Get Ok Odh 297 2016

The OK ODH 297 form, known as the Nurse Aide Temporary Emergency Waiver Application, is a crucial document for various facilities seeking an emergency waiver for nurse aide staffing. This guide provides comprehensive instructions on how to complete it online, ensuring that all necessary information is accurately submitted for consideration.

Follow the steps to successfully complete the OK ODH 297 online.

1. Press the ‘Get Form’ button to access the OK ODH 297 form and open it in your preferred editor.
2. Begin by entering the facility license ID, name of the facility, center, or home, and the complete street address, including city and zip code.
3. Indicate whether the facility has made diligent efforts to recruit and retain certified nurse aides by selecting 'Yes' or 'No' for question A. If 'Yes,' attach necessary documentation as proof.
4. Respond to question B regarding whether an OSDH inspection or investigation has occurred since July 11, 2005. Select 'Yes' or 'No'.
5. If applicable, for questions C1 through C7, provide answers regarding any deficiencies or violations cited by the Department. For any 'Yes' responses, include the date the deficiency was corrected.
6. For question D, specify if any deficiencies cited led to serious harm or injury. Select 'Yes' or 'No' as required.
7. In item E, provide the expected number of certified nurse aides, uncertified nurse aides, and other direct care staff during the waiver period.
8. Items F and G require explanations of why the facility cannot meet staffing requirements and how uncertified nurse aides will be trained. If renewing, include the NATCEP Status Report (ODH 297.1) for each uncertified aide.
9. Lastly, ensure the form is signed by the individual completing it, providing their printed name, phone number, email, and date signed.
10. Once you have completed the application, save changes, and you may choose to download, print, or share the form as needed.

Complete your OK ODH 297 application online today.