reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 12 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41-12.3 - Enforcement actions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In order to protect
				the public health, safety and welfare, an authorized representative of the
				Department may remove any or all of a provider's vehicles from service when, in his
				or her opinion, the vehicle, equipment or crewmembers pose an imminent threat to the
				health, safety or welfare of the public or to patients utilizing the service.
				Removal of a vehicle from service shall be accomplished by placing an official
				Department "Out-of-Service" sticker on at least one of the vehicle's windows.
				Placement of a vehicle in DIOOS status may be done simultaneously with an action to
				suspend or revoke the provider's license and/or impose a monetary penalty.
1. For the purpose of this section, imminent
				threat may include, but is not limited to:
i.
				Serious and apparent automotive defects such as faulty brakes, exhaust system or
				tires;
ii. Serious and apparent
				equipment defects such as absent or faulty oxygen, resuscitation or aspiration
				equipment;
iii. Missing required
				equipment, supplies and/or medications; and/or
iv. Lack of vehicle registration as issued by the
				New Jersey Motor Vehicle Commission, driver's license, proof of valid vehicle
				insurance and/or vehicle license as issued by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 12 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41-12.4 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A provider whose
				license has been summarily suspended shall, consistent with
				1:1-12.6, have the right to apply to the
				Commissioner for emergency relief.
1. A request for
				emergency relief shall be submitted in writing and shall be accompanied by a
				response to the charges contained in the "Notice of Summary Suspension." Failure to
				submit such written notice shall result in the provider forfeiting all rights to
				emergency relief.
2. All applications
				for emergency relief will be handled in accordance with
				1:1-12.6(c).
3. Unless emergency relief is granted, the summary
				suspension shall remain in effect until such time as Department staff has conducted
				a full investigation into the circumstances that formed the basis for the summary
				suspension. Nothing in this section shall be construed to prevent the Commissioner
				from simultaneously or thereafter moving to suspend or revoke the provider's
				license, issuing a formal written warning and/or imposing a monetary
				penalty.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 12 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41-12.5 - Action against an unlicensed entity

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Consistent with
				8:41-9.1, 10.1 and 11.1, no person,
				public or private institution, agency, entity, corporation, acute care hospital or
				business concern shall operate a mobile intensive care program, specialty care
				transport service or air medical service within the State of New Jersey until
				licensed by the Department.
1. Upon notice or
				discovery that a person, public or private institution, agency, entity, corporation,
				acute care hospital or business concern is providing mobile intensive care,
				specialty care transport and/or air medical services without having first obtained
				the required provider and vehicle licenses, after revocation or suspension of a
				license previously issued by the Department or after having allowed an existing
				license to lapse, the Commissioner or his or her designee may issue an order
				directing the operation of the unlicensed service to immediately cease and desist.
i. Failure to comply with an order to cease and
				desist may result in an action by the Department for injunctive relief in the
				Superior Court of New Jersey.
ii. The
				order to cease and desist shall constitute a final agency decision. As such,
				pursuant to New Jersey Court Rule 2:2-3, any appeal from the Commissioner's order to
				cease and desist shall be filed with the Superior Court of New Jersey, Appellate
				Division.
iii. Orders to cease and
				desist shall be considered public information and shall be posted on the OEMS
				website (
http://www.state.nj.us/health/ems
)
				as a public notice. Orders to cease and desist shall remain posted on the OEMS
				website permanently or until such time as a license is issued by the
				Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41A-1.1 - Authority

