Or. Admin. Code § 411-051-0125 - Registered Nurse Consultation
(1)
RN CONSULTATION AND ASSESSMENT. A licensee or administrator must have an
arrangement with at least one registered nurse, who has a current, active,
unencumbered Oregon license to provide consultation, assessment, teaching,
delegation, or review of medication administration processes, as needed to meet
the care needs of non-Medicaid residents as required by these rules.
(a) The licensee or administrator must check
to confirm the RN has a current, active, unencumbered Oregon license on the
OSBN website at:
https://osbn.oregon.gov/OSBNVerification/Default.aspx.
(b) Verification of the RN's status with the
OSBN must be documented and readily accessible in the facility's
records.
(2) An RN
consultation must be obtained when a nursing procedure has been ordered by a
health care professional with prescribing authority for any medical treatment
other than medications that are taken by mouth.
(3) A licensee or administrator must also
request a registered nurse consultation under the following conditions:
(a) When a resident has a health concern or
behavioral symptoms that is unfamiliar to caregivers.
(b) To clarify a prescribing practitioner's
PRN order when it includes dose or frequency ranges, or when there is no
information given about what the medication is treating, or signs and symptoms
for when to give the PRN medication to the resident.
(c) Before the use of physical restraints
when not assessed, taught, and reassessed, according to section OAR
411-051-0130(14)
of this rule, by a physician, nurse practitioner, physician assistant,
Christian Science practitioner, mental health clinician, physical therapist, or
occupational therapist.
(d) When
there are concerns about resident behaviors that do not respond to
non-medication interventions, or the use of new psychotropic medications when
not assessed, taught, and reassessed according to section OAR
411-051-0130(8),
by a physician, nurse practitioner, physician assistant, or mental health
practitioner.
(e) When care
procedures are ordered that are new for a resident, the licensee, or other
caregivers.
(4) RN
DELEGATIONS. A registered nurse may determine a nursing care procedure must be
delegated before the caregiver can perform the procedure. The delegation of a
nursing procedure must be completed prior to any caregiver performing the
procedure.
(a) RN delegations are not
transferable to other residents or caregivers. (Refer to OAR chapter 851,
division 047).
(b) A Long-Term Care
Community Nurse (LTCCN) may be available to provide consultation, teaching, and
delegation for Medicaid consumers only.
(5) DOCUMENTATION OF RN VISITS. Documentation
of nurse consultations, teaching, and step-by-step instructions on any
delegated nursing procedure or other taught procedure, assessments, and
reassessments must be maintained in the resident's record and made available to
the Department upon request.
Notes
Statutory/Other Authority: ORS 127.520, 409.050, 410.070, 413.085, 441.373, 443.001, 443.004 & 443.725, 443.730, 443.735, 443.738, 443.742, 443.760, 443.767, 443.775, 443.790
Statutes/Other Implemented: ORS 409.050, 410.070, 413.085, 441.373, 443.001 - 443.004, 443.705 - 443.825 & 443.875, 443.991
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