Stat. Auth.:ORS 676.605, 676.615 & 688.830 Stats. Implemented: ORS676.605, 676.615 & 688.830 Hist.: Hla 15-2011, F. 12-30-...


Published: 2015

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The Oregon Administrative Rules contain OARs filed through November 15, 2015

 

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OREGON HEALTH AUTHORITY, HEALTH LICENSING OFFICE

 

DIVISION 718
RESPIRATORY THERAPIST AND POLYSOMNOGRAPHIC TECHNOLOGISTS LICENSING BOARD

STANDARDS OF PRACTICE
331-718-0000
Standards of Practice
for Respiratory Care
(1) A licensee must comply with
the prevailing community standards for professional conduct. The Board recognizes
and adopts the American Association of Respiratory Care (AARC) Statement of Ethics
and Professional Conduct effective March 2000 as its professional standards model.
Documents are available on the AARC Website at http://www.aarc.org/.
(2) At minimum, licensees are
subject to directives and policies established by the medical facilities, businesses
or agencies by which they are employed or regulated.
(3) A licensee must comply with
the following safety and infection control requirements:
(a) All devices or items that
come into direct contact with a client must be cleaned, sanitized or disinfected
according to the manufacturer's instructions or Centers for Disease Control and
Prevention (CDC) Standard Precautions;
(b) All items that come in direct
contact with the client's skin that do not require disinfecting must be clean;
(c) All items that come in direct
contact with the client's skin that cannot be cleaned or disinfected must be disposed
of in a covered waste receptacle immediately after use;
(d) All disinfecting solutions
and agents must be kept at adequate strengths to maintain effectiveness, be free
of foreign material and be available for immediate use at all times unless equipment
is prepackaged and pre-sterilized;
(e) All high-level and low-level
disinfecting agents must be EPA registered. High-level disinfectant means a chemical
agent which has demonstrated tuberculocidal activity. Low-level disinfectant means
a chemical agent which has demonstrated bactericidal, germicidal, fungicidal and
limited virucidal activity;
(f) Before use, disposable prepackaged
products and sterilized re-usable instruments must be stored in clean, sterilized
containers that can be closed between treatments to maintain effective sterilization
of the instrument until removed from the container.
(4) A licensee must observe
and follow the Standard Precautions adopted by the CDC as defined in OAR 437 division
2, subdivision Z, and the CDC Standard Precautions for public service workers regarding
personal protection equipment and disposal of blood or bodily fluid contaminated
articles, tools and equipment when providing services to patients.
Stat. Auth.: ORS 676.607, 676.615,
688.830, OL 2011, Ch. 715

Stats. Implemented: ORS 676.606,
676.607, 676.612, 676.615, 676.625, 688.815 & 688.830, 688.834, 688.836, OL
2011, Ch. 715

Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12
331-718-0010
Pharmacological Agents
for Respiratory Care
(1) A licensee administering
intravenous narcotics, paralytics and opioids under ORS 688.800(3)(a) is prohibited
from monitoring the patient and must have another qualified licensed individual
present to monitor the patient throughout procedures with intravenous narcotics,
paralytics and opioids.
(2) All policies, procedures
and protocols for respiratory therapists related to administration of intravenous
pharmacological agents must be made available to the Agency if requested.
Stat. Auth.: ORS 676.607, 676.615,
688.830, OL 2011, Ch. 715

Stats. Implemented: ORS 676.606,
676.607, 676.612, 676.615, 676.625, 688.815 & 688.830, 688.834, 688.836, OL
2011, Ch. 715

Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12
331-718-0020
Standards of Practice
for Polysomnography
(1) A licensee must
comply with the prevailing community standards for professional conduct. The Board
recognizes and adopts the BRPT Standards of Conduct as its professional standards
model. Documents are available on the BRPT Website at http://www.brpt.org.
(2) At minimum,
licensees are subject to directives and policies established by the medical facilities,
businesses or agencies by which they are employed or regulated.
(3) A licensee
must comply with the following safety and infection control requirements:
(a) All devices
or items that come into direct contact with a client must be cleaned or disinfected
according to the manufacturer's instructions or Centers for Disease Control and
Prevention (CDC) Standard Precautions;
(b) All items
that come in direct contact with the client's skin that do not require disinfecting
must be clean;
(c) All items
that come in direct contact with the client's skin that cannot be cleaned or disinfected
must be disposed of in a covered waste receptacle immediately after use;
(d) All disinfecting
solutions and agents must be kept at adequate strengths to maintain effectiveness,
be free of foreign material and be available for immediate use at all times unless
equipment is prepackaged, pre-sterilized and within the expiration date listed on
the label of the disinfecting solution;
(e) All high-level
and low-level disinfecting agents must be EPA registered. High-level disinfectant
means a chemical agent which has demonstrated tuberculocidal activity. Low-level
disinfectant means a chemical agent which has demonstrated bactericidal, germicidal,
fungicidal and limited virucidal activity;
(f) Before
use instruments must be stored in clean containers that can be closed between use
to maintain effective cleanliness until removed from the container.
(g) Masks
must be disinfected before each use on a client by removing foreign and completely
saturating the mask with a high level disinfectant solution, spray or foam used
to manufacturer’s instructions.
(4) A licensee
must observe and follow the Standard Precautions adopted by the CDC as defined in
OAR 437 division 2, subdivision Z, and the CDC Standard Precautions for public service
workers regarding personal protection equipment and disposal of blood or bodily
fluid contaminated articles, tools and equipment when providing services to patients.
Stat. Auth.: ORS
676.605, 676.615 & 688.830

Stats. Implemented:
ORS 676.605, 676.615 & 688.830

Hist.: HLA
15-2011, f. 12-30-11, cert. ef. 1-1-12; HLA 16-2012(Temp), f. & cert. ef. 11-19-12
thru 5-17-13; HLA 4-2013, f. 3-12-13, cert. ef. 4-1-13

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