Current through Register Vol. 56, No. 14, July 15, 2024
These rules are promulgated pursuant to
				  26:2K-7 through 20, which authorize the
				  Commissioner to adopt rules pertaining to the training, testing and certification of
				  Emergency Medical Technicians-Paramedic.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41A-1.2 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) These rules shall
				apply to:
1. Any person seeking certification or
				recertification as an EMT-Paramedic;
2.
				Certified EMTs-Paramedic;
3. Any private
				agency, organization or entity seeking approval as a clinical or didactic training
				site; and
4. Approved clinical and
				didactic training sites.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41A-1.4 - Waivers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or
				his or her designee may grant a waiver of any part of this chapter if, in his or her
				opinion, such a waiver would not:
1. Endanger the
				life of any person;
2. Endanger the
				public health, safety or welfare; or
3.
				Adversely affect the provision of basic or advanced life support care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.1 - General information and requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Paramedic training
				shall consist of two components; didactic and clinical. The didactic component shall
				be conducted in accordance with these rules by those entities described as being
				eligible for conducting such training. The didactic component shall serve as the
				initial training component, while the clinical component shall serve as the
				secondary component. The clinical training component shall be conducted in
				accordance with these rules by those sites described as being eligible for
				conducting such training. No portion of clinical training shall commence until such
				time as the academic equivalent has been successfully completed.
(b) Each EMT-Paramedic training program shall
				safeguard the health and safety of its students, faculty and any patients associated
				with the training activities.
(c) Each
				EMT-Paramedic training program shall make academic counseling services available to
				each of its students, both didactic and clinical. Guidance procedures shall be
				established that include documentation of regular and timely discussions with
				qualified faculty and the field preceptors regarding the student's strengths,
				weaknesses and overall progress in the EMT-Paramedic training program.
(d) Accurate information regarding didactic and
				clinical training requirements, tuition, fees, institutional policies, programmatic
				policies, procedures and supportive services shall be available to all EMT-Paramedic
				training program applicants and students.
(e) The paramedic students' didactic and
				sponsoring clinical training programs shall maintain on file a descriptive synopsis
				of the current curriculum, both didactic and clinical, as well as current course
				objectives, course outlines, schedules of didactic and clinical courses, field
				experience schedules and instructional plans. These files shall be made available to
				applicants and students during normal business hours, and shall be made available to
				Department staff upon demand.
(f) The
				Department shall conduct such audits and inspections as necessary to ensure
				compliance with the provisions of this chapter. Within 30 days of the conclusion of
				the didactic program, the didactic coordinator shall submit to OEMS the final grade
				reports of the students enrolled. All clinical training sites shall submit student
				rosters to the Department to monitor the programs for compliance with this
				chapter.
(g) The didactic coordinator or
				EMS Educator, as applicable, shall retain students records for at least three years
				from the end of training or termination of a student from the didactic or clinical
				portion of an EMT-Paramedic training program and shall make those records available
				to Department staff upon demand.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.2 - Student qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The requirements for
				enrollment in, and to receive credit for, an EMT-Paramedic training program shall be
				as follows:
1. Attainment of the age of 18 by the
				first day of the program;
2. Possession
				of a high school diploma or its equivalent;
3. Possession of EMT-Basic and CPR certifications.
				The student shall maintain EMT-Basic and CPR certifications throughout the duration
