The Medical Director shall be responsible for oversight of the
care provided by the staff of the dialysis facility. Treatment must be provided
under the general supervision of a director who is a physician. The
physician-director need not devote full time as director but shall be
responsible for planning, organizing, conducting, and directing the
professional dialysis services and must devote sufficient time to carrying out
these responsibilities. The director may also serve as the Chief Executive
Officer of the facility.
(1) The
director of a dialysis facility must be a qualified
physician-director.
(2) The
responsibilities of the
physician-
director include but are not limited to the
following:
(a) Assuring the development and
implementation of the process of modality selection, i.e., transplantation or
dialysis and the setting for dialysis for all patients;
(b) Assuring adequate training of nurses and
technicians in dialysis techniques;
(c) Assuring adequate monitoring of the
patient and the dialysis process, including, self-dialysis patients;
(d) Assuring periodic assessment of patient
performance of dialysis tasks;
(e)
Assuring the development and availability of a patient care policy and
procedures manual and its implementation. At a minimum, the manual shall
describe the following:
(A) Types of dialysis
used in the facility and the procedures followed in performance of such
dialysis;
(B) Hepatitis prevention
and procedures for handling an individual with hepatitis;
(C) Infection control; and
(D) A disaster preparedness plan (e.g.,
patient emergency, fire, flood);
(f) Assuring that patient teaching materials
are available for use by all trainees during the training period and at times
other than during the dialysis procedure when self-dialysis training or home
dialysis training is offered; and
(g) Assuring that patient outcomes are
monitored and evaluated as part of the QAPI process. The Medical Director must
assure that a plan is in place for the improvement of patient outcomes. This
process shall include a review of any accidents, incidents, or adverse
outcomes.
Notes
Or. Admin. R.
333-700-0095
PH 7-2003, f. & cert.
ef. 6-6-03; PH 4-2012, f. 3-30-12, cert. ef.
4-1-12
Stat. Auth.: ORS 441.015 & 441.025
Stats. Implemented: ORS
441.025
