Or. Admin. Code § 413-203-0105 - [Effective until 8/15/2025] Requirements Regarding the Medical, Dental, and Mental Health Care of a Child
(1) In addressing
the health care for a child in the care or custody of the Department placed in
the home, the relative resource parent must:
(a) Work collaboratively with the Department
in managing the health care needs of the child which may
include involving a parent of the child in medical, dental, and mental health
appointments;
(b) Regularly
exchange medical, dental, and mental health information of the child with the
Department;
(c) Work
collaboratively with providers in managing the medical, dental, and mental
health needs of the child; and
(d) Maintain health care documentation for
each child, including:
(A)
Medical, dental, and mental health appointments;
(B) Medical, dental, and mental health
information;
(C) Medical, dental,
and mental health appointment follow-up reports; and
(D) Immunization records.
(2) A certified relative
resource parent must comply with the Department's direction on obtaining
medical, dental, and mental health care for a child in the
care and custody of the Department placed in the home.
(3) A certified relative resource parent may
consent to routine examinations and laboratory tests.
(4) A certified relative resource parent must
follow the Department's direction regarding vaccination and immunization of a
child placed in the home, in accordance with the case
plan.
(5) Except as provided in
section (6) of this rule, the certified relative resource parent must contact
the caseworker of a child to obtain appropriate prior consent from the
Department before a child in the care and custody of the
Department placed in the home receives any medical care or undergoes a
procedure, other than routine medical care.
(6) In an emergency, a certified relative
resource parent must notify the Department as soon as possible after accessing
emergency care.
(7) A relative
resource parent must comply with the following medication management
requirements below:
(a) Medications must be
provided to a child in the care and custody of the
Department, only for the medication's labeled purpose, and
within the labeled dosage.
(b)
Prescription medications must be administered to a child in
the care and custody of the Department, only in accordance
with the written prescription or authorization from a medical
provider.
(c) The dosage, date, and
time of all medication administered must be documented on the medication form
provided by the Department. When medication is given in a
setting other than the certified home, such as at school or in a daycare, the
medication form from that setting must be attached to the Department
form.
(d) The medication form, with
any attachments, must be submitted monthly to the caseworker.
(e) Inform the caseworker or the supervisor
of the caseworker within one business day when a child in the
care and custody of the Department is prescribed a
psychotropic medication or the dosage of any existing prescription for
psychotropic medication is changed, as required by OAR
413-070-0470.
(f) Maintain the documentation received from
the caseworker when a child in the care and custody of the
Department is prescribed a psychotropic medication or when the
dosage of any existing prescription for a psychotropic medication is
changed.
(g) Begin administration
of any psychotropic medication only after authorization has been obtained from
the Department pursuant to OAR
413-070-0470.
(8) The relative resource parent must provide
for the safe storage and administration of all medications in the household,
taking into consideration the age, development level, and needs of the
child in the care and custody of the Department placed in the
home.
(9) When a
child in the care and custody of the Department is learning
their own medication management, a specific plan may be created for that
child to have access to their own medication.
(10) The relative resource parent must comply
with the personal care services plan for any child in the care
and custody of the Department in the home and eligible for personal care
services pursuant to OAR
413-090-0100 to
413-090-0210.
Notes
Statutory/Other Authority: ORS 418.005 & ORS 409.050
Statutes/Other Implemented: ORS 409.050
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