				of the EMT-Paramedic training program and until such time as he or she is either
				certified as an EMT-Paramedic or terminated from the EMT-Paramedic training program.
				The student's EMT-Basic and CPR certification cards shall be made available to
				Department staff upon demand;
4.
				Physical capability to perform all required skills and tasks of an EMT-Paramedic
				student as cited in the clinical and didactic portions of the program curriculum;
				and
5. Application, for and receipt of,
				sponsorship from a mobile intensive care hospital for the clinical portion of an
				EMT-Paramedic training program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.3 - Didactic training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An EMT-Paramedic
				training program shall provide a coordinated course of study, consisting of both
				didactic and skill instruction, designed for the purpose of preparing a person to
				sit for the NREMT-Paramedic Certification Examination.
(b) The didactic portion of an EMT-Paramedic
				training program shall be conducted by a postsecondary educational institution such
				as a university, county college or community college that has been accredited by the
				New Jersey Commission on Higher Education.
1. An
				accredited educational institution seeking to be approved as a didactic training
				site for the purpose of offering the didactic portion of an EMT-Paramedic training
				program shall first apply, in writing, to OEMS for approval. Application information
				shall include, but not be limited to, proposed lesson plans, affiliated clinical
				training sites, instructional personnel, physical plant and course content. Approval
				of new didactic training sites shall be based on compliance with the requirements of
				this chapter and on system needs as determined by the Department.
2. No classes shall be offered by an applicant
				training site until approval is granted by the Department.
3. No institution shall offer, or claim to offer,
				the didactic portion of an EMT-Paramedic training program until approved by the
				Department to do so.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.4 - Clinical training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An EMT-Paramedic
				training program shall provide a coordinated course of study, consisting of both
				didactic and clinical instruction, designed for the purpose of preparing a person to
				sit for the NREMT-Paramedic Certification Examination.
(b) The clinical portion of an EMT-Paramedic
				training program shall be conducted by a mobile intensive care hospital.
1. A mobile intensive care hospital seeking to be
				approved as a clinical training site for the purpose of offering the clinical
				portion of an EMT-Paramedic training program shall first apply, in writing, to OEMS
				for approval. Applications shall include clinical resources, training objectives,
				didactic training site affiliations, the name of the medical director responsible
				for overseeing the training and other such information as deemed necessary by the
				Department. Approval of new clinical training sites shall be based on system needs
				as determined by the Department.
2. No
				mobile intensive care hospital shall offer, or claim to offer, the clinical portion
				of an EMT-Paramedic training program until authorized by the Department to do so.
i. Supervision in the clinical setting shall be
				provided by the EMS Educator, field preceptors or hospital personnel such as
				physicians, physician assistants, advanced practice nurses, registered nurses and/or
				respiratory care practitioners, if supervisors have been approved by the EMS
				Educator to function in such roles. Clinical supervision must be provided by faculty
				and/or staff qualified through previous academic preparation, training, and
				experience to teach and/or operate in the clinical setting or settings. There shall
				be a 1:1 student/instructor ratio for all clinical training.
ii. All clinical training sites shall conduct
				their training in compliance with the objectives set forth at
				8:41A-2.4 through 2.7. All clinical
				training sites shall maintain accurate records of the students' progress,
				documenting satisfactory completion of all completed clinical objectives. These
				documents shall be made available to Department staff upon demand.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.5 - Specific clinical objectives: Category I/Skills Division

