New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.1 - Scope of obstetrical standards-definitions; structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				standards in this subchapter shall apply only to hospitals that have a separate,
				designated unit or service for obstetrics.
(b) The following terms, when used in this
				subchapter, shall have the following meanings:
"Advanced practice nurse" means a licensed registered professional
				  nurse with certification in a specialty requiring expertise in maternal and child
				  health who has been certified by the New Jersey Board of Nursing as specified in
				  N.J.A.C. 13:37-7.
"American Nurses Credentialing Center" means an organization that
				  is a subsidiary of the American Nurses Association, which certifies nurses in
				  specialty practice areas, and for which the contact information is American Nurses
				  Credentialing Center, 8515 Georgia Avenue, Suite 400, Silver Spring, MD 20910-3492.
				  Phone: (800) 284-2378. Website:
http://www.nursecredentialing.org
.
"Birth center" means an ambulatory care facility or a distinct
				  part of a facility which is separately licensed as an ambulatory care facility and
				  provides routine prenatal and intrapartal care. These facilities provide care to
				  low-risk maternity patients who are expected to deliver neonates of a weight greater
				  than 2,499 grams and at least 37 weeks gestational age and who require a stay of
				  less than 24 hours after birth.
"Boarder baby" means an infant abandoned in a hospital, or an
				  infant still in the nursery after the mother's discharge for any reason, even if
				  only temporarily.
"Clinical Practice Guidelines for Management of
				  Hyperbilirubinemia" means the clinical practice guidelines established by the
				  American Academy of Pediatrics Subcommittee on Hyperbilirubinemia, as set forth in
				  "
Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of
				  Gestation
."
Pediatrics
. 2004; 114(1); 297-316,
				  incorporated herein by reference, as amended and supplemented, and available at
http://pediatrics.aappublications.org/content/114/1/297
.
"Community Perinatal Center" (CPC) means a licensed hospital
				  designated within a Maternal and Child Health Service Region as one of the
				  following:
1. "Basic" provides care to
				uncomplicated maternity patients and neonates in accordance with the scope of
				functions delineated in its formal letter of agreement with the Regional Perinatal
				Center. Such a facility shall provide care to patients expected to deliver neonates
				greater than 2,499 grams and at least 36 weeks gestation.
2. "Intermediate" provides care to complicated
				maternity patients and neonates in accordance with the scope of functions delineated
				in its letter of agreement with the Regional Perinatal Center. Such a facility shall
				provide care to patients expected to deliver neonates greater than 1,499 grams and
				at least 32 weeks gestation.
3.
				"Intensive" provides care to complicated maternity patients and neonates in
				accordance with the scope of functions delineated in its letter of agreement with
				the Regional Perinatal Center. Such a facility shall provide care to patients
				expected to deliver neonates greater than 999 grams and at least 28 weeks gestation.
"Construction Guidelines means the Guidelines for Design and
				  Construction of Residential Health, Care, and Support Facilities, 2014 edition.
				  Facility Guidelines Institute; American Society for Healthcare Engineering, which is
				  incorporated herein by reference, as amended and supplemented, and is available from
				  the Facility Guidelines Institute, Inc., 350 N. Saint Paul St., Suite 100, Dallas,
				  TX 75201. Website:
www.fgiguidelines.org
.
				  E-mail: info@fgiguidelines.org.
"Contact hour" means a unit of measurement that describes 50
				  minutes of an approved, organized learning experience, either didactic or clinical
				  practice.
"Core competencies" means the knowledge, skills, and judgment that
				  a hospital determines to be essential to ensure the proficiency of staff in the
				  independent performance of a particular patient care service.
"Expression" means a manual technique accomplished with the aid of
				  an external device (that is a breast pump) to extract milk from a lactating
				  woman.
"Formula" means infant formula as that term is defined at
				  21 U.S.C. §
											321(z), which is incorporated
				  herein by reference.
"Formula supplementation" means the practice of feeding breastfed
				  infants prior to six months of age commercially prepared infant formula in addition
				  to, or as a substitute for, breast milk.
"Gifts and promotional materials" means products and information
				  provided free by commercial vendors or by hospitals for distribution to new mothers.
				  These items may include infant formula, diaper bags, nursing pads, cooler packs for
				  expressed breast milk or formula, and printed materials regarding infant
				  feeding.
