Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 54 - RESIDENTIAL CARE AND ASSISTED LIVING FACILITIES › Section 411-054-0045 - Resident Health Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 RESIDENT HEALTH SERVICES. The facility must provide health services and have
			 systems in place to respond to the 24-hour care needs of residents. The system
			 must:
(a) Include written policies and
			 procedures on medical emergency response for all shifts.
(b) Include an Oregon licensed nurse who is
			 regularly scheduled for onsite duties at the facility and who is available for
			 phone consultation.
(c) Assure an
			 adequate number of nursing hours relevant to the census and acuity of the
			 resident population. IICs must meet contract requirements concerning nursing
			 hours.
(d) Ensure that the facility
			 RN is notified of nursing needs as identified in OAR
			 411-054-0034 (Resident Move-In
			 and Evaluation) or OAR
			 411-054-0036 (Service Plan -
			 General).
(e) Define the duties,
			 responsibilities and limitations of the facility nurse in policy and
			 procedures, admission, and disclosure material.
(f) Licensed nurses must deliver the
			 following nursing services:
(A) Registered
			 nurse (RN) assessment in accordance with facility policy and resident
			 condition. At minimum, the RN must assess all residents with a significant
			 change of condition. The assessment may be a full or problem focused assessment
			 as determined by the RN. A chart review or phone consultation may be performed
			 as part of this assessment. The RN must document findings, resident status, and
			 interventions made as a result of this assessment. The assessment must be
			 timely, but is not required prior to emergency response in acute
			 situations.
(B) Delegation and
			 Teaching. Delegation and teaching must be provided and documented by a RN in
			 accordance with the Oregon Administrative Rules adopted by the Oregon State
			 Board of Nursing in chapter 851, division 047.
(C) Monitoring of Resident Condition. The
			 facility must specify the role of the licensed nurse in the facility's
			 monitoring and reporting system.
(D) Participation on Service Planning Team.
			 If the resident experiences a significant change of condition and the service
			 plan is updated, the licensed nurse must participate on the Service Planning
			 Team, or must review the service plan with date and signature within 48
			 hours.
(E) Health Care Teaching and
			 Counseling. A licensed nurse must provide individual and group education
			 activities as required by individual service plans and facility
			 policies.
(F) Intermittent Direct
			 Nursing Services. If a resident requires nursing services that are not
			 available through hospice, home health, a third-party referral, or the task
			 cannot be delegated to facility staff, the facility must arrange to have such
			 services provided on an intermittent or temporary basis. Such services may be
			 of a temporary nature as defined in facility policy, admission agreements and
			 disclosure information.