OAR 333-076-0940
ESC Admission Criteria, Patient Care and Discharge


(1) A patient may only be admitted to an ESC if the patient:
(a) Was discharged from the affiliated ASC where the procedure was performed in accordance with these rules;
(b) Will require a stay of not more than 48 hours from the time the patient was admitted to the affiliated ASC;
(c) Falls within the American Society of Anesthesiologists, Physical Status Classification System: ASA I or ASA II, or ASA III with only mild to moderate systematic disease but medically stable; and
(d) Is physiologically stable at the time of admission and has experienced no intraoperative or postoperative complications that would cause the patient to be ineligible for admission based on these rules.
(2) After admission to the ESC, if a patient is no longer physiologically stable, the patient shall be transferred to a local hospital.
(3) A patient is not eligible for admission to an ESC if the patient requires:
(a) Intensive care services, coronary care services or critical services;
(b) Administration of blood;
(c) Continuous monitoring due to instability of vital signs;
(d) Continuous IV pain medications; or
(e) Has an active or acute infectious condition.
(4) The following must be entered into a patient’s ESC medical record at the time of admission:
(a) A current medical history and physical examination performed or approved by a member of the ESC medical staff;
(b) Patient diagnosis;
(c) A discharge summary from the affiliated ASC including the surgical procedure performed, type of anesthesia used, medications given, recovery events and any other pertinent information regarding the patient’s status;
(d) Physician orders;
(e) Documentation concerning advance directives; and
(f) Any other underlying medical condition that could be relevant to the patient’s care.
(5) A patient may only be admitted to an ESC by a physician who has clinical privileges at the ESC.
(6) Each patient shall be observed for post-operative complications under the direct supervision of a licensed registered nurse. Patients shall be observed for post-procedure complications until their conditions are stable.
(7) No medications or treatments shall be given without the order of a physician or other individual authorized to give such an order within the scope of his or her license.
(8) A physician must evaluate each patient for discharge from the ESC and must sign a discharge order.
(9) Each patient shall be given written instructions upon discharge covering signs and symptoms of complications as well as any necessary follow-up instructions for routine or emergency care.
(10) A patient must be discharged from the ESC within 48 hours from the time of admission to the affiliated ASC.

Source: Rule 333-076-0940 — ESC Admission Criteria, Patient Care and Discharge, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-076-0940.

333–076–0001
Applicability
333–076–0095
Purpose
333–076–0101
Definitions
333–076–0102
Application for ASC License and Fees
333–076–0103
ASC Application Review
333–076–0104
Approval of ASC License Application
333–076–0107
Denial of ASC License Application
333–076–0108
Expiration and Renewal of ASC License
333–076–0110
Return of ASC License and ASC Closure
333–076–0111
ASC Classification
333–076–0114
ASC Complaints
333–076–0116
ASC Investigations
333–076–0117
ASC Surveys
333–076–0118
ASC Health Care Practitioner Credentialing
333–076–0119
ASC Governing Body Responsibility
333–076–0120
ASC Medical Staff
333–076–0125
ASC Personnel
333–076–0130
ASC Policies and Procedures
333–076–0135
ASC Nursing Services
333–076–0137
ASC Surgery Services
333–076–0140
ASC Anesthesia Services (If Provided)
333–076–0145
ASC Storage, Disposal and Dispensing of Drugs
333–076–0150
ASC Emergency Services
333–076–0155
ASC Laboratory Services
333–076–0160
Care of ASC Patients
333–076–0165
ASC Medical Records
333–076–0170
ASC Quality Assessment and Performance Improvement
333–076–0175
ASC Infection Control
333–076–0180
In-service Training for ASC Nurses
333–076–0185
ASC Physical Environment
333–076–0190
ASC Emergency Preparedness
333–076–0246
Waivers
333–076–0250
ASC Violations
333–076–0255
ASC Informal Enforcement
333–076–0260
ASC Formal Enforcement
333–076–0265
Civil Penalties, Generally
333–076–0270
Approval of ASC Accrediting Organizations
333–076–0450
Birthing Centers: Definitions
333–076–0470
Birthing Centers: Licensing
333–076–0490
Birthing Centers: Submission of Plans
333–076–0510
Birthing Centers: Expiration and Renewal of License
333–076–0530
Birthing Centers: Denial or Revocation of a License
333–076–0550
Birthing Centers: Return of Facility License
333–076–0560
Birthing Centers: Classification
333–076–0570
Birthing Centers: Hearings
333–076–0590
Birthing Centers: Adoption by Reference
333–076–0610
Birthing Centers: Division Procedures
333–076–0630
Birthing Centers: Administration
333–076–0650
Birthing Centers: Service Restrictions
333–076–0670
Birthing Centers: Policies and Procedures
333–076–0690
Birthing Centers: Health and Medical Records
333–076–0710
Birthing Centers: Physical Facility
333–076–0800
Extended Stay Center (ESC) Applicability
333–076–0805
Application for ESC License and Fees
333–076–0810
ESC Application Review
333–076–0820
Approval of ESC License Application
333–076–0830
Denial of ESC License Application
333–076–0840
Expiration and Renewal of ESC License
333–076–0850
Return of ESC License and ESC Closure
333–076–0860
ESC Surveys
333–076–0870
ESC Complaints
333–076–0880
ESC Investigations
333–076–0890
ESC Health Care Practitioner Credentialing
333–076–0900
ESC Governing Body
333–076–0910
ESC Medical Staff
333–076–0920
ESC Personnel
333–076–0930
ESC Policies and Procedures
333–076–0940
ESC Admission Criteria, Patient Care and Discharge
333–076–0950
ESC Patient Transfer
333–076–0960
ESC Nursing Services
333–076–0970
ESC Pharmacy Services
333–076–0980
ESC Laboratory Services
333–076–0990
ESC Radiologic Services
333–076–1000
ESC Dietary Services
333–076–1010
ESC Medical Records
333–076–1020
ESC Quality Assessment and Performance Improvement
333–076–1030
ESC Infection Control
333–076–1040
ESC Data Collection and Reporting
333–076–1050
ESC Physical Environment
333–076–1065
ESC Waivers
333–076–1070
ESC Violations
333–076–1080
ESC Informal Enforcement
333–076–1090
ESC Formal Enforcement
333–076–1100
ESC Civil Penalties
Last Updated

Jun. 8, 2021

Rule 333-076-0940’s source at or​.us