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon successful
				completion of the Laboratory training experience the student shall be able to:
1. Identify the proper equipment and materials for
				venipuncture and blood collection;
2.
				Identify the proper sites for venipuncture and prepare the patient for the
				procedure;
3. Perform a minimum of 20
				venipunctures utilizing proper aseptic technique and the appropriate blood
				collection equipment;
4. Document the
				procedure on the patient's chart in accordance with hospital policy; and
5. Document all procedures performed on the
				appropriate clinical sign off sheet.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.7 - Specific clinical objectives: Category III/Field Experience

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon the successful
				completion of the field experience and all other training objectives, the student
				shall be able to:
1. Perform adequate patient
				assessments, communicates via telemetry and correctly document on the patient care
				report for a minimum of 20 patients. Copies of all patient care reports are to be
				submitted to the EMS Educator for review. A treatment call record shall be completed
				on every patient the student treats or assesses. This record shall be utilized by
				the EMS Educator to evaluate the types of patients the student has had experience
				with;
2. Demonstrate the ability to
				utilize and troubleshoot all equipment, including the motor vehicle, communications
				and adjunct equipment;
3. Demonstrate
				knowledge of safe driving habits in accordance with hospital policy and the
				regulations of the New Jersey Division of Motor Vehicles;
4. Demonstrate the ability to promote or
				demonstrate positive interpersonal skills with squads, hospital employees, patients
				and their families;
5. Function both
				independently and as a member of the team;
6. Demonstrate the ability to assume
				responsibility in the field. This includes the ability to set priorities, organize
				patient care and maintain control of the emergency scene;
7. Demonstrate clinical competency in the
				following skills: chest decompression, intraosseous infusion, external cardiac
				pacing, central venous access, AV shunt, rapid sequence induction (RSI), infusion
				pumps and cricothyroidotomy; and
8.
				Demonstrate knowledge and competence in the application of the approved standing
				orders as set forth at N.J.A.C. 8:41-7 and 8.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.8 - Suspension or revocation of training site approval

