reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 24 - RENAL DIALYSIS › Section 8:43A-24.20 - Home care dialysis services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If home (self) care
				dialysis services are provided, the facility shall establish, implement, and review,
				at least annually, written policies and procedures including, but not limited to,
				policies and procedures for the following:
1.
				Development of a written outline of the home (self) care training program, including
				didactic and practical sessions, for the unsupervised performance of dialysis
				treatments by patients and family;
2. A
				home visitation program, in which a registered professional nurse assesses the
				physical environment of the home, the patient's ability to perform home dialysis
				treatments, and the level of support that is available to the patient from family
				members or significant others;
3.
				Availability of teaching materials for patient use during and after home (self) care
				dialysis training and at times other than during the dialysis procedure;
4. Provision of consultation to the patient by a
				social worker and a dietitian;
5.
				Installation and maintenance of equipment in the home;
6. Testing and treatment of the water in the home;
				and
7. Ordering of supplies for the home
				on an ongoing basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 24 - RENAL DIALYSIS › Section 8:43A-24.21 - Chronic kidney disease counseling services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If chronic kidney
				disease (CKD) counseling services are provided, the facility shall establish,
				implement and review, at least every three years, written policies and procedures
				which shall include at least the following:
1.
				Development of a patient educational program which shall include, but is not limited
				to, the following:
i. Prevention/treatment of
				complications of CKD (that is, hypertension, anemia, malnutrition, bone
				disease);
ii. Treatment of
				cardiovascular disease and diabetes;
iii. Renal replacement therapy options (that is,
				hemodialysis, peritoneal dialysis, transplantation);
iv. Improvement of personal health (for example,
				diet and exercise); and
v. Preparation
				for dialysis (that is, arm preservation, vascular access planning).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 25 - COMPUTERIZED TOMOGRAPHY CT, MAGNETIC RESONANCE IMAGING MRI, AND RADIOLOGICAL SERVICES › Section 8:43A-25.1 - Additional requirements and exceptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An ambulatory care
				facility which provides computerized tomography, magnetic resonance imaging, or
				radiological services shall comply with N.J.A.C. 8:43A-1 through 11 and 13 through
				19, and this subchapter. If the facility also provides surgical or anesthesia
				services, then the facility shall also comply with N.J.A.C. 8:43A-12.
1. An ambulatory care facility which provides only
				computerized tomography, magnetic resonance imaging, or radiological services need
				not comply with 8:43A-3.6(a)6, 13.3(a)7
				and 13.3(a)8 for the purpose of licensure.
2. If the facility provides only computerized
				tomography, magnetic resonance imaging, or radiological services, a radiologic
				technologist may satisfy the requirement for an administrator at
				8:43A-5.1.
3. If the facility provides only computerized
				tomography, magnetic resonance imaging, or radiological services, the part of
				8:43A-3.1(a)  which
				requires nursing services to be provided in the facility shall not apply, unless
				nursing services are ordered by a physician.
4. If the facility provides only computerized
				tomography, magnetic resonance imaging, or radiological services, the part of
				8:43A-6.2(a)  which
				requires a representative of the nursing staff to serve on the patient care policy
				committee shall not apply.
5. If the
				facility provides only computerized tomography, magnetic resonance imaging, or
				radiological services, the part of
				8:43A-18.1(b)  which
				requires a representative of the nursing service to serve on the committee
				responsible for the quality assurance program shall not apply.
6. An ambulatory care facility which provides only
				computerized tomography, magnetic resonance imaging, or radiological services may
				satisfy the requirements of
				8:43A-14.2 for an infection control
				committee by requiring the person responsible for the infection prevention and
				control program to ensure that the medical director and other professional staff
				participate in the development and implementation of the program, including the
				development, implementation, and review of the policies and procedures required by
				8:43A-14.2(b).
7. If the facility provides only computerized
				tomography, magnetic resonance imaging, or radiological services, the part of
				8:43A-3.1(a)  which
				requires counseling services to be provided directly by the facility or through
				written agreement shall not apply.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 25 - COMPUTERIZED TOMOGRAPHY CT, MAGNETIC RESONANCE IMAGING MRI, AND RADIOLOGICAL SERVICES › Section 8:43A-25.2 - Additional staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				providing other staff as required by the rules in this chapter, a facility providing
				computerized tomography services shall have at least the following staff:
1. One radiologist available during the facility's
				hours of operation and on the premises whenever a contrast medium is being
				used;
2. One radiologic technologist on
				the premises during the facility's hours of operation; and
3. A radiation physicist/health physicist who
				shall be available for safety evaluations of equipment and of storage and handling
				practices, and for staff education.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 25 - COMPUTERIZED TOMOGRAPHY CT, MAGNETIC RESONANCE IMAGING MRI, AND RADIOLOGICAL SERVICES › Section 8:43A-25.3 - Safety

