Or. Admin. R. 411-090-0160 - Staffing
(1) STAFFING. The
unit must employ or contract with a full-time Ventilator Assisted Program Unit
Director.
(2) In a designated
Ventilator Assisted Program unit, the following staffing requirements apply:
(a) Licensed Nurses.
(A) A licensed nurse must be on duty 24 hours
a day, seven days a week.
(i) A registered
nurse must be on duty at least 16 hours a day.
(ii) Other types of licensed nurses may cover
the other 8 hours in the 24-hour period.
(B) The facility shall not assign more than
15 Ventilator Assisted Program residents per Ventilator Assisted Program
trained licensed nurse.
(C) These
hours do not include the Resident Care Manager functions and oversight of care
plans for non-Ventilator Assisted Program residents.
(b) The facility shall not assign more than
12 Ventilator Assisted Program residents per licensed respiratory therapist and
must have an on-site, licensed respiratory therapist 24 hours a day, seven days
a week in the designated area.
(c)
Certified Nursing Assistants (CNA). The facility must have Ventilator Assisted
Program trained CNAs in the ratios noted below:
(A) Day Shift: 1 nursing assistant per 6
residents.
(B) Evening Shift: 1
nursing assistant per 9 residents
(C) Night Shift: 1 nursing assistant per 12
residents.
(d) At all
times the facility must have at least two Ventilator Assisted Program trained
staff present within the designated area.
(e) The facility shall ensure the 24 hour
on-call availability of the Medical Director or designated physician for the
Ventilator Assisted Program in the event the resident's primary care physician
is not available.
(f) The facility
shall ensure the availability of a licensed pulmonologist on sight in the
designated unit at least one time per week and ensure the on-call availability
of a pulmonologist.
(g) Within this
unit, staffing levels must be sufficient to meet the scheduled and unscheduled
needs of residents.
(h) The
facility must maintain separate staffing records posted within the unit for the
nursing and respiratory staff responsible for the ventilator dependent
residents.
(i) The facility shall
report monthly, to the Department, their staffing levels for first year of
their endorsement, or until the Department has found them to be sufficient in
maintaining required staffing levels, whichever date comes later.
(j) In an emergency situation, as defined in
411-090-0110, when trained CNA
staff are not available to provide services, the facility may assign staff who
have not completed the required training in accordance with this rule. The
emergency must be documented and immediately reported to relevant APD local
office staff and the Department. The documentation must address:
(A) The nature of the emergency.
(B) How long the emergency lasted.
(C) The names and positions of staff that
provided coverage.
(D) The
contingency plan.
(3) The facility shall notify the Department
on official letterhead within 10 days of any change related to use of on-sight
and contracted Ventilator Assisted Program Unit staff caring for
residents.
Notes
Statutory/Other Authority: ORS 409.050, 410.070, 441.055, 441.615
Statutes/Other Implemented: ORS 409.050, 410.070, 441.055, 441.615
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