OAR 333-071-0480
Nursing Care Management

(1) The nursing care of each patient in a health care facility shall be the responsibility of a registered nurse (RN).
(2) The RN will only provide services to the patients for which she or he is educationally and experientially prepared and for which competency has been maintained.
(3) The RN shall be responsible and accountable for managing the nursing care of her or his assigned patients. She or he shall only assign the nursing care of each patient to other nursing personnel in accordance with the patient’s needs and the specialized qualifications and competence of the nursing staff available. The responsible RN shall ensure that the following activities are completed:
(a) Document the admission assessment of the patient within four hours following admission and initiate a written plan of care. This shall be reviewed and updated whenever the patient’s status changes.
(b) Develop and document, within eight hours following admission, a plan of care for nursing services for the patient, based on the patient assessment and realistic, understandable, achievable patient goals consistent with the applicable rules in OAR chapter 851, division 45.
(c) Observe and report to the nurse manager and the patient’s physician or other health care provider authorized by law, when appropriate, any significant changes in the patient’s condition that warrant interventions that have not been previously prescribed or planned for.
(d) When the RN questions the efficacy, need or safety of continuation of medications being administered to a patient, the RN shall report that question to the physician or other responsible health care provider authorized by law authorizing the medication and shall seek further instructions concerning the continuation of the medication.
(4)(a) An SICF shall maintain documentation of certification of certified nursing assistants (CNA’s), which shall be available on request to Authority personnel.
(b) A nursing assistant who works in an SICF must be certified prior to assuming nursing assistant duties in accordance with OAR chapter 851, division 62.
(c) An SICF shall maintain documentation that CNAs, whose function includes administration of non-injectable medications, are qualified.

Source: Rule 333-071-0480 — Nursing Care Management, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-071-0480.

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 333-071-0480’s source at or​.us