OAR 411-048-0190
Communication and Notification Practices
(1)
MANDATORY REPORTING. An RN must report suspected or known neglect or abuse of all older adults, adults, and children as required by OSBN and ORS 124.050 (Definitions for ORS 124.050 to 124.095) to 124.095 (Spiritual treatment not abuse), 430.735 (Definitions for ORS 430.735 to 430.765) to 430.765 (Duty of officials to report abuse), and 419B.005 (Definitions) to 419B.045 (Investigation conducted on school premises).(2)
CONFIDENTIALITY.(a)
An RN must adhere to the OSBN confidentiality standards as described in OAR chapter 851 as well as the federal regulations adopted to implement the Health Insurance Portability and Accountability Act.(b)
An RN must provide all written, verbal, digital, video, and electronic information regarding an individual in accordance with the Department’s confidentiality parameters as described in OAR chapter 407, division 014 and the federal regulations adopted to implement the Health Insurance Portability and Accountability Act.(3)
NOTIFICATION.(a)
An RN must immediately communicate possible life-threatening health and safety concerns to:(A)
The local office protective service worker, worker of the day, or case manager; and(B)
911, police, or physician if needed to address emergent or urgent safety concerns.(b)
If while performing long term care community nursing services under these rules an RN determines that an individual’s health condition is unstable or a significant change of condition is noted, the RN must either notify the individual’s physician or primary care provider directly or ensure that the individual’s caregiver has reported this information to them.(c)
An RN must notify the individual’s case manager or local office management within one business day of non life threatening but high risk concerns including changes in condition as described in subsection (b) of this section, concerns about placement, or concerns about a caregiver’s performance.(d)
An RN must notify the individual’s case manager if the RN becomes aware that an individual has recently received a significant healthcare intervention such as an emergency room visit, hospitalization, a change in physician, referral to a specialist, home health, or hospice.
Source:
Rule 411-048-0190 — Communication and Notification Practices, https://secure.sos.state.or.us/oard/view.action?ruleNumber=411-048-0190.