Or. Admin. Code § 851-047-0050

Current through Register Vol. 63, No. 10, October 1, 2024

Section 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.

Or. Admin. Code § 851-047-0050

BN 3-2023, adopt filed 07/06/2023, effective 8/1/2023; BN 9-2024, amend filed 08/27/2024, effective 9/1/2024

Statutory/Other Authority: ORS 678.150

Statutes/Other Implemented: ORS 678.150