaning of linen and other washable
			 goods and proper disposal of all refuse.
(2) All garbage and refuse shall be stored
			 and disposed of in a manner that will not create a nuisance or a public health
			 hazard. Infectious waste shall be stored and disposed of in accordance with OAR
			 chapter 333, division 56.
(3)
			 Measures shall be taken to prevent the entry of rodents, flies, mosquitoes, and
			 other insects. Adequate measures shall include but are not limited to
			 preventing their entry through doors, windows, or other outside
			 openings.
(4) The walls and floors
			 shall be of a durable and cleanable composition necessary to maintain a
			 sanitary environment appropriate to the use of the area. The building shall be
			 kept clean and in good repair.
Stat. Auth.: ORS 441.055
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 515 - HOSPITAL ENVIRONMENTAL AND MAINTENANCE SERVICES › Section 333-515-0030 - Safety and Emergency Precautions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A hospital shall:
(a) Have a physical plant and overall
			 hospital environment that is developed and maintained in such a manner that the
			 safety and well-being of patients are provided for.
(b) Have telephone or another communication
			 method to summon help in case of fire or other emergency.
(c) Comply with ORS chapter 479, its
			 implementing rules, and all other requirements of the State Fire
			 Marshal.
(d) Have emergency power
			 facilities that are tested monthly and are in readiness at all times for use in
			 the delivery, operating and emergency rooms, nurseries and other areas as
			 required in NFPA 99 and the National Electrical Code.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 515 - HOSPITAL ENVIRONMENTAL AND MAINTENANCE SERVICES › Section 333-515-0040 - Smoking Prohibition

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 administrator or person in charge of the hospital may not permit a person to
			 smoke tobacco:
(a) In the hospital;
			 or
(b) Within 10 feet of a doorway,
			 open window or ventilation intake of the hospital.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0000 - Applicability

