(1) The intent of this rule is for the
physical environment and design of the Ventilator Assisted program designated
area to support the needs of the residents in the Ventilator Assisted Program
who are dependent on invasive mechanical ventilation as a means of life
support. The physical environment should maximize functional abilities,
accommodate ventilator equipment, promote safety, enhance personal dignity, and
encourage independence. These physical plant adaptation requirements are in
addition to the requirements already established in OAR chapter 411, division
(2) Each ventilator must be
equipped with an alarm per ventilator mode and with internal batteries to
provide a short-term back-up system in case of a total loss of power. The
battery must be checked and documented as recommended by the
(3) The facility must
have an audible, redundant, external alarm system located outside the
resident's room to alert of ventilator failure.
(4) The facility must have a means of
notification to Ventilator Assisted Program direct care staff when a ventilator
dependent resident is in distress. Examples include, installing an alarm system
to the ventilator machine and designating rooms near a place where staff can
easily hear the alarm on the ventilator machine.
(5) RESIDENT ROOMS. The Ventilator Assisted
Program Unit area shall have rooms and restrooms that are of sufficient
proportion to accommodate ventilator equipment and extra staff.
(6) COMMON AREAS. Dining, activity, and
lounge spaces must be of sufficient proportion to accommodate staff and
residents' individual and equipment needs at all times.
EQUIPMENT. The Ventilator Assisted
Program Unit area shall have rooms equipped with:
(a) All the equipment necessary for
tracheostomy and ventilator care, at the resident's bedside, and within easy
(b) Tracheostomy kits
available at all times for all residents.
(c) Operable wall or portable suction
equipment and necessary supplies.
(d) Operable wall or portable emergency
oxygen equipment and necessary supplies.
(8) EMERGENCY BACKUP EQUIPMENT. The
Ventilator Assisted Program Unit area shall have emergency back-up generators,
batteries, and back-up equipment, along with the service and maintenance
policies and plans for the equipment.
(9) EMERGENCY PLAN. The facility must have an
updated, specific plan addressing emergency needs and equipment for each type
of resident approved to receive nursing facility Ventilator Assisted Program
(10) EMERGENCY ELECTRICAL
SERVICES. All resident rooms, as well as communal areas where the resident may
choose to go, must have red duplex electrical outlets connected to the
emergency electrical service.
AGREEMENT WITH LOCAL ELECTRIC COMPANY. The facility shall request to have
priority for service restoration during a major outage.