Current through Register Vol. 56, No. 14, July 15, 2024
A facility providing magnetic resonance imaging (MRI),
				  computerized tomography, or other diagnostic services shall develop and implement
				  policies and procedures intended to ensure patient safety during use of all
				  diagnostic equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 25 - COMPUTERIZED TOMOGRAPHY CT, MAGNETIC RESONANCE IMAGING MRI, AND RADIOLOGICAL SERVICES › Section 8:43A-25.4 - Physical plant; computerized tomography and magnetic resonance imaging services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A new ambulatory
				care facility that provides computerized tomography or magnetic resonance imaging
				services shall comply with Sections 3.1-2.2 and 2.1-5.5 of the construction
				guidelines.
(b) Existing facilities
				shall comply with these standards or the corresponding standards in effect at the
				time of construction, alteration, or approval.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 25 - COMPUTERIZED TOMOGRAPHY CT, MAGNETIC RESONANCE IMAGING MRI, AND RADIOLOGICAL SERVICES › Section 8:43A-25.5 - Physical plant; radiological services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If radiological
				services are provided in a freestanding facility, the suite shall contain the
				following:
1. A radiographic room(s) that has an
				area of at least 250 square feet or greater as necessary to comply with equipment
				manufacturer specifications if the facility provides computerized tomography or
				magnetic resonance imaging services;
2.
				A film processing room, unless the facility exclusively uses digital
				technology;
3. A viewing area, unless
				the facility exclusively uses digital technology;
4. Film storage facilities for active, inactive,
				and unexposed film, unless the facility exclusively uses digital
				technology;
5. Office space for medical
				staff and administrative functions;
6. A
				waiting area for ambulatory patients and patients requiring wheelchairs or
				stretchers;
7. A dressing area(s) with
				convenient access to public toilets;
8.
				Separate toilet rooms with handwashing facilities for staff, visitors, and
				patients;
9. Handwashing facilities that
				are within each procedure room or, with respect to magnetic resonance imaging
				procedure rooms, located immediately outside the procedure room, as specified by the
				equipment manufacturer;
10. A control
				desk and reception area;
11. Storage
				facilities, including at least the following:
i. A
				room, closet, or cabinetry for storage of clean and sterile supplies; and
ii. A room for holding of soiled clinical
				material; and
12. A
				housekeeping room that contains a service sink and storage for housekeeping supplies
				and equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.1 - Additional requirements and exceptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An ambulatory care
				facility which provides drug abuse treatment services shall comply with N.J.A.C.
				8:43A-1 through 11 and 13 through 19, and this subchapter.
1. An ambulatory care facility which provides only
				drug abuse treatment services need not comply with
				N.J.A.C.
				8:43A-6.9 and 8.2 for the purpose of licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.2 - Smoking in facility

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall be smoke-free . "Smoke-free" means a total ban
				  on smoking in the facility by employees and visitors. Smoking by patients shall only
				  be permitted in accordance with
				  N.J.S.A.
				  26:3D-55et seq., and in a designated area with
				  outside ventilation. The ventilation system shall prevent contaminated air from
				  recirculating through the facility and shall prevent backstreaming of smoke into
				  nonsmoking areas of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.3 - Additional services