Current through Register Vol. 63, No. 7, July 1, 2024
Whether a hospital is required to provide a service listed in
				this division depends on a hospital's classification, as those classifications
				are described in OAR
				333-500-0032. If a
				hospital chooses to provide a service that is not required it shall comply with
				the applicable rule in this division.
Stat. Auth.: ORS 441.055 & 442.015
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0030 - Laboratory Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 hospitals, regardless of classification, are required to comply with this
			 rule.
(2) A hospital shall:
(a) Have on-site or use a licensed clinical
			 laboratory that meets the requirements of ORS 438.010 through 438.510 and OAR
			 333-024; or has been issued a valid certificate from the federal government
			 under the Clinical Laboratory Improvement Amendments of 1988 (CLIA 88), and
			 that provides timely laboratory services to support a hospital's medical,
			 surgical and other services.
(b)
			 Have on staff or under contract a clinical pathologist to oversee clinical
			 laboratory testing including pathology services.
(c) Have appropriately trained laboratory
			 staff on-site or on-call 24 hours a day, 7 days a week (24/7).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0035 - Pharmacy Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A general
			 hospital is required to have an on site pharmacy and a pharmacist on call 24/7
			 to staff the pharmacy.
(2) Low
			 occupancy acute care hospitals and mental or psychiatric hospitals may have an
			 on-site pharmacy or a drug room.
(3) Low occupancy acute care hospitals and
			 mental or psychiatric hospitals shall have appropriately trained pharmacy staff
			 on-site or on-call 24/7.
(4) A
			 pharmacy in a hospital shall comply with the applicable requirements in ORS
			 Chapter 689 and OAR chapter 855, including 855-041-0120 through
			 855-041-0132.
(5) A drug room in a
			 hospital shall comply with the applicable requirements in ORS Chapter 689 and
			 OAR
			 855-041-0135  through
			 855-041-0140.
(6) All hospitals, regardless of
			 classification shall dispose of old medications, including special
			 prescriptions for patients who have left the hospital, by incineration or
			 another equally effective method, except narcotics and other drugs under the
			 drug abuse law, which shall be handled in the manner prescribed by the Drug
			 Enforcement Administration of the U.S. Department of Justice.
Stat. Auth.: ORS 441.055
Stats Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0040 - Radiology Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 hospitals, regardless of classification shall have on-site or contract
			 radiology services that:
(a) Comply with ORS
			 Chapter 453 and its applicable implementing rules;
(b) Support the hospital's medical, surgical
			 and other services; and
(c) Are
			 available on a timely basis.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0050 - Surgery Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For purposes
			 of this rule:
(a) "Circulating nurse" means a
			 registered nurse who is responsible for coordinating the nursing care and
			 safety needs of the patient in the operating room and who also meets the needs
			 of the operating room team members during surgery.
(b) "Rural or medically underserved
			 community" means a geographic area of Oregon that is 10 or more miles from the
			 geographic center of a population center of 40,000 or more
			 individuals.
(c) "Surgical
			 technology" means intraoperative surgical patient care that involves:
(A) Preparing an operating room for surgical
			 procedures by ensuring that surgical equipment is functioning properly and
			 safely;
(B) Preparing an operating
			 room and the sterile field for surgical procedures by preparing sterile
			 supplies, instruments and equipment using sterile techniques;
(C) Anticipating the needs of a surgical team
			 based on knowledge of human anatomy and pathophysiology and how those fields
			 relate to the surgical patient and the patient's surgical procedure;
			 and
(D) Performing tasks as
			 directed in an operating room, including:
(i)
			 Passing instruments, equipment or supplies;
(ii) Sponging or suctioning of an operative
			 site;
(iii) Preparing and cutting
			 suture material;
(iv) Transferring
			 fluids or drugs;
(v) Handling
			 specimens;
(vi) Holding retractors
			 and other equipment;
(vii) Applying
			 electrocautery to clamps on bleeders;
(viii) Connecting drains to suction
			 apparatus;
(ix) Applying dressings
			 to closed wounds; and
(x) Assisting
			 in counting supplies and instruments, including sponges and needles.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0060 - Maternity Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) General
			 hospitals are required to comply with this rule. A low occupancy acute care
			 hospital shall comply with this rule if it offers maternity services.
(2) A hospital that provides
			 maternity services shall have separate maternity facilities and a maternity
			 care department that:
(a) Has labor,
			 delivery, recovery, postpartum, and nursery rooms that conform to the
			 applicable requirements of OAR chapter 333, division 535;
(b) Requires every person in the delivery
			 room during a delivery to be appropriately attired according to the hospital's
			 Infection Control Policy;
(c) Has
			 appropriate resuscitation equipment immediately available to rooms where
			 deliveries are planned and where newborn infants are kept;
(d) Has a warmed blanket or incubator for
			 newborns to prevent thermal loss;
(e) Has incubators for premature infants
			 equipped with a governor to control the flow of oxygen at 40 percent or under,
			 and an oxygen analyzer;
(f) Has an
			 accurate scale for weighing of infants; and
(g) Includes a nursery and a separate
			 bassinet for each infant with a clean mattress covered with suitable sheeting,
			 washable pads, and bed linen that is kept clean at all times.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0070 - Emergency Department and Emergency Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this rule:
(a) "Behavioral health assessment" has the
			 meaning given that term in ORS
			 743A.012;
(b) "Behavioral health clinician" has the
			 meaning given that term in ORS
			 743A.012;
(c) "Behavioral health crisis" has the
			 meaning given that term in ORS
			 441.053;
(d) "Caring contacts" mean brief
			 communications with a patient that starts during care transition such as
			 discharge or release from treatment, or when a patient misses an appointment or
			 drops out of treatment, and continues as long as a qualified mental health
			 professional deems necessary;
(e)
			 "Lay caregiver" means:
(A) For a patient who
			 is younger than 14 years of age, a parent or legal guardian of the
			 patient;
(B) For a patient who is
			 14 years of age or older, an individual designated by the patient or a parent
			 or legal guardian of the patient to the extent permitted under ORS
			 109.640 and
			 109.675; or
(C) For a patient who is 14 years or older,
			 and who has not designated a caregiver, an individual to whom a health care
			 provider may disclose protected health information without a signed
			 authorization under ORS
			 192.567;
(f) For purposes of subsection (4)(g) of this
			 rule, "provider" includes:
(A) A behavioral
			 health clinician as defined in section (1) of this rule;
(B) A crisis counselor operating under the
			 direction of a behavioral health clinician;
(C) A qualified mental health associate as
			 defined in OAR 309-039-0510;
(D) A
			 registered nurse whose training, experience and competence demonstrates the
			 ability to conduct a suicidal risk assessment, provide lethal means counseling,
			 and safety planning for suicide prevention; or
(E) A peer support specialist, peer wellness
			 specialist, family support specialist or youth support specialist as those
			 terms are defined in ORS
			 414.025 and who are certified in
			 accordance with OAR chapter 950, division 060.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0075 - Respite Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A general
			 hospital or low occupancy acute care hospital may provide respite
			 services.
(2) Application for
			 permission to accept respite care guests shall be made to the Oregon Health
			 Authority (Authority) on a form provided by the Authority.
(3) The Authority may grant permission for a
			 hospital to accept respite care guests if:
(a)
			 Admittance of a respite care patient will not interfere with the care to be
			 provided to other patients.
(b) The
			 hospital has written policies that address respite care services that are
			 evaluated annually, and are implemented and followed by hospital staff. These
			 policies shall address:
(A) Type(s) of guests
			 who may be admitted;
(B) Scope of
			 services provided;
(C) Length of
			 stay (which shall not exceed 30 consecutive days);
(D) Emergency care provisions;
(E) Written criteria delineating situations
			 which necessitate physician contact;
(F) Written criteria delineating situations
			 which necessitate family or personal representative contact; and
(G) Written criteria for administration and
			 storage of medications.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 520 - HOSPITAL SERVICES › Section 333-520-0120 - Psychiatric Services

Current through Register Vol. 63, No. 7, July 1, 2024
A hospital classified as mental or psychiatric or a general or
				low occupancy acute care hospital that provides inpatient psychiatric services
				and has an inpatient psychiatric unit shall comply with OAR
				333-525-0000(2)
				through (10).
Stat. Auth.: ORS 441.055
Stats. Implemented: ORS 441.055 &
				  442.015
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 525 - SPECIALTY HOSPITALS › Section 333-525-0000 - Mental or Psychiatric Hospital

Current through Register Vol. 63, No. 7, July 1, 2024
A hospital classified as mental or psychiatric shall:
(1) Be devoted primarily to the diagnosis and
			 treatment of mentally ill persons.
(2) Have adequate numbers of qualified
			 professional and supportive staff to evaluate patients, formulate written,
			 individualized comprehensive treatment plans, provide active treatment
			 measures, and engage in discharge planning, including:
(a) A clinical director, service chief, or
			 equivalent who:
(A) Is qualified to provide
			 the leadership required for an intensive treatment program;
(B) Meets the training and experience
			 requirements for examination by the American Board of Psychiatry and Neurology
			 or the American Osteopathic Board of Neurology and Psychiatry;
(C) Monitors and evaluates the quality and
			 appropriateness of services and treatment provided by the medical staff;
			 and
(D) Supervises inpatient
			 psychiatric services.