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Didactic or clinical
				training site approval may be suspended or revoked for any of the following reasons:
1. Failure to adhere to the rules contained in
				this chapter;
2. Failure to strictly
				adhere to the clinical or didactic portion of either the program curriculum or the
				refresher curriculum, as appropriate under the circumstances;
3. Failure to maintain adequate personnel,
				facilities, resources, finances, records, equipment and evaluation tools;
4. Failure to maintain a current list of personnel
				and faculty and/or to notify the Department of changes thereto;
5. Refusal to allow Department staff to conduct a
				site review, inspection and/or evaluation, or obstructing Department staff during
				the course of such site review, inspection and/or evaluation;
6. Failure to successfully pass a site review,
				inspection or evaluation;
7. Failure to
				demonstrate satisfactory student performance scores on the NREMT-Paramedic
				Certification Examination, as determined by the Commissioner; or
8. Falsifying documents and other false filings of
				documents required by law, rule and/or regulation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 3 - NREMT-PARAMEDIC CERTIFICATION EXAMINATION › Section 8:41A-3.1 - General information

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The NREMT-Paramedic
				Certification Examination shall be administered at least four times per
				year.
(b) The NREMT-Paramedic
				Certification Examination shall be conducted in accordance with the rules contained
				in this chapter and all applicable NREMT policies.
(c) Only official NREMT representatives shall be
				permitted to administer the written portion of the NREMT-Paramedic Certification
				Examination. Evaluators shall administer the practical "hands-on" portion of the
				NREMT-Paramedic Certification Examination.
(d) The Department reserves the right to limit the
				number of examinees at any test site.
(e) A person who has been found to have
				compromised the integrity of the NREMT-Paramedic Certification Examination in any
				way (including, but not limited to, altering the examination, theft of examination
				materials, copying or otherwise reproducing the examination materials and/or any
				other form of cheating) shall be denied entrance to, or removed from, the
				examination. In addition, the person shall thereafter be barred from any future
				examinations.
(f) Results of the
				NREMT-Paramedic Certification Examination shall be forwarded directly to the
				examinee by the NREMT. OEMS shall not reveal a person's examination score to any
				party other than the examinee, EMS Educator or medical director.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 3 - NREMT-PARAMEDIC CERTIFICATION EXAMINATION › Section 8:41A-3.2 - Eligibility to sit for the examination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An application to
				sit for the NREMT-Paramedic Certification Examination shall be made on forms
				proscribed by the Department, and shall bear the endorsements of the EMS Educator
				and the medical director of the mobile intensive care program with which the person
				will be affiliated. All signatures shall be original.
1. An application must be delivered to OEMS by the
				announced closing date in order to be eligible to sit for the NREMT-Paramedic
				Certification Examination. Applications delivered after the closing date shall be
				returned to the person with an explanation as to his or her ineligibility to sit for
				the examination.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 3 - NREMT-PARAMEDIC CERTIFICATION EXAMINATION › Section 8:41A-3.3 - Admittance to the examination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Requirements for
				admission to the NREMT-Paramedic Certification Examination shall be as follows:
1. Not more than 12 months have elapsed since the
				examinee successfully completed the EMT-Paramedic training program;
2. Any out-of-State EMT-Basic or EMT-Paramedic
				certification(s) is/are not currently suspended or revoked;
3. Presentation of a photo identification card;
				and
4. Presentation of CPR and ACLS
				certification cards.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 3 - NREMT-PARAMEDIC CERTIFICATION EXAMINATION › Section 8:41A-3.4 - Accommodations for persons with documented learning disabilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) OEMS shall offer
				reasonable and appropriate accommodations for the written component of the
				NREMT-Paramedic Certification Examination for those persons with documented learning
				disabilities in reading decoding, reading comprehension and/or written
				expression.
(b) A person requesting
				accommodations for the written component of the NREMT-Paramedic Certification
				Examination shall deliver documentation of his or her learning disability to OEMS at
				least 30 calendar days prior to the examination.
1. Documentation of a learning disability shall
				include one of the following:
i. A diagnosis based
				upon the results of a standardized psycho-educational assessment, including an
				individually administered standardized measure of intelligence and an individually
				administered standardized measure of achievement in reading decoding, reading
				comprehension and/or written expression; or
ii. A diagnosis made by a qualified professional,
				according to the criteria outlined in the Diagnostic and Statistical Manual of
				Mental Disorders (DSM-IV; American Psychiatric Association, 1994), incorporated
				herein by reference, as amended and supplemented. This manual may be obtained by
				contacting American Psychiatric Publishing Inc., 100 Wilson Boulevard, Arlington, VA
				22209 or through their website at
www.psych.org
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 4 - EMT-PARAMEDIC CERTIFICATION › Section 8:41A-4.1 - Certification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No person shall act in the capacity of an
				EMT-Paramedic in any form or manner until certified by the Department to do
				so.
(b) The requirements for
				certification as an EMT-Paramedic shall be as follows:
1. Attainment of the age of 18;
2. Possession of a high school diploma or its
				equivalent;
3. Possession of EMT-Basic,
				CPR, ACLS and either PALS or PEPP-Advanced certifications; and
4. Successful completion of an EMT-Paramedic
				training program (which shall consist of both a didactic and a clinical portion) and
				achievement of a passing score on the NREMT-Paramedic Certification Examination, or
				granting of reciprocity by the Department in accordance with
				8:41A-4.2.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 4 - EMT-PARAMEDIC CERTIFICATION › Section 8:41A-4.2 - Reciprocity