Current through Register Vol. 56, No. 14, July 15, 2024
A facility providing drug abuse treatment services shall provide,
				  or arrange provision of, educational services, vocational counseling and training,
				  and job placement to patients whose plans of care indicate a need for such services.
				  In the case of patients who require legal services, the facility shall refer the
				  patient to an agency providing legal services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.4 - Nurse staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Ambulatory care
				facilities which provide drug abuse treatment services shall designate in writing a
				registered professional nurse as the director of nursing services. The director of
				nursing services, or a registered professional nurse designated in writing to act in
				the absence of the director of nursing services, shall be on the premises of the
				facility whenever medications are being administered and at times specified by the
				facility in the policy and procedure manual.
1. If
				the policies and procedures of the facility ensure that the conditions below are
				satisfied, then the facility need not comply with (a) above or with
				8:43A-8.1:
i. Medications, including methadone, shall not be
				dispensed or administered in the facility;
ii. For each patient, the drug counselor to whom
				the patient is assigned shall obtain health-related information from the patient
				using a protocol or form approved by the medical director and shall record the
				information in the patient medical record. If the drug counselor determines that
				there is a need for immediate intervention by a physician or nurse, the counselor
				shall immediately notify the medical director or registered professional nurse or
				shall immediately provide the patient with an appropriate referral; and
iii. A physician or a registered professional
				nurse shall review each patient's health-related information within 15 days of the
				interview of the patient by the drug counselor. The physician or registered
				professional nurse shall determine the need for direct assessment by a physician or
				registered professional nurse or for referral to another health care provider.
				Direct assessment shall be ordered or referral made on the basis of this
				determination.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.5 - Drug abuse counseling services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the facility
				provides drug abuse treatment services, drug abuse counseling services shall be
				provided directly in the facility to patients.
(b) A facility providing drug abuse treatment
				services shall, in addition to complying with N.J.A.C. 8:43A-10, comply with the
				following:
1. Each patient shall be assigned to a
				drug counselor, with assignment documented in the patient's medical record. A drug
				counselor's caseload shall not exceed 50 patients;
2. All outpatient methadone detoxification
				programs shall provide a minimum of one counseling session per week to each patient
				during the first four months after initiation of treatment and at least one
				counseling session every two weeks thereafter until discharged;
3. All outpatient methadone maintenance programs
				shall assign each patient to one of the following stages and provide counseling to
				the patient in accordance with the following schedule:
i. Stage I. At least one counseling session per
				week during the first three months of treatment;
ii. Stage ii. At least one counseling session
				every two weeks from the beginning of the fourth month to the end of the ninth month
				of treatment;
iii. Stage Iii. At least
				one counseling session per month from the beginning of the tenth month to the end of
				the second year of treatment; and
iv.
				Stage IV. At least one counseling session every three months after completion of two
				years of treatment;
4. A
				patient in an outpatient methadone maintenance program who becomes symptomatic of
				drug or alcohol abuse for the first time after admission shall return to a minimum
				of one counseling session per week until symptoms cease and shall remain in his or
				her present stage of treatment;
5. A
				patient in an outpatient methadone maintenance program who becomes symptomatic of
				drug or alcohol abuse for a second or subsequent time after admission may be
				returned to a lower stage of treatment; and
6. Drug abuse counseling services shall include
				the provision of individual counseling and the availability of group, family, and/or
				vocational counseling.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.6 - Designation of consultant pharmacist

Current through Register Vol. 56, No. 14, July 15, 2024
If a facility providing methadone detoxification or methadone
				  maintenance services does not have an institutional pharmacy, the facility shall
				  designate a consultant pharmacist who shall review all facility policies and
				  procedures concerning the administration, control, and storage of medications at
				  least semiannually. The consultant pharmacist shall not be affiliated with the
				  pharmacy which provides pharmaceutical services for the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.7 - Medical records

