OAR 415-050-0050
Staffing Pattern
(1)
Each Program must be in staffing compliance with ASAM Patient Placement Criteria 2R as follows:(a)
Clinically Managed Programs must be staffed by:(A)
Appropriately credentialed personnel who are trained and competent to implement physician-approved protocols for patient observation and supervision, determination of appropriate level of care, and facilitation of patient’s transition to continuing care;(B)
Medical evaluation and consultation must be available 24 hours a day, in accordance with stabilization and transfer practice guidelines; and(C)
Staff who assess and treat patients must be able to obtain and interpret information regarding the needs of these patients. Such knowledge includes the signs and symptoms of alcohol and other drug intoxication and withdrawal, as well as the appropriate stabilization and monitoring of those conditions and how to facilitate entry into ongoing care.(b)
Medically Monitored Programs must be staffed by:(A)
LMPs who are available 24 hours a day by telephone, available to assess the patient within 24 hours of admission, or earlier, (if medically necessary), and available to provide on –site monitoring of care and further evaluation on a daily basis;(B)
A licensed and credentialed nurse must be available to conduct a nursing assessment upon admission and to oversee the monitoring of the patient’s progress and medication administration on an hourly basis, if needed;(C)
Appropriately licensed and credentialed staff must be available to administer medications in accordance with physician orders; and(D)
The level of nursing care must be appropriate to the severity of patient needs.(2)
The Program must maintain a minimum ratio of paid full-time staff to bed capacity as follows:(a)
1 through 8 beds — 1 staff person on duty;(b)
9 through 18 beds — 2 staff persons on duty;(c)
19 through 30 beds — 3 staff persons on duty;(d)
31 beds and above — One additional staff person beyond the three staff required above for each additional 15 beds or part thereof.(3)
The Program’s must written staffing plan must address the provision of appropriate and adequate staff coverage during emergency and high demand situations.(4)
The Program must provide a minimum of one hour per month of personal clinical supervision and consultation for each staff person and volunteer who is responsible for the delivery of treatment services. The clinical supervision must relate to the individual’s skill level with the objective of assisting staff and volunteers to increase their treatment skills and quality of services to individuals.
Source:
Rule 415-050-0050 — Staffing Pattern, https://secure.sos.state.or.us/oard/view.action?ruleNumber=415-050-0050.