Or. Admin. Code § 411-048-0190

Current through Register Vol. 63, No. 11, November 1, 2024

Section 411-048-0190 - Communication and Notification Practices

(1) MANDATORY REPORTING. The RN must report suspected or known neglect or abuse of all older adults, adults, and children as required by ORS 124.050 to 095, ORS 418, ORS 430.735 to 765, ORS 441, ORS 419B.005 to 045, ORS 676.150 and OSBN's ORS 678.135.

(2) The RN or agency must notify the Department in writing of material changes in any status or condition that relates to their qualifications or eligibility to provide medical assistance services.

(3) CONFIDENTIALITY.

(a) The RN must protect client confidential information in a manner consistent with current laws, standards as described in OAR chapter 851 as well as the federal regulations adopted to implement the Health Insurance Portability and Accountability Act.

(b) The RN must provide all written, verbal, digital, video, and electronic information regarding an individual in accordance with the Department's confidentiality parameters as described in OAR chapter 407, division 014 and the federal regulations adopted to implement the Health Insurance Portability and Accountability Act.

(4) NOTIFICATION.

(a) The RN must communicate any potential or actual life-threatening health and safety concerns immediately to:

(A) 911, police, or physician as appropriate to address emergent or urgent safety concerns; and

(B) The local office protective service worker, worker of the day, or case manager.

(b) If while performing long term care community nursing services under these rules the RN determines that an individual's health condition is unstable or a significant change of condition is noted, the RN must either notify the individual's physician or primary care provider directly or ensure that the individual's UAP has reported this information to the physician or primary care provider.

(c) The RN must notify the individual's case manager or local office management within one business day the individual's non-life threatening but high-risk concerns including:

(A) Changes in condition as described in subsection (b) of this section,

(B) Concerns about, or changes in, the client's current place of residence, or

(C) Concerns about a UAP's performance.

(d) The RN must notify the individual's case manager if the RN becomes aware that an individual has recently received a significant healthcare intervention such as an emergency room visit, hospitalization, a change in physician, referral to a specialist, home health, or hospice.

Or. Admin. Code § 411-048-0190

SPD 8-2013, f. & cert. ef. 4-15-13; APD 18-2023, amend filed 10/13/2023, effective 11/1/2023

Statutory/Other Authority: ORS 410.070

Statutes/Other Implemented: ORS 410.070