Current through Register Vol. 56, No. 14, July 15, 2024
The complete medical record for patients receiving drug abuse
				  treatment services shall include, but not be limited to, a copy of the Alcohol and
				  Drug Abuse Data System (ADADS) form (See Appendix A) or other management information
				  system form approved by the Department, incorporated herein by
				  reference.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.8 - Notices

Current through Register Vol. 56, No. 14, July 15, 2024
The hours of operation and the business telephone number of the
				  facility shall be posted so as to be visible from the outside of the main entrance
				  of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 26 - DRUG ABUSE TREATMENT SERVICES › Section 8:43A-26.9 - Employee health

Current through Register Vol. 56, No. 14, July 15, 2024
The Mantoux tuberculin skin test required by
				  8:43A-3.7(d)  shall be
				  repeated on an annual basis for all employees.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 27 - SATELLITES OF LICENSED AMBULATORY CARE FACILITIES › Section 8:43A-27.1 - Additional requirements and exceptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A satellite of a
				licensed ambulatory care facility, as defined at
				8:43A-1.3, shall comply with N.J.A.C.
				8:43A-1 through 11 and 13 through 19, and this subchapter. If the satellite also
				provides surgical or anesthesia services, then the satellite shall also comply with
				N.J.A.C. 8:43A-12.
1. A satellite of a licensed
				ambulatory care facility need not comply with
				8:43A-2.4(c), 5.1,
				6.3(b) and 13.1(c) for the purpose of licensure.
2. The requirements at
				8:43A-3.6(a) and (b)
				regarding the availability and accessibility of the policy and procedure manual of
				the facility shall apply only to those policies and procedures which pertain to the
				services provided at the satellite facility.
3. The reporting of events as required by
				8:43A-3.8 may be performed by the
				licensed facility with which the satellite is affiliated.
4. The information which
				8:43A-3.9(a)1  and 2
				require to be available in the facility may be kept at the licensed facility with
				which the satellite is affiliated rather than at the satellite itself.
5. The infection prevention and control program
				required by 8:43A-14.1 may be developed at the
				licensed facility with which the satellite is affiliated, but shall also be
				implemented at the satellite facility.
6. The written plan for a quality assurance
				program for patient care required by
				8:43A-18.1(a)  may be
				developed at the licensed facility with which the satellite is affiliated, but shall
				also be implemented at the satellite facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 27 - SATELLITES OF LICENSED AMBULATORY CARE FACILITIES › Section 8:43A-27.2 - On-site inspection

Current through Register Vol. 56, No. 14, July 15, 2024
An on-site inspection of the construction of the physical plant
				  shall be made by representatives of the Health Care Plan Review Unit to verify that
				  the building has been constructed in accordance with the architectural plans
				  approved by the Department. The Department may choose to accept an equivalent
				  inspection by a local agency in lieu of an inspection by representatives of the
				  Health Care Plan Review Unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 27 - SATELLITES OF LICENSED AMBULATORY CARE FACILITIES › Section 8:43A-27.3 - Appointment of administrator

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall appoint an administrator of the satellite who
				  shall be accountable to the governing authority. The administrator of the satellite
				  may be the same person as the administrator of the licensed facility with which the
				  satellite is affiliated. The administrator of the satellite, or an alternate who
				  shall be designated in writing to act in the absence of the administrator, shall be
				  available in the satellite facility during its hours of operation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 27 - SATELLITES OF LICENSED AMBULATORY CARE FACILITIES › Section 8:43A-27.4 - Patient care policies

