OAR 333-019-0052
Other Disease Specific Provisions: Communication During Transfer of Patients with MDROs, C. difficile, or Any Organism Requiring Transmission-Based Precautions

(1)

As used in this rule:

(a)

“Facility” means:

(A)

A healthcare facility as that term is defined in ORS 442.015 (Definitions);

(B)

An infirmary (for example, in a jail or prison);

(C)

A residential facility or assisted living facility as those terms are defined in ORS 443.400 (Definitions for ORS 443.400 to 443.455);

(D)

An adult foster home as that term is defined in ORS 443.705 (Definitions for ORS 443.705 to 443.825);

(E)

A hospice program as that term is defined in ORS 443.850 (Definitions for ORS 443.850 to 443.869); and

(F)

Any other facility that provides 24-hour patient care.

(b)

“Multidrug-resistant organism” (MDRO) means an organism causing human disease which has acquired antibiotic resistance, as listed and defined in the Centers for Disease Control and Prevention’s Antibiotic Resistance Threats in the United States, 2013 (Atlanta, GA; 2013). MDROs include but are not limited to:

(A)

Methicillin-resistant Staphylococcus aureus (MRSA);

(B)

Vancomycin-resistant Enterococcus (VRE);

(C)

Carbapenem-resistant Enterobacteriaceae (CRE), as that term is defined in OAR 333-017-0000 (Definitions) sections (10) and (24);

(D)

Multidrug-resistant Acinetobacter baumannii;

(E)

Multidrug-resistant Pseudomonas aeruginosa;

(F)

Drug-resistant Streptococcus pneumoniae;

(G)

Other Gram-negative bacteria producing extended-spectrum beta-lactamases (ESBL); and

(H)

Toxin-producing Clostridium difficile.

(c)

“Receiving facility” means the facility receiving or admitting the case patient into their care from another facility’s care.

(d)

“Referring facility” means the facility transferring or discharging the case patient out of its care and into another facility’s care.

(e)

“Standard Precautions” means the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered. Standard Precautions include:

(A)

Hand hygiene;

(B)

Use of personal protective equipment (for example, gloves, gowns, facemasks), depending on the anticipated exposure;

(C)

Respiratory hygiene and cough etiquette;

(D)

Safe injection practices; and

(E)

Safe handling of potentially contaminated equipment or surfaces in the patient environment.

(f)

“Transmission Based Precautions” means infection control practices that are implemented in addition to Standard Precautions in patients with known or suspected colonization or infection of highly transmissible or epidemiologically important infectious pathogens (for example, CRE, norovirus, Neisseria meningitidis) or syndromes (for example, diarrhea) when there is strong evidence that the pathogen or syndrome may be transmitted from person to person via droplet, contact, or airborne routes in healthcare or non-healthcare settings (Siegel JD, Rhinehart E, Jackson M, Chiarello L, and the Healthcare Infection Control Practices Advisory Committee. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007).

(2)

When a referring facility transfers or discharges a patient who is infected or colonized with a multidrug-resistant organism (MDRO) or pathogen which warrants Transmission Based Precautions, it must include written notification of the infection or colonization to the receiving facility in transfer documents. The referring facility must ensure that the documentation is readily accessible to all parties involved in patient transfer (for example, referring facility, medical transport, emergency department, receiving facility).

(3)

When a facility becomes aware that it received in transfer one or more patients with an MDRO or pathogen that warrants Transmission Based Precautions, and that was isolated from a patient specimen collected within 48 hours after transfer, it must notify the referring facility.

(4)

When a facility becomes aware that it transferred or discharged one or more patients who have an MDRO or pathogen that warrants Transmission Based Precautions, the referring facility must notify the receiving facility.

(5)

If a facility transfers or discharges a patient with laboratory-confirmed, carbapenemase-producing Enterobacteriaceae, the facility must notify the local health department communicable disease staff within one working day of the date and destination of the transfer or discharge.

Source: Rule 333-019-0052 — Other Disease Specific Provisions: Communication During Transfer of Patients with MDROs, C. difficile, or Any Organism Requiring Transmission-Based Precautions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-019-0052.

333‑019‑0000
Responsibility of Public Health Authorities to Investigate Reportable Diseases 333‑019‑0002
Cooperation with Public Health Authorities 333‑019‑0003
Providing Information to the Oregon Health Authority or Local Public Health Administrator 333‑019‑0005
Conduct of Special Studies by Oregon Health Authority 333‑019‑0010
Disease Related School, Child Care, and Worksite Restrictions: Imposition of Restrictions 333‑019‑0014
Disease Related School, Child Care, and Worksite Restrictions: Removal of Restrictions 333‑019‑0017
Pet Licensing, Animal Bites, and Rabies: Rabies Vaccination for Animals 333‑019‑0019
Pet Licensing, Animal Bites, and Rabies: Dog Licensing 333‑019‑0022
Pet Licensing, Animal Bites, and Rabies: Wolf-Dog Hybrids 333‑019‑0024
Pet Licensing, Animal Bites, and Rabies: Management of Animal Bites 333‑019‑0027
Pet Licensing, Animal Bites, and Rabies: Management of Possibly Rabid Animals 333‑019‑0031
Other Disease Specific Provisions: Acquired Immunodeficiency Syndrome/Human Immunodeficiency Virus 333‑019‑0036
Other Disease Specific Provisions: Special Precautions Relating to Pregnancy and Childbirth 333‑019‑0039
Other Disease Specific Provisions: Sudden Infant Death Syndrome 333‑019‑0041
Other Disease Specific Provisions: Tuberculosis 333‑019‑0042
Other Disease Specific Provisions: Tuberculosis Screening in Correctional Facilities 333‑019‑0052
Other Disease Specific Provisions: Communication During Transfer of Patients with MDROs, C. difficile, or Any Organism Requiring Transmission-Based Precautions 333‑019‑0061
Infection Prevention in Health Care Settings
Last Updated

Jun. 8, 2021

Rule 333-019-0052’s source at or​.us