Or. Admin. Code § 851-047-0050 - Process for Periodic Inspection and Evaluation
(1) The RN must provide periodic inspection
and evaluation to reach a clinical judgment on whether the delegation remains a
safe care delivery option for the client. At a minimum, the periodic inspection
and evaluation must occur at least once prior to the expiration of the initial
authorized period and at least once prior to the expiration of any subsequent
reauthorization period.
(2) The
RN's periodic inspection and evaluation must include:
(a) Verification that the requirements of
851-047-0045(1)(a) through
(j) continue to be met;
(b) Assessment of the client in their
environment of care; and
(c)
Validation of the UAP's adherence to the documented instructions, by:
(A) Verifying the UAP's documentation of the
nursing procedure;
(B) Addressing
questions or concerns the UAP and client may have; and
(C) Directly observing the UAP perform the
nursing procedure.
(3) If the RN concludes the delegation is not
a safe care delivery option for the client, the RN may not re-authorize the
UAP's performance of the nursing procedure for the client. Nothing in these
rules prevents the RN from:
(a) Addressing an
identified issue rendering the delegation unsafe;
(b) Verifying resolution of the issue;
and
(c) Proceeding to section (4)
of this rule.
(4) If the
RN concludes the delegation remains a safe care delivery option for the client,
the RN may re-authorize the UAP's performance of the nursing procedure for
another period not to exceed 180 days from the date of the periodic inspection
and evaluation. When reauthorizing the UAP's performance of the nursing
procedure, the RN must:
(a) Document the
length of the reauthorization period;
(b) Ensure a copy of the documented
instructions are accessible to the UAP;
(c) Instruct the UAP to adhere to the
instructions when performing the nursing procedure for the client;
(d) Instruct the UAP that their
reauthorization to perform the nursing procedure is client specific, time
limited, and not transferable;
(e)
Continue to provide periodic inspection and evaluation of the delegation per
this rule; and
(f) Continue to
engage in nursing practice with the client.
Notes
Statutory/Other Authority: ORS 678.150
Statutes/Other Implemented: ORS 678.150
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