OAR 333-071-0470
Patient Admission and Treatment Orders

(1) No patient shall be admitted to an SICF except on the order of an individual who has admitting privileges. The admitting medical staff member for the facility shall provide sufficient information at the time of admission to establish that care can be provided to meet the needs of the patient. Admission medical information shall include a statement concerning the admitting diagnosis and general condition of the patient. Other pertinent medical information, orders for medication, diet, and treatments shall also be provided, as well as a medical history and physical.
(2) Within 24 hours of a patient’s admission, an SICF shall ensure that:
(a) The patient’s medical history is taken and a physical examination performed, unless:
(A) A medical history and physical examination has been completed within 30 days prior to admission, as provided in the medical staff rules and regulations; or
(B) The patient is readmitted within a month’s time for the same or related condition, as long as an interval note is completed; and
(b) The patient is given a provisional diagnosis.
(3) Even if a medical history or physical examination at the time of admission is not required under section (2) of this rule, an SICF shall ensure that any changes crucial to patient care are noted in an admission note.
(4) Visits from licensed health care providers shall be according to patient’s needs. Initial and ongoing assessments shall be performed for each patient and the results and observations recorded in the medical record.
(5) A physician, physician assistant or nurse practitioner with admitting privileges shall be responsible, as permitted by the individual’s scope of practice for the care of any medical problem that may be present on admission or that may arise during an inpatient stay.
(6) No medication or treatment shall be given except on the order of one duly authorized to give such orders within the State of Oregon.
(7) Notwithstanding the requirements specified in sections (1) through (6) of this rule:
(a) An SICF classified as a rehabilitation hospital shall ensure that:
(A) Rehabilitation services are provided to patients under the orders of a qualified and licensed health care practitioner who is responsible for the care of the patient, acting within his or her scope of practice and who is authorized by the medical staff to order the services in accordance with SICF licensing laws;
(B) All orders shall be documented in the patient’s medical record in accordance with OAR 333-071-0430 (Medical Records);
(C) Patient assessments are conducted on a regular basis in accordance with 42 CFR 412.606. Each patient shall be evaluated by a rehabilitation physician at time of admission and shall be supervised by a rehabilitation physician, as reflected in at least three face-to-face visits each week; and
(D) Respiratory services comply with 42 CFR 582.57.
(b) An SICF classified as a freestanding hospice facility shall comply with CMS conditions of participation, 42 CFR 418.

Source: Rule 333-071-0470 — Patient Admission and Treatment Orders, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-071-0470.

333‑071‑0200
Purpose and Applicability 333‑071‑0205
Definitions 333‑071‑0210
License Application and Fees 333‑071‑0215
Application Review 333‑071‑0220
Approval of License Application 333‑071‑0225
Fees for Complaint Investigations and Compliance Surveys 333‑071‑0230
Expiration and Renewal of License 333‑071‑0235
Denial of License Application 333‑071‑0240
Return of SICF License and SICF Closure 333‑071‑0245
Discontinuance and Recommencement of Operations 333‑071‑0250
Classification 333‑071‑0260
Waivers 333‑071‑0270
Complaints 333‑071‑0280
Investigations 333‑071‑0290
Surveys 333‑071‑0300
Nurse Staffing Audit and Complaint Investigation Procedures 333‑071‑0310
Violations 333‑071‑0315
Informal Enforcement 333‑071‑0320
Formal Enforcement 333‑071‑0330
Approval of Accrediting Organization 333‑071‑0340
Civil Penalties for Violations of Nurse Staffing Laws 333‑071‑0345
Civil Penalties for Violation of Smoking Prohibition 333‑071‑0350
Civil Penalties, Generally 333‑071‑0360
Governing Body Responsibility 333‑071‑0370
Health Care Practitioner Credentialing 333‑071‑0380
Administrator 333‑071‑0390
Medical Staff 333‑071‑0400
Organization Policies 333‑071‑0410
Patient Rights 333‑071‑0420
Personnel 333‑071‑0430
Medical Records 333‑071‑0440
Quality Assessment and Performance Improvement 333‑071‑0450
Infection Control 333‑071‑0470
Patient Admission and Treatment Orders 333‑071‑0480
Nursing Care Management 333‑071‑0485
Nursing Services 333‑071‑0490
Nurse Executive 333‑071‑0510
Dietary Services 333‑071‑0520
Laboratory Services 333‑071‑0530
Pharmacy Services 333‑071‑0535
Radiology Services 333‑071‑0550
Sanitary Precautions 333‑071‑0560
Safety and Emergency Preparedness 333‑071‑0570
Smoking Prohibition 333‑071‑0580
Physical Environment Requirements
Last Updated

Jun. 8, 2021

Rule 333-071-0470’s source at or​.us