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A person validly certified as an EMT-Paramedic
				by the NREMT or a state other than New Jersey which has required the person to
				complete a course of study equivalent to or greater than that required of New Jersey
				EMTs-Paramedic and that adheres to the program curriculum, shall be deemed eligible
				for reciprocity. If training hours are below what is required, the mobile intensive
				care hospital sponsoring the student may provide any additional clinical experience
				needed to complete this requirement.
1. A person
				seeking reciprocity shall first obtain the sponsorship of a mobile intensive care
				hospital and shall then apply jointly, with that sponsoring mobile intensive care
				hospital, for reciprocity. All requests shall be made in writing, and shall be in a
				form and manner specified by the Department, including, but not limited to, a
				listing of all similar valid certifications and demographic and identifying
				information.
2. Once the completed
				application has been received, all information has been verified and the Department
				determines the person is eligible for reciprocity, a provisional EMT-Paramedic
				certification shall be issued. This provisional certification shall be valid for a
				one-year period or the duration of the out-of-State certification, whichever is the
				lesser amount of time.
i. A provisionally
				certified EMT-Paramedic shall be monitored for performance by the medical director
				and the Department.
ii. A provisionally
				certified EMT-Paramedic shall operate only when under the direct supervision of an
				EMT-Paramedic, registered nurse or physician. Under no circumstances may a
				provisionally certified EMT-Paramedic act independently or in conjunction with
				another provisionally certified EMT-Paramedic on the same MICU, SCTU or
				AMU.
iii. The EMS Educator or the
				director shall monitor the progress of the provisionally certified EMT-Paramedic,
				and shall forward to the Department a progress report at the end of the provisional
				period, or as required by the Department.
iv. The Department shall have the right to
				restrict or otherwise limit the scope of practice of a provisionally certified
				EMT-Paramedic. Failure to meet such conditions or any terms of the provisional
				period shall be deemed cause for refusal to issue certification.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 4 - EMT-PARAMEDIC CERTIFICATION › Section 8:41A-4.3 - Recertification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The requirements for recertification as an
				EMT-Paramedic shall be as follows:
1. Possession
				of EMT-Paramedic, CPR, ACLS and either PALS or PEPP-Advanced
				certifications;
2. Successful completion
				of a minimum of 48 hours of advanced level continuing education, as set forth in
				(a)2i through iii below. The Department may evaluate standard courses (for example,
				New Jersey State Police HAZ-MAT courses) and college and professional (for credit)
				courses to determine applicability to EMT-Paramedic recertification. The Department
				shall provide information on approvals to interested parties.
i. A minimum of three of the six divisions of the
				program curriculum. The hours shall have been obtained, at a minimum, in each of
				divisions two through six of the program curriculum;
ii. A minimum of 36 hours shall cover divisions
				two through six. No more than 12 hours shall be applied to division one;
				and
iii. A minimum of eight hours of
				instruction in Pediatric Advanced Life Support;
3. Demonstration to the medical director of
				proficiency in all skills approved for pre-hospital care, as specified at
				8:41A-5.1;
i. Proficiency may be demonstrated based on actual
				observation, field performance, or other methods as deemed necessary by the medical
				director. The medical director shall complete the forms required by this section and
				submit them to the Department attesting to the level of proficiency of each
				EMT-Paramedic seeking recertification. Such forms shall reflect whether the skill
				level is satisfactory and shall bear the original signature of the medical director.
				The EMS Educator or director shall keep records to allow the completion of such
				forms that may be required for recertification; and
4. Endorsement of a mobile intensive care
				hospital.
i. The EMS Educator or the director
				shall verify that all requirements for recertification have been met and that the
				EMT-Paramedic is physically capable of performing his or her duties and shall
				forward all required documentation to the Department. The EMS Educator or the
				director shall sign the endorsement.
ii.
				If a mobile intensive care hospital chooses not to extend its endorsement for
				recertification of an EMT-Paramedic, the medical director shall notify the
				Department and the EMT-Paramedic by certified mail at least 60 calendar days prior
				to the expiration of the certification. Such notification shall include a statement
				explaining why such action is being taken, and shall include a plan for remediation,
				if applicable.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 4 - EMT-PARAMEDIC CERTIFICATION › Section 8:41A-4.4 - Expired certifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The requirements for certification of a person
				formerly certified as an EMT-Paramedic who has allowed that certification to expire
				(that is, a person who, for whatever reason, has not completed the required number
				of continuing education credits necessary for recertification) are as follows:
1. Sponsorship of a mobile intensive care
				hospital;
2. Possession of EMT-Basic and
				CPR certifications;
3. Successful
				completion of the didactic portion of an EMT-Paramedic training program equivalent
				to the refresher curriculum.
i. Prior to the
				completion of the didactic portion of the program, the person shall complete any
				other training required to enter the NREMT-Paramedic Certification Examination
				process, and possess certification in both ACLS and either PALS or PEPP-Advanced, as
				well as certification in either PHTLS or ITLS;
4. Successful completion of 200 hours of clinical
				training;
i. These hours shall be completed within
				one year of entering into the program. No hours may be completed until the
				Department has notified the person that he or she has been admitted into the
				program;
ii. The areas covered by the
				program shall be determined by the EMS Educator, based on the needs of the person,
				and shall be scheduled at the discretion of the EMS Educator;
iii. During retraining, the person shall have the
				same status as an EMT-Paramedic student, and shall not act independently to provide
				advanced life support care;
5. Documentation as required by the NREMT,
				including but not limited to, certification and medical director endorsement;
				and
6. Achievement of a passing score on
				the NREMT-Paramedic Certification Examination.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 4 - EMT-PARAMEDIC CERTIFICATION › Section 8:41A-4.5 - Inactive status

