New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.12 - Perinatal patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A registry of all
				births shall be maintained through either the electronic certificate or a maternity
				log book located in the obstetrics area and shall include the minimum data set
				required by the Department in accordance with
N.J.S.A.
				26:8-30
and
N.J.A.C.
				8:2
.
(b) Obstetrics anesthesia
				services policies and procedures shall include at least:
1. The obstetric service in consultation with the
				anesthesia service shall develop and implement written policies and procedures that
				govern anesthesia services in all labor, delivery and recovery areas. The policies
				and procedures shall be reviewed annually, revised and implemented.
2. All individuals who administer anesthetic
				agents to obstetric patients shall be credentialed in accordance with medical staff
				policies. The physician director of anesthesia services shall participate in the
				credentialing process and delineation of privileges of all personnel who administer
				anesthetic agents.
3. The obstetric
				service, in consultation with the anesthesia service, shall establish protocols
				governing the use of anesthetic agents for pain management. These shall include the
				qualifications and responsibilities of persons who administer the use of anesthetic
				agents for pain management. Policies and procedures shall address the use of patient
				monitoring equipment and identify the types and levels of agents which may be used
				for pain management.
4. A preanesthesia
				note, reflecting evaluation and classification of the patient according to American
				Society of Anesthesiologists (ASA) Physical Status system, shall be made or
				certified by the physician administering or supervising the administration of
				anesthesia and entered into the medical record of each patient who will be
				administered an anesthetic agent.
5.
				Anesthetic or pain control agents administered to non-surgical obstetric patients
				classified for anesthesia risk as an ASA Class I, II or III shall be administered
				and monitored in accordance with obstetric service policies and procedures governing
				anesthesia care.
6. Anesthetic or pain
				control agents administered to non-surgical obstetric patients classified for
				anesthesia risk as an ASA Class IV, V or Emergency shall be in accordance with the
				following sections of N.J.A.C. 8:43G-6, Anesthesia Services, as amended:
i.
											8:43G-6.1, Definitions;
ii.
											8:43G-6.3(d) through
				(k), Anesthesia qualifications for administering
				anesthesia;
iii.
											8:43G-6.5(b),
				Anesthesia patient services;
iv.
											8:43G-6.6, Anesthesia supplies and
				equipment; safety systems;
v.
											8:43G-6.7, Anesthesia supplies and
				equipment; maintenance and inspection; and
vi.
											8:43G-6.8, Anesthesia supplies and
				equipment; patient monitoring.
7. For patients undergoing surgical deliveries,
				including cesarean sections, anesthesia care shall be in accordance with all
				applicable sections of N.J.A.C. 8:43G-6, Anesthesia Services.
8. There shall be a program of quality assurance
				for anesthesia care provided in obstetric services that is integrated into the
				hospital and the anesthesia service quality assurance programs.