The RN who teaches the designated caregiver how to execute a medical order shall:

1. (1) Adhere to Chapter 851 Division 45 Oregon administrative rules.
2. (2) Ensure competency in one’s own execution of the medical order prior to teaching its performance to the designated caregiver.

3. (3) Verify that:

   1. (a) The person for whom the order is written has directly chosen their designated caregiver; or
   2. (b) When designation of a person to execute a medical order has been made by a third party on behalf of the person requiring the order, determine that the third party holds the legal authority to make the designation.

4. (4) Inform the designated caregiver that:

   1. (a) They may not teach another person how to execute the order;
   2. (b) They may not transfer their authority to execute the order to another person; and
   3. (c) They may not receive or accept monetary or other compensation for executing the medical order.

5. (5) Generate and provide retrievable step-by-step instructions of how the medical order is to be performed on the person requiring care. The instructions shall:

   1. (a) Include signs and symptoms to observe related to executing the medical order, and action to take when observed; and
   2. (b) Be appropriate to the knowledge base of the designated caregiver.
6. (6) Make a decision on the need for future evaluation of the care situation based on nursing judgment and document the decision.
7. (7) Fulfill all mandatory reporting responsibilities.

Statutory/Other Authority

ORS 678.150

Statutes/Other Implemented

ORS 678.010

History

BN 1-2018, amend filed 12/06/2018, effective 01/01/2019
BN 8-2001, f. & cert. ef. 7-9-01
BN 2-1998, f. & cert. ef. 1-26-98