Current through Register Vol. 56, No. 14, July 15, 2024
All patient care policies and procedures which pertain to the
				  services provided at the satellite facility shall be available in the satellite
				  facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 27 - SATELLITES OF LICENSED AMBULATORY CARE FACILITIES › Section 8:43A-27.5 - Medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Original medical
				records or components of medical records shall remain on the premises of the
				satellite or the licensed facility with which the satellite is affiliated unless
				they are under court order or subpoena or removed in order to safeguard the record
				in the case of a physical plant emergency or natural disaster. Off-site storage of
				records may be used only if the Department is given prior notice, including the
				details of the storage arrangement, and only if such storage arrangements will
				ensure retrieval and delivery of the patient's medical record to the facility within
				one business day on a seven day per week, 24 hour per day, basis and immediate
				availability of medical record information through telephone and facsimile
				communications systems.
(b) The
				satellite facility shall develop and implement a system for the establishment and
				maintenance of medical records for patients who come to the satellite facility on an
				unscheduled basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.1 - Additional requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A birth center shall
				comply with N.J.A.C. 8:43A-1 through 11 and 13 through 19, and this subchapter.
1. A birth center need not comply with
				8:43A-7.2 through 7.4 and 8.2 and 8.3
				for the purpose of licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.2 - Service restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Surgical procedures
				provided in the birth center shall be limited to those normally performed during and
				after uncomplicated childbirth, such as episiotomy and repair, and shall not include
				operative obstetrics or cesarean sections.
(b) Labor shall not be induced, inhibited,
				stimulated or augmented with pharmacological agents.
(c) General or conduction anesthesia shall not be
				administered at the birth center.
(d)
				The birth center is generally exempt from complying with requirements for anesthesia
				services at N.J.A.C. 8:43A-12. If anesthetic agents are administered for the purpose
				of creating conscious sedation, the birth center shall comply with the rules at
				N.J.A.C. 8:43A-12 which pertains to conscious sedation. Minor conduction blocks and
				local anesthesia may be administered by a certified nurse midwife in accordance with
				the scope of practice rules of the Board of Medical Examiners at
				13:35-2A.4 and those personnel
				enumerated at 8:43A-12.3(k). The
				birth center shall establish and implement policies and procedures which address the
				administration of minor conduction blocks and local anesthesia.
(e) All mothers and infants shall be discharged or
				transferred within 24 hours from the time of the infant's birth. If it becomes
				necessary to retain a mother and/or infant beyond the 24-hour period, the birth
				center may do so only if it has been documented in the medical record that the
				mother and infant were expected to be discharged within 24 hours from the time of
				the infant's birth.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.3 - Structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The birth center shall be a formal member of a
				Maternal and Child Health Consortium and shall have been designated as a community
				perinatal center-birthing center by the Department, in accordance with N.J.A.C.
				8:33C.
(b) The birth center shall
				demonstrate a formal agreement with an affiliated community perinatal center, as
				defined at 8:43A-1.3, located within 20 minutes
				transport time for medical care of a woman or an infant when complications arise
				during the antepartum, intrapartum, postpartum or newborn period.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.4 - Designation of the clinical director

