Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 90 - NURSING FACILITIES/LICENSING - VENTILATOR ASSISTED PROGRAM (VAP) › Section 411-090-0120 - Endorsement Requirements and Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1) ENDORSEMENT REQUIRED. Any Title XVIII and
			 XIX certified nursing facility that provides care to residents as a Ventilator
			 Assisted Program must be endorsed pursuant to these rules.
(2) The facility may not admit any ventilator
			 dependent residents until they receive an approved endorsement from the
			 Department.
(3) Application for
			 Endorsement. At least 60 days prior to the anticipated unit opening, the
			 applicant must submit, to the Department, a completed Ventilator Assisted
			 Program endorsement application and any other information or documentation
			 determined necessary by the Department to assess whether the applicant
			 qualifies for program endorsement, including, but not limited to:
(a) Staffing plan for the Ventilator Assisted
			 Program.
(b) Staff training plan
			 specific to ventilator care, including, but not limited to:
(A) Cardiopulmonary Resuscitation.
(B) Basic Life Support.
(C) Mechanical Ventilation.
(D) Tracheostomy management.
(E) Pulmonary Hygiene.
(F) Emergency Response.
(c) Name of the physicians who will provide
			 oversight of the ventilator dependent residents and their current Medicaid
			 provider number.
(d) Name of the
			 Ventilator Assisted Program Unit Director and current license number.
(e) Valid written addendums to nursing
			 facility agreements that support appropriate care for residents in the
			 Ventilator Assisted Program with the following, a local:
(A) Emergency transportation provider;
			 and
(B) Hospital capable of
			 providing 24 hours a day, seven days a week care that is necessary for
			 Ventilator Assisted Program participants.
(f) A copy of the contract with a Ventilator
			 Assisted Program unit contractor, if the facility is using a contractor to
			 provide their Ventilator Assisted Program services. If a licensee contracts
			 with an agency to provide the VAP services, the contract shall include:
(A) An outline of the services the contractor
			 shall provide.
(B) The contractor's
			 responsibilities for determining the VAP plan of care.
(C) How communication between the facility
			 and the contractor will be documented.
(g) A statement on the Ventilator Assisted
			 Program's mission, commitment to person-centered care, weaning, and the
			 promotion of Ventilator Assisted Program residents to be as independent in
			 respiratory function as medically feasible.
(h) Plans including, but not limited to:
(A) Infection Control.
(i) Actions to investigate, control, and
			 prevent infections;
(ii) Isolation
			 procedures; and
(iii) Standard
			 precautions.
(B)
			 Maintenance and care requirements of equipment and disposal of
			 supplies.
(C) Emergency
			 Plan.
(D) Floor plan of the
			 Ventilator Assisted Program unit designated area.
(E) Copy of the care planning tool.
(i) Copies of brochures or
			 advertisements used to advertise the facility and the facility's
			 services.
(j) Endorsement
			 application fee as described in section (6) of this rule.