Oregon Bulletin
July 1, 2011
Rule
Caption: Amend to extend implementation
date of risk information packets.
Adm.
Order No.: DEM 2-2011(Temp)
Filed with Sec. of
State: 5-19-2011
Certified to be
Effective: 5-19-11 thru 11-15-11
Notice Publication
Date:
Rules Amended: 332-025-0080
Subject: Amend OAR 338-025-0080(5) to extend the implementation
date for risk information packets by requiring that each LDM provide risk
information as published on the agency’s website regarding out-of-hospital
birth, malpresentation birth (breech), multiple gestations (twins), vaginal
birth after cesarean (VBAC), and births exceeding 42 weeks gestation
(post-dates) beginning January 1, 2012.
Rules Coordinator: Samantha Patnode—(503) 373-1917
332-025-0080
Informed Consent and Risk
Information Practice Standards
(1) Informed consent means the consent obtained
following a thorough and easily understood explanation of the information to
the mother or mother’s guardian.
(2) The explanation must be both verbal and written.
(3) An LDM must document the verbal explanation and the
written informed consent process in the client’s record. Informed consent
information must include the following:
(a) Definition of procedure or process;
(b) Benefits of procedure or process;
(c) Risk(s) of procedure or process;
(d) Description of adverse outcomes;
(e) Risk of adverse outcomes; and
(f) Alternative procedures or processes and any risk(s)
associated with them.
(4) An LDM must obtain mother’s dated signature
acknowledging she has received, reviewed, and understands the information, and
has made an informed choice.
(5) Beginning on January 1, 2012, each LDM must provide
risk information as published on the agency’s website www.Oregon.gov/OHLA, and
obtain informed consent for the following circumstances:
(a) Out-of-hospital birth;
(b) Vaginal birth after cesarean (VBAC);
(c) Breech;
(d) Multiple gestations; and
(e) Pregnancy exceeding 42 weeks gestation.
Stat. Auth.: ORS 487.485 &
676.615
Stats. Implemented: ORS 687.425,
687.480, 687.485, 676.606 & 676.607
Hist.: DEM 6-2010, f. 12-30-10,
cert. ef. 1-1-11; DEM 2-2011(Temp), f. & cert. ef. 5-19-11 thru 11-15-11
Notes
1.) This online version of the OREGON BULLETIN is provided for convenience of reference and enhanced access. The official, record copy of this publication is contained in the original Administrative Orders and Rulemaking Notices filed with the Secretary of State, Archives Division. Discrepancies, if any, are satisfied in favor of the original versions. Use the OAR Revision Cumulative Index found in the Oregon Bulletin to access a numerical list of rulemaking actions after November 15, 2010.
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