Or. Admin. R. 411-090-0190 - Physical Design, Environment, and Safety

(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 87.
(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 manufacturer.
(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.
(7) 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 reach.
(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 services.
(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.
(11) AGREEMENT WITH LOCAL ELECTRIC COMPANY. The facility shall request to have priority for service restoration during a major outage.


Or. Admin. R. 411-090-0190
APD 9-2019, adopt filed 01/31/2019, effective 2/1/2019

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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