Current through Register Vol. 56, No. 14, July 15, 2024
The governing authority shall designate either an obstetrician in
				  accordance with 8:43A-1.17 or a certified nurse midwife
				  to serve as clinical director. The clinical director shall designate, in writing, an
				  obstetrician or a certified nurse midwife to act in the absence of the clinical
				  director. The clinical director, or his or her designee, shall be available to the
				  facility at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.5 - Clinical director's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The clinical
				director shall be responsible for the direction, provision, and quality of clinical
				services provided to patients. He or she shall be responsible for, but not limited
				to, the following:
1. Developing and maintaining
				written objectives, policies, a procedure manual, an organizational plan, and a
				quality assurance program. All policies and procedures shall be reviewed at least
				annually;
2. Assisting in developing and
				maintaining written job descriptions for the clinical staff and assigning duties
				based upon education, training, competencies and job descriptions;
3. Participating in staff orientation and staff
				education activities;
4. Approving the
				contents, locations, and frequency of checking contents, including expiration dates,
				of emergency kits or carts, equipment, and supplies, and assigning responsibility
				for these checks;
5. Developing
				specifications for verbal orders, including who may give verbal orders, who may
				receive them, and how soon they must be verified or countersigned in writing;
				and
6. Establishing a system for
				completion of entries in the patient medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.6 - Physician consultation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The birth center
				shall have a formal consultative relationship with an obstetrician. He or she shall
				be responsible for the quality of medical care provided, shall approve the birth
				center's admission criteria and all policies, procedures and protocols related to
				the medical management of care, and shall be available for consultation and
				referral.
(b) The birth center shall
				have a formal consultative relationship with an obstetrician for the purpose of
				clinical emergencies who has obstetrical privileges that include admission and care
				of maternity patients at the affiliated community perinatal center. The clinical
				director of the birth center may fulfill
				8:43A-28.6(a) and (b),
				if he or she is an obstetrician.
(c) The
				birth center shall have a written agreement for services of a pediatrician or group
				of pediatricians with admitting privileges at the affiliated community perinatal
				center. This agreement shall ensure that a pediatrician is available at all
				times.
(d) Any certified nurse midwife
				practicing in the birth center shall have a written agreement with one or more
				obstetricians as required by the New Jersey State Board of Medical Examiners rules
				at 13:35-2A.3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.7 - Additional policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				written policies and procedures for the prenatal, intrapartal and postpartal care of
				each patient. The policies and procedures shall be reviewed annually and revised as
				needed.
(b) The discharge protocol shall
				include assurance that, within 48 hours after discharge, each patient is called by a
				designated individual to determine the status of the patient and her newborn. A
				referral to a home health agency shall be made if clinically indicated.
(c) The birth center shall have a written protocol
				that sets forth the process to be followed in completing and filing all vital
				records with the local registrar who has jurisdiction over the municipality where
				the birth center is located.
(d) The
				birth center shall have a written protocol to be followed in completing and
				reporting all newborn screening tests to the Department.
(e) The birth center shall establish and implement
				written policies and procedures for the reporting of suspected child abuse or
				neglect to the Division of Child Protection and Permanency in compliance with
N.J.S.A. 9:6-1
et seq.
(f) The birth center shall establish and implement
				written policies and procedures for the reporting of all substance-affected infants
				to the Division of Child Protection and Permanency in accordance with N.J.A.C.
				3A:26.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.8 - Additional patient care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A certified
				nurse-midwife and/or physician shall perform an initial physical assessment of the
				patient and an evaluation of the patient's medical and emotional needs.
(b) A certified nurse-midwife and/or physician
				shall develop and implement a plan of care, if needed, for each patient with the
				patient's participation. The plan shall include at least care and treatment to be
				provided for the duration of the pregnancy, including laboratory studies and
				provision for the patient's health, psychosocial and nutritional needs.
(c) Each patient shall have at least the following
				prenatal laboratory tests and diagnostic procedures performed:
1. Urinalysis for glucose and protein;
2. Hemoglobin and hematocrit repeated at 28
				weeks;
3. Sickle cells preparation (when
				appropriate);
4. Rh factor and blood
				typing;
5. Serological test for syphilis
				at the first prenatal visit, and in the last trimester of pregnancy or at delivery.
				If the patient is exposed to an infected partner, a serological test for syphilis
				shall be performed no sooner than three weeks after exposure;
6. Papanicolaou smear at the first prenatal visit
				if not documented within the previous six months;
7. Tuberculin test with indicated follow-up if in
				close contact with a diagnosed case of tuberculosis or from a high-incidence area so
				designated by the Department;
8. Rubella
				titer. If this is negative, rubella vaccine with appropriate counseling regarding
				timing of future pregnancies shall be offered to the patient after delivery and
				prior to discharge from the birth center;
9. One hour glucose tolerance test at 28 weeks
				gestation, if indicated by risk factors;
10. Maternal serum alpha-fetoprotein testing
				offered at 15 to 20 weeks; and
11.
				Hepatitis B virus screen with appropriate follow-up.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.9 - Labor and delivery patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All deliveries shall
				be attended by a certified nurse-midwife, an obstetrician or a family practice
				physician.
(b) There shall be a second
				staff member present whenever a patient in active labor is in the facility. This
				individual shall be a registered professional nurse or an additional certified nurse
				midwife or physician.
(c) There shall be
				a health professional certified in neonatal resuscitation present for each
				delivery.
(d) A complete physical
				examination of the newborn shall be completed within two hours after birth.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.10 - Newborn medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The newborn's
				medical record shall be maintained as a separate record and shall include at least:
1. The date and time of birth;
2. The birth weight and length and head
				circumference;
3. The condition of the
				newborn at birth, including the one-and five-minute Apgar scores, details of any
				physical abnormalities, and any pathological states observed and treatment
				given;
4. A copy of vital
				records;
5. Documentation of eye
				prophylaxis, administration of any other medication or treatment and response,
				administration of Vitamin K, and performance of inborn error and hearing screenings;
				and
6. A record of follow-up of mother
				and newborn following discharge from the birth center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.11 - Maternal-fetal transport and neonatal transport

