1. (1) A Licensed Independent Practitioner (LIP) must be available 24 hours per day, seven days per week to provide medical supervision of the services provided.

   1. (a) In accordance with state law, those LIPs authorized to order seclusion or restraint pursuant to the facility policy must at minimum have a working knowledge of the hospital policy regarding the use of seclusion and restraint;
   2. (b) A LIP must examine a person admitted to the facility within 24 hours of the person’s admission.
2. (2) At least one registered nurse must be on duty at all times.
3. (3) The facility must maintain a personnel file for each patient care staff which includes a written job description; the minimum level of education or training required for the position; copies of applicable licenses, certifications, or degrees granted; annual performance appraisals; a biennial, individualized staff development plan signed by the staff; documentation of CPR training; documentation of annual training and certification in managing aggressive behavior, including seclusion and restraint; and other staff development and/or skill training received.

4. (4) Healthcare supervisor. The facility must appoint a Healthcare supervisor who shall review and approve policies and procedures relating to:

   1. (a) The reporting of indicators of medical problems to a LIP; and
   2. (b) Curriculum for the staff training, as identified in these rules; and
   3. (c) The Restraint/Seclusion Review Committee as described in OAR 309-033-0733, including review of its findings. The healthcare supervisor shall make these reviews available to the Authority upon request.

Statutory/Other Authority

ORS 426.005, 426.060, 426.110(2), 426.232, 426.236 & 430.041

Statutes/Other Implemented

ORS 426.005 - 426.395

History

BHS 7-2024, amend filed 04/30/2024, effective 05/28/2024
BHS 9-2023, amend filed 04/04/2023, effective 04/07/2023
MHS 13-2014, f. & cert. ef. 9-29-14