New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.6 - Maternal-fetal transport and neonatal transport

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Maternal-fetal
				transports for maternal management shall only be accepted by a hospital designated
				as a Regional Perinatal Center. Maternal-fetal transports, when the expected birth
				weight or gestational age falls below the facility's certified capability for
				neonatal care, shall be made in accordance with the facility's letter of agreement
				to utilize the regional transport system within the consortium region.
(b) Each Community Perinatal Center shall
				establish and implement interhospital transport agreements for patients who require
				a higher level of care for maternal-fetal management or delivery than the hospital
				is designated to provide. Such agreements shall be facilitated by the maternal and
				child health consortium, documented in the facility's letter of agreement with the
				Regional Perinatal Center and shall be in accordance with the consortium's regional
				transport system.
(c) Facilities
				designated as a CPC-Intermediate, CPC-Intensive, or a Regional Perinatal Center
				shall establish criteria and implement transport agreements with birth centers
				within their region for patients who require a higher level of care for maternal
				management delivery, or neonatal management than the birth center is designated to
				provide. Such agreements shall be facilitated by the maternal and child health
				consortium and be in accordance with the consortium's regional transport
				system.
(d) The maternal and child
				health consortium, in association with the Regional Perinatal Center shall develop
				transport criteria and implement policies and procedures that establish a regional
				maternal-fetal transport system which includes, at a minimum, a transport team
				staffed by health professionals with special training in maternal and fetal care in
				accordance with hospital policy. This transport system shall be in accordance with
				the regional perinatal plan.
(e) Each
				Community Perinatal Center shall establish and implement interhospital transport
				agreements for neonates who require a higher level of care than the hospital is
				designated to provide. Such agreements shall be facilitated by the maternal and
				child health consortium, documented in the facility's letter of agreement with
				hospitals designated as CPC-Intensive and/or Regional Perinatal Center, and shall be
				in accordance with the consortium's regional transport system. The transport
				agreement shall also include provisions for return of the neonate to the sending
				hospital when the problems that required transport have been resolved.
(f) All Regional Perinatal Centers and
				CPC-Intensives which have executed letters of agreement to accept neonatal
				transports shall have, at a minimum:
1. A
				transport team staffed by health professionals with special training in
				neonatology;
2. Board eligible or
				certified anesthesiologists available with special training in the care of
				neonates;
3. Formal consultative
				relationship with physicians in the following pediatric subspecialties:
				anesthesiology, cardiology, hematology/oncology, infectious diseases, nephrology,
				neurology, pulmonary, radiology, and surgery; and
4. Written policies and procedures specific to the
				required 30 minute arrival time for the physicians with pediatric subspecialties
				identified in (f) 3 above.