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				formal transfer/transport agreement between the birth center and the affiliated
				community perinatal center identified at
				8:43A-28.3(b).
(b) The birth center shall maintain a written
				compilation of indicators necessitating transfer and written agreement for
				acceptance of such transfer patients developed by the affiliated community perinatal
				center and its staff, in collaboration with the birth center and its
				staff.
(c) The birth center shall
				develop a system to ensure continuity of care between the birth center and the
				transfer hospital, including escort of the patient to the admitting facility by a
				clinical staff member of the birth center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.12 - Supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The birth center
				shall be equipped with at least the following:
1.
				A scrub sink with elbow, wrist, knee, or foot control;
2. Equipment for administering intravenous
				solutions to adults and newborns;
3. A
				supply of intravenous solutions including plasma expanders and glucose;
4. Emergency drug supplies;
5. A sphygmomanometer, stethoscope, fetoscope, and
				thermometer;
6. An infant
				scale;
7. One sterile pack for use in
				each birth room with at least one additional pack available. There shall be a
				written schedule for resterilization;
8.
				At least one infant warmer. If only one infant warmer is available, it must be
				transportable into all birth rooms;
9.
				An infant transport incubator, if not provided by the emergency transport
				service;
10. Resuscitation equipment for
				mother and infant;
11. Oxygen with a
				selection of mask sizes; and
12.
				Intubation equipment, including laryngoscopes and endotracheal tubes appropriate for
				adults and newborns.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 28 - BIRTH CENTERS › Section 8:43A-28.13 - Additional quality assurance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The quality
				assurance program shall, in addition to the requirements at N.J.A.C. 8:43A-18,
				include the following:
1. Review of all transfers
				of mothers and neonates to hospital care to determine the appropriateness and
				quality of the transfer; and
2. Review
				of all problems or complications of pregnancy, labor and postpartum and the
				appropriateness of the clinical judgement of the practitioner in obtaining
				consultation and attending to the problem.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All lithotripsy providers shall be licensed by
				the Department and shall comply with the rules in this subchapter and all applicable
				requirements of this chapter.
(b) When
				lithotripsy services are provided at a fixed site, that site must be separately
				licensed as a health care facility and meet the requirements of this subchapter.
1. In the event the fixed site is operated by a
				licensed general hospital, the lithotripsy services may be included on the
				hospital's license in accordance with this subchapter, or as a freestanding
				ambulatory care facility in accordance with
				N.J.A.C.
				8:43G-2.11 and this subchapter.
2. If the licensed healthcare facility contracts
				with a mobile lithotripter provider, the mobile provider shall be licensed and
				comply with all applicable requirements of this chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The goal of this subchapter is to protect the health, safety and
				  welfare of patients who receive lithotripsy services by establishing minimum rules
				  and standards of care in order to be licensed to operate in New Jersey. These rules
				  shall supplement all other applicable rules in this chapter or any other chapters
				  that apply to a licensed health care facility (for example, hospitals, nursing
				  homes, etc.). The rules in this subchapter, therefore, shall supercede any
				  inconsistent rule contained in another generally applicable chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise:
"ALS" means American Lithotripsy Society. The American Lithotripsy
				  Society is a voluntary membership organization dedicated to addressing all issues
				  regarding the management and treatment of stone disease including aspects of
				  lithotripsy as a treatment modality for urinary stone disease.
"Clinical privileges" means authorization granted by the
				  appropriate authority (for example, a governing body) to a clinical practitioner to
				  provide specific patient care services in an organization within well-defined
				  limits, based on the following factors, as applicable:
1. License;
2. Education;
3. Training;
4. Experience; and
5. Competence, that is, the ability to perform the medical
				  procedure and exercise sound medical judgment.
"Credentialing" means the process of obtaining, verifying and
				  assessing the qualifications of a clinical practitioner to provide patient care
				  services in or for a licensed health care facility.
"ESWL" as used in this subchapter stands for extracorporeal shock
				  wave lithotripsy (ESWL) or lithotripsy, which means the process by which kidney
				  stones are pulverized into particles of sand.
"Fixed lithotripter" means equipment that is permanently located
				  in a designated area where patients are treated within a licensed health care
				  facility.
"Lithotripsy services" means extracorporeal shockwave lithotripsy
				  services, and ancillary urological and radiological services.
"Lithotripter" means equipment that is used to pulverize kidney
				  stones into particles of sand. This equipment may be fixed, mobile or
				  transportable.
"Mobile lithotripter" means equipment that is used to pulverize
				  kidney stones into particles of sand and is also self-contained in a vehicle where
				  patients are treated.
"Recovery room" means the area provided with equipment and nurses
				  needed to care for patients who have received anesthesia. Patients remain in the
				  recovery room until they regain consciousness and are no longer drowsy and stuporous
				  from the effects of anesthesia.
"Transportable lithotripter" means equipment that is used to
				  pulverize kidney stones into particles of sand and is also moved from site to site
				  in a vehicle to a licensed health care facility. Services shall be provided in the
				  site of the licensed health care facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.4 - Qualifications of the director of nursing services

