OAR 333-510-0045
Nurse Staffing Posting and Record Requirements
(1)
On each hospital unit, a hospital shall post a complaint notice that:(a)
Summarizes the provisions of ORS 441.152 (Nurse Staffing Advisory Board) to 441.177 (Posting of audit reports and civil penalties);(b)
Is clearly visible to the public; and(c)
Includes the Authority’s complaint reporting phone number, electronic mail address and website address.(2)
A hospital shall also post an anti-retaliation notice on the premises that:(a)
Summarizes the provisions of ORS 441.181 (Retaliation prohibited), 441.183 (Remedies for retaliation), 441.184 (Unlawful employment practices) and 441.192 (Notice of employment outside of hospital);(b)
Is clearly visible; and(c)
Is posted where notices to employees and applicants for employment are customarily displayed.(3)
A hospital shall keep and maintain all records necessary to demonstrate compliance with ORS 441.152 (Nurse Staffing Advisory Board) to 441.177 (Posting of audit reports and civil penalties). These records shall:(a)
Be maintained for no fewer than three years;(b)
Be promptly provided to the Authority upon request; and(c)
Include, at minimum:(A)
The staffing plan;(B)
The hospital nurse staffing committee charter;(C)
Staffing committee meeting minutes;(D)
Documentation showing how all members of the staffing committee were selected;(E)
All complaints filed with the staffing committee;(F)
Personnel files for all nursing staff positions that include, at minimum, job descriptions, required licensure and specialized qualifications and competencies required for the individual’s assigned nurse specialty or unit;(G)
Documentation showing work schedules for nursing staff in each hospital nurse specialty or unit;(H)
Documentation showing actual hours worked by all nursing staff;(I)
Documentation showing all work schedule variances that resulted in the use of replacement nursing staff;(J)
Documentation showing how many on-call hours, if any, required nursing staff to be on the hospital premises;(K)
Documentation showing how many required meeting, education and training hours, if any, were required of nursing staff;(L)
The hospital’s mandatory overtime policy and procedure;(M)
Documentation showing how many, if any, overtime hours were worked by nursing staff;(N)
Documentation of all waiver requests, if any, submitted to the Authority;(O)
Documentation showing how many, if any, additional hours were worked due to emergency circumstances and the nature of those circumstances;(P)
The list of on-call nursing staff used to obtain replacement nursing staff;(Q)
Documentation showing how and when the hospital updates its list of on-call staff used to obtain replacement nursing staff and how the hospital determines eligibility to remain on the list;(R)
Documentation showing the hospital’s procedures for obtaining replacement nursing staff, including efforts made to obtain replacement staff;(S)
Documentation showing the hospital’s actual efforts to seek replacement staff when needed;(T)
Documentation showing each actual instance in which the hospital implemented the policy described in OAR 333-510-0110 (Nurse Staffing Plan Requirements)(2)(g) to initiate limitations on admission or diversion of patients to another hospital; and(U)
All staffing committee reports filed with the hospital administration following a review of the staffing plan.
Source:
Rule 333-510-0045 — Nurse Staffing Posting and Record Requirements, https://secure.sos.state.or.us/oard/view.action?ruleNumber=333-510-0045.