"Hand expression" means a manual technique to extract breast milk
				  from a lactating woman that is accomplished without the aid of an external
				  device.
"Implementing the Joint Commission Perinatal Care Core Measure on
				  Exclusive Breast Milk Feeding" means the publication developed by the United States
				  Breastfeeding Committee to facilitate exclusive breastfeeding in hospitals, for
				  which citation to the current edition is, Implementing the Joint Commission
				  Perinatal Care Core Measure on Exclusive Breast Milk Feeding, Rev. ed., Washington,
				  D.C.: United States Breastfeeding Committee; 2010, which is incorporated herein by
				  reference, as amended and supplemented and which can be accessed at:
http://www.usbreastfeeding.org/Portals/0/Publications/Implementing-TJC-Measure-EBMF-2010-USBC.pdf
;
"International Board of Lactation Consultant Examiners" means the
				  independent international certification body that confers the International Board
				  Certified Lactation Consultant (IBCLC) credential, and for which the contact
				  information in the United States is International Board of Lactation Consultant
				  Examiners in the Americas, 10301 Democracy Lane, Suite 400, Fairfax, VA 22030.
				  Phone: (703) 560-7330. Fax: (703) 560-7332. Website:
http://iblce.org/
. E-mail: iblce@iblce.org.
"Lactation consultant" means an individual who is qualified to use
				  the credential, "IBCLC," denoting certification as a lactation consultant conferred
				  by the International Board of Lactation Consultant Examiners.
"Lactation support room" means a room designated for
				  consultations, expression of breast milk, and/or breastfeeding, or a private space
				  designated on a temporary basis for such purposes.
"Latch" means the attachment of a newborn to the breast for
				  breastfeeding.
"LDR room" means a labor-delivery-recovery room designed to
				  accommodate the birthing process from labor through delivery and recovery of a
				  mother and her infant.
"Letter of agreement" means the document which defines the
				  relationship between a Regional Perinatal Center and a Community Perinatal Center
				  and specifies all tasks to be provided. This document must be developed in
				  cooperation with the Maternal and Child Health Consortia in the region and signed by
				  both facilities.
"Maternal postpartum room" means an obstetrics patient room where
				  a mother stays after the birth of her newborn.
"Member in good standing" means that an acute care hospital has
				  made timely payment of Maternal and Child Health Consortium (MCHC) financial
				  assessments in accordance with the MCHC by-laws, which are based on a budget
				  approved by the Department.
"Mother-infant room" means an obstetrics patient room where
				  mother(s) and infant(s) stay after delivery and receive care in this continuously
				  rooming-in space during the post-partum period. The room shall comply with the space
				  requirement indicated in the Construction Guidelines.
"National Certification Corporation for the Obstetric,
				  Gynecologic, and Neonatal Nursing Specialties" means the not-for-profit organization
				  that provides a national credentialing program for nurses in the obstetric,
				  gynecologic, and neonatal nursing specialties, and for which the contact information
				  is National Certification Corporation, 676 N. Michigan Ave, Suite 3600, Chicago, IL
				  60611. Phone: (312) 951-0207. Website:
www.nccwebsite.org
. E-mail: info@nccnet.org.
"Obstetric patient" means a female patient at any stage of
				  pregnancy, including antepartum, and up to six weeks post partum, whose primary
				  diagnosis is related to the management of labor, pregnancy complications or
				  complications of the puperium.
"Perinatal" means occurring in, concerned with, or being in the
				  period around the time of birth.
"Risk reduction specialist" means a registered professional nurse,
				  a licensed or certified social worker or other professional in a maternal and child
				  health addiction related field, who has specialized training and experience in
				  perinatal addiction.
"Rooming-in" means the practice of placing the newborn(s) with the
				  mother in the "maternal postpartum room" or "mother-infant room" 24 hours a day to
				  facilitate maternal-infant bonding and breastfeeding on demand, as applicable, and
				  to allow patient care to be given to mother and infant in the same room.
"United States Breastfeeding Committee" means the independent
				  nonprofit organization whose mission is to improve the nation's health by working
				  collaboratively to protect, promote, and support breastfeeding, and for which the
				  contact information is United States Breastfeeding Committee, 4044 N Lincoln Ave, #
				  288, Chicago, IL 60618. Phone: (773) 359-1549. Fax: (773) 313-3498. Website:
http://www.usbreastfeeding.org
.
				  E-mail: office@usbreastfeeding.org.