OAR 413-090-0136: Developing the Personal Care Services Plan

(1) After conducting the personal care services assessment when it has been determined that a child or young adult is eligible for personal care services, the contract registered nurse or Personal Care Nurse Coordinator must develop a personal care services plan using the Department's Personal Care Services Plan form. (2) The personal care services plan must: (a) Specify the frequency or intensity of each personal care service; (b) Identify the qualified provider to provide the personal care service; (c) If the plan includes a delegated nursing task, the personal care services plan must include: (A) The written authorization of the registered nurse permitting the qualified provider to perform the delegated nursing task; (B) The written instructions on how to perform the delegated nursing task; (C) How frequently the child or young adult is to be reassessed with respect to the delegated nursing task; (D) How the qualified provider is to be supervised; and (E) How frequently the qualified provider is to be reevaluated. (d) Identify the date that the personal care services are to begin and the date that the personal care services plan ends; and (e) Be signed by the contract registered nurse or Personal Care Nurse Coordinator and each qualified provider providing services under the personal care services plan. (3) If the contract registered nurse or Personal Care Nurse Coordinator determines that the child or young adult requires a delegated nursing task, the contract registered nurse or Personal Care Nurse Coordinator must follow the requirements in Oregon State Board of Nursing rules, OAR 851-047-0000 to 851-047-0040. (a) An authorization permitting a qualified provider to perform a nursing task does not permit the qualified provider to perform the task for a different child or young adult, and the authorization may not be transferred. (b) The skill of the qualified provider and the condition of the child or young adult must be reevaluated as appropriate. (c) The registered nurse may rescind the delegation, as provided in OAR 851-047-0030(7), and revise the personal care services plan accordingly. [Ed. Note: The form referenced is available from the Department.]