Current through Register Vol. 56, No. 14, July 15, 2024
The director of nursing services shall be a registered
				  professional nurse and shall have at least one year of full-time, or full-time
				  equivalent, experience in nursing supervision and/or nursing administration in a
				  health care facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.5 - Qualifications of radiologic technologists

Current through Register Vol. 56, No. 14, July 15, 2024
Each radiologic technologist shall be licensed by the New Jersey
				  State Department of Environmental Protection and shall be certified by the American
				  Lithotripsy Society within one year of employment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.6 - Qualifications of urologists

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each urologist shall
				be licensed by the New Jersey State Board of Medical Examiners to practice medicine
				in the State of New Jersey and shall be board certified or board eligible in his or
				her specialty. It shall also be deemed acceptable to possess board certification
				from a foreign Board within his or her specialty where the American Board of Medical
				Examiners offers reciprocity with or officially recognizes the foreign
				board-certification credential.
(b)
				Proof of training to perform ESWL services shall be provided a certificate or letter
				from the director of his or her residency program shall be accepted.
(c) The urologist shall perform the ESWL
				procedure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.7 - Qualifications of anesthesiologists

Current through Register Vol. 56, No. 14, July 15, 2024
An anesthesiologist shall be a physician who has successfully
				  completed a residency program in anesthesiology accredited by the Accreditation
				  Council for Graduate Medical Education or approved by the American Osteopathic
				  Association, or who is a diplomate of either the American Board of Anesthesiology or
				  the American Osteopathic Board of Anesthesiology, or who was made a Fellow of the
				  American College of Anesthesiology before 1982.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43A - MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES › Subchapter 29 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY SERVICES › Section 8:43A-29.8 - Provision of anesthesia services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Anesthesia services
				shall be available and provided in accordance with N.J.A.C. 8:43A-12.
(b) Anesthesia services shall be provided by an
				anesthesiologist or by a certified registered nurse anesthetist.