Or. Admin. R. 309-033-0710 - Definitions
(1) "Administrator"
means the chief of psychiatric services in a community hospital or the person
in charge of treatment and rehabilitation programs in a nonhospital facility.
"Administrator" has the same meaning as "director of the facility" as that term
is defined in ORS 426.005(1)(a).
Whenever "administrator" appears it means the administrator or his or her
designee.
(2) "Authority" means the
Oregon Health Authority (OHA).
(3)
"Certificate" means the document or documents issued by the Division, which
identifies and declares certification of a provider pursuant to OAR
309-008-0100 to 309-008-1600. A letter accompanying issuance of the certificate
will detail the scope and approved service delivery locations of the
certificate.
(4) "Clinical Record"
means the record required by OAR 309-014-0035, General Standards for Delivery
of Community Mental Health Service Elements, documenting the mental health
services delivered to clients by a CMHP or subcontractor.
(5) "Community Mental Health Program" (CMHP)
the entity responsible for organization of various services for persons with a
mental health diagnosis or addictive disorders, operated by, or contractually
affiliated with, a local mental health authority and operated in a specific
geographic area of the state under an agreement with the Division pursuant to
OAR 309-014-0000
(6) "Community
Hospital" means any hospital that is not a state hospital.
(7) "Council" means a regional acute care
psychiatric facility organization with a mission statement and bylaws,
comprised of facility representatives, consumers and family members. The
council is advisory to the facility.
(8) "Court" means the circuit court acting
pursuant to ORS Chapter 426.
(9)
"Custody" means the prehearing physical retaining of a person taken into
custody by:
(a) A peace officer pursuant to
ORS 426.070,
426.228,
426.233(1);
(b) A health care facility licensed under ORS
Chapter 431 and certified by the Division, pursuant to 426.231;
(c) A state hospital pursuant to ORS
426.232;
(d) A community hospital pursuant to ORS
426.072 or
426.232; or
(e) A regional acute care psychiatric or
non-hospital facility pursuant to ORS
426.072 or
426.233.
(10) "Director" means the community mental
health program director who has been authorized by the local mental health
authority to direct the CMHP.
(11)
"Diversion" means the 14 day period of intensive treatment when a director and
a psychiatrist certify a person as a mentally ill person pursuant to the
provision of ORS 426.237(1)(b).
(12) "Division" means the Health Systems
Division of the Oregon Health Authority (OHA).
(13) "Emergency" means, in the opinion of the
treating physician, immediate action is required to preserve the life or
physical health of a person, or because the behaviors of that person creates a
substantial likelihood of immediate physical harm to self, or to others in the
facility. The fact that a person is in custody under the provisions or ORS
426.072,
426.232 or
426.233 must not be the sole
justification that an emergency exists.
(14) "Hospital or Facility" means the
community hospital, regional acute care psychiatric facility, or non-hospital
facility eligible for, or presently certified for, the use of seclusion or
restraints to committed persons and persons in custody or on
diversion.
(15) "NMI" means "Notice
of Mental Illness" required, pursuant to ORS
426.070, to be submitted by any
two persons, a county health officer or a magistrate to the director and
thereafter submitted by the director to the court or, pursuant to 426.234, to
be submitted by the physician or the director to the court. Pursuant to 426.070
and 426.234, the court commences proceedings pursuant to 426.070 to 426.130
upon receipt of the NMI.
(16)
"Non-Hospital Facility" means any facility, other than a hospital, that is
certified by the Authority to provide adequate security, psychiatric, nursing
and other services to persons under ORS
426.232 or
426.233.
(17) "Nurse" means a registered nurse or a
psychiatric nurse practitioner licensed by the Oregon Board of Nursing, but
does not include a licensed practical nurse or a certified nurse assistant.
(18) "P.R.N." (pro re nata) means
that a medication or medical treatment has been ordered to be given as needed.
(19) "Patient Days" means the day
of admission plus each additional day of stay, but not the day of discharge,
unless it is also the day of admission.
(20) "Peace officer" means a sheriff,
constable, marshal, municipal policeman, member of the Oregon State Police or
investigator of the Criminal Justice Division of the Department of Justice and
such other persons as may be designated by law.
(21) "Physician" means a person who holds a
degree of Doctor of Medicine, Doctor of Osteopathy, or Doctor of Podiatric
Medicine, if the context in which the term "physician" is used does not
authorize or require the person to practice outside the scope of a license
issued under ORS 677.805 through
677.840.
(22) "Physician Assistant" means a person who
is licensed as such in accordance with ORS
677.265,
677.495,
677.505,
677.510,
677.515,
677.520, and
677.525.
(23) "Psychiatrist" means a physician
licensed as provided pursuant to ORS
677.010 to
677.450 by the Board of Medical
Examiners for the State of Oregon and who has completed an approved residency
training program in psychiatry.
(24) "Regional Acute Care Psychiatric
Facility" means a facility certified by the Division to provide services for
adults as described in OAR 309-033-0850 through 309-033-0890, and is operated
in cooperation with a regional or local council. A regional acute care
psychiatric facility must include 24 hour per day psychiatric,
multi-disciplinary, inpatient or residential stabilization, care and treatment,
for adults aged 18 or older with severe psychiatric disabilities in a
designated region of the state. For the purpose of these rules, a state
hospital is not a regional acute care psychiatric service. The goal of a
regional acute care service is the stabilization, control and/or amelioration
of acute dysfunctional symptoms or behaviors that result in the earliest
possible return of the person to a less restrictive environment.
(25) "Restraint" means any manual method,
physical or mechanical device, material, or equipment that immobilizes or
reduces the ability of a patient to move his or her arms, legs, body, or head
freely. Restraint may be used only for the management of violent or
self-destructive behavior that jeopardizes the immediate physical safety of the
patient, a staff member, or others.
(26) "Seclusion" is the involuntary
confinement of a patient alone in a room or area, from which the patient is
physically prevented leaving. Seclusion may be used only for the management of
violent or self-destructive behavior that jeopardizes the immediate physical
safety of the patient, a staff member, or others.
(27) "State Hospital" means each campus of
the Oregon State Hospital.
Notes
Stat. Auth.: ORS 413.042, 426.005, 426.060, 426.110, 426.232, 426.236
Stats. Implemented: ORS 426.005 - 426.395
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