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An EMT-Paramedic who
				chooses not be actively engaged in the provision of advanced life support care at
				the time of recertification may request that he or she be placed on inactive status.
				Educators, administrators or regulators who are not actively treating patients
				should consider this status.
1. An EMT-Paramedic
				seeking to be placed on inactive status shall make such a request, in writing, to
				OEMS.
i. Requests may be made at any time,
				provided that they are made at least 30 calendar days before a person's
				certification is due to expire.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 5 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41A-5.1 - Scope of practice

Current through Register Vol. 56, No. 14, July 15, 2024
(a) EMTs-Paramedic shall
				operate within their approved scope of practice.
(b) The following skills and procedures are within
				the approved scope of practice for an EMT-Paramedic, an EMT-Paramedic student
				(provided that the student is under the direct supervision of an EMT-Paramedic,
				registered nurse or physician) or a provisionally certified EMT-Paramedic (within
				the limits set forth at
				8:41A-4.2(a)2  ):
1. Performance all of the skills and procedures
				approved for EMTs-Basic, as set forth at
				8:40A-10.1;
2. Performance of history taking and physical
				examination of patients in order to obtain necessary information to permit the
				rendering of appropriate medical care;
3. Utilization of telemetry and proper
				communications procedures in the field, as defined by the Federal Communications
				Commission and good professional practice;
4. Visualization of the airway by utilization of
				the laryngoscope and removal of foreign bodies with forceps;
5. Application of electrodes and monitoring of
				cardiac electrical activity, including electrocardiograms;
6. Utilization of mechanical cardiopulmonary
				resuscitation devices; and
7. Assessing
				and managing patients in accordance with the program curriculum.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 5 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41A-5.2 - Enforcement actions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner, or
				his or her designee, may summarily suspend a person's EMT-Paramedic certification
				when, in his or her opinion, the continued certification of that person poses an
				immediate or serious threat to the public health, safety or welfare.
1. A person whose EMT-Paramedic certification has
				been summarily suspended shall have the right to apply for emergency relief, as
				provided for at 8:41A-5.3(a).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 5 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41A-5.3 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A person whose
				EMT-Paramedic certification has been summarily suspended shall, consistent with
				1:1-12.6, have the right to apply to the
				Commissioner for emergency relief.
1. A request for
				emergency relief shall be submitted in writing and shall be accompanied by a
				response to the charges contained in the "Notice of Summary Suspension." Failure to
				submit such written notice shall result in the person forfeiting all rights to
				emergency relief.
2. All applications
				for emergency relief will be handled in accordance with
				1:1-12.6(c).
3. Unless emergency relief is granted, the summary
				suspension shall remain in effect until such time as Department staff has conducted
				a full investigation into the circumstances that formed the basis for the summary
				suspension. Nothing herein shall be construed to prevent the Commissioner from
				simultaneously or thereafter moving to suspend or revoke the person's certification,
				issuing a formal written warning, imposing a probationary period and/or imposing a
				monetary penalty.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 5 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41A-5.4 - Penalty for impersonating an EMT-Paramedic

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Consistent with
				8:41A-4.1(a), no person
				shall impersonate, refer to him or herself as, act in the capacity of or perform the
				duties of, an EMT-Paramedic unless he or she is certified or recognized by the
				Department in accordance with the standards set forth in this chapter.
1. Upon notice or discovery that a person is
				impersonating, referring to himself or herself as, or acting in the capacity of, an
				EMT-Paramedic without having first obtained the required EMT-Paramedic certification
				or recognition, or after revocation of an EMT-Paramedic certification previously
				issued by the Department, the Commissioner or his or her designee may issue an order
				directing that person to immediately cease and desist.
i. Failure to comply with an order to cease and
				desist may result in an action by the Department for injunctive relief in the
				Superior Court of New Jersey.
ii. The
				order to cease and desist shall constitute a final agency decision. As such,
				pursuant to New Jersey Court Rule 2:2-3, any appeal from the Commissioner's order to
				cease and desist shall be filed with the Superior Court of New Jersey, Appellate
				Division.
iii. Orders to cease and
				desist shall be considered public information and shall be posted on the OEMS
				website (
www.state.nj.us/health/ems
) as a
				public notice. Orders to cease and desist shall remain posted on the OEMS website
				permanently or until such time as EMT-Paramedic certification is issued or
				recognized by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 1 - GENERAL PROVISIONS › Section 8:42-1.1 - Scope; purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in this
				chapter pertain to all home health agencies in the State of New Jersey.
(b) The purpose of this chapter is to assure the
				provision of high quality home health care services to the residents of New Jersey
				in a coordinated and cost-effective manner.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.1 - Certificate of Need

Current through Register Vol. 56, No. 14, July 15, 2024
(a) According to
26:2H-1
et seq., and
				amendments thereto, a home health agency shall not be instituted, constructed,
				expanded, licensed to operate, or closed, except upon application for and receipt of
				a Certificate of Need issued by the Commissioner pursuant to a Certificate of Need
				Call as required by
N.J.A.C. 8:33
.
(b) Applications shall provide the information
				required by
N.J.A.C. 8:33
.
1.
				Application forms for a Certificate of Need (Form CN-3) and instructions for
				completion are available from the Office of Certificate of Need and Healthcare
				Facility Licensure through the methods specified in
8:33-4.2
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.2 - Application for licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Following the
				acquisition of a Certificate of Need, any person, organization, or corporation
				desiring to operate an agency shall make application to the Commissioner for a
				license on form CN-7, Application for New or Amended Acute Care Facility License,
				prescribed by the Department in accordance with the requirements of this chapter.
1. The application and instructions are available
				electronically at the Department's "Forms" webpage at
http://nj.gov/health/forms
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.3 - Surveys

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When the written application for licensure is
				approved and the building is ready for occupancy, a survey of the agency by
				representatives of the Division of Health Facility Survey and Field Operations of
				the Department shall be conducted to determine if the agency adheres to the rules in
				this chapter.
1. The agency shall be notified in
				writing of the findings of the survey, including any deficiencies found.
2. The agency shall notify the Office of
				Certificate of Need and Healthcare Facility Licensure of the Department when the
				deficiencies, if any, have been corrected, and the Division of Health Facility
				Survey and Field Operations shall schedule one or more resurveys of the agency prior
				to issue of license.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.4 - Licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A license shall be issued only when the survey
				conducted pursuant to
8:42-2.2(a)
demonstrates that the agency meets the
				requirements set forth in
26:2H-1
et seq.
				and the rules in this chapter.
(b) A
				license shall be granted for a period of one year or less as determined by the
				Department. (See
				26:2H-12.)
(c) The license shall be conspicuously posted in
				the agency.
(d) The license is not
				assignable or transferable and it shall be immediately void if the agency ceases to
				operate or if its ownership changes.
(e)
				The license, unless sooner suspended or revoked, shall be renewed annually on the
				original licensure date, or within 30 days thereafter but dated as of the original
				licensure date.
1. The agency will receive a
				request for renewal fee 30 days prior to the expiration of the license.
2. A renewal license shall not be issued unless
				the licensure fee is received by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.5 - Surrender of license

Current through Register Vol. 56, No. 14, July 15, 2024
An agency shall notify directly each patient, each patient's
				  physician, and any guarantors of payment at least 30 days prior to the agency's
				  voluntary surrender of its license, or as the Department directs in an order of
				  revocation, refusal to renew, or suspension of license and shall surrender the
				  license to the Office of Certificate of Need and Healthcare Facility Licensure
				  within seven working days after a revocation, non-renewal, voluntary surrender, or
				  suspension of license.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.6 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or his or her designee may,
				in accordance with the general purposes and intent of this chapter, waive sections
				of the rules if, in his or her opinion, such waiver would not endanger the life,
				safety, or health of patients or the public.
(b) An agency seeking a waiver of a rule in this
				chapter shall apply, in writing, to the Director of the Office of Certificate of
				Need and Healthcare Facility Licensure of the Department on Form CN-28, Application
				for Waiver, which is available on the Department's website at
http://web.doh.state.nj.us/apps2/forms/subforms.aspx?pro=healthfacilities#need-care
.
(c) A written request for waiver shall include the
				following:
1. The specific rule(s) or part(s) of
				the rule(s) for which waiver is requested;
2. Reasons for requesting a waiver, including a
				statement of the type and degree of hardship that would result to the agency upon
				full compliance;
3. An alternative
				proposal, which would ensure patient safety;
4. Documentation to support the application for
				waiver;
5. Whether the project is
				currently under review by the Department of Community Affairs, Health Care Plan
				Review; and
6. Whether the waiver
				request is based on plan review comments by the Department of Community
				Affairs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 2 - LICENSURE PROCEDURE › Section 8:42-2.7 - Action against a license

Current through Register Vol. 56, No. 14, July 15, 2024
Action against a license shall be conducted in accordance with
				  the General Licensure Procedures and Standards Applicable to all Licensed Facilities
				  as set forth in N.J.A.C. 8:43E.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.1 - Compliance with rules and laws

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall
				provide preventive, rehabilitative, and therapeutic services to patients.
1. This shall include nursing, homemaker-home
				health aide, and physical therapy services.
2. Nursing services shall be available 24 hours a
				day, seven days a week.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.2 - Ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall disclose its owners to the
				Department and make available proof of the ownership at the agency.
(b) An agency shall submit an application for
				transfer of ownership on Form CN-7 to the Director of the Office of Certificate of
				Need and Healthcare Facility Licensure in writing at least 90 days prior to the
				proposed closing date and in conformance with the requirements for Certificate of
				Need applications at
				8:33-3.3.
1. An applicant for a transfer of ownership shall
				not finalize the transaction with the proposed transferee without prior approval of
				the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.3 - Submission of documents

Current through Register Vol. 56, No. 14, July 15, 2024
The agency shall, upon request, submit any documents that are
				  required by this chapter, to the Director of the Office of Certificate of Need and
				  Healthcare Facility Licensure of the Department.