New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43-1.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this chapter, shall
				  have the following meanings, unless the context clearly indicates otherwise:
"Advanced practice nurse" means an individual who is so certified
				  by the New Jersey State Board of Nursing in accordance with
				  N.J.S.A.
				  45:11-23et seq.
"Assistive device" means a leg brace, splint, cane, crutch,
				  special shoe, back brace, walker, wheelchair, or prosthesis.
"Available" means ready for immediate use (pertaining to
				  equipment) or capable of being reached (pertaining to personnel), unless otherwise
				  defined.
"Basic physical plant services" means heat, power, lighting,
				  water, food and staff.
"Cleaning" means the removal by scrubbing and washing, as with hot
				  water, soap or detergent, or vacuuming, of infectious agents and of organic matter
				  from surfaces on which and in which infectious agents may find conditions for
				  surviving or multiplying.
"Cohorting" means the practice of grouping patients who are or are
				  not colonized or infected with the same organism to confine their care to one area
				  and prevent contact with other patients.
"Commissioner" means the Commissioner of the Department.
"Communicable disease" means an illness due to a specific
				  infectious agent or its toxic products which occurs through transmission of that
				  agent or its products from a reservoir to a susceptible host.
"Conspicuously posted" means placed at a location within the
				  facility accessible to and seen by residents and the public.
"Contamination" means the presence of an infectious or toxic agent
				  in the air, on a body surface, or on or in clothes, bedding, instruments, dressings,
				  or other inanimate articles or substances, including water, milk, and food.
"Controlled Dangerous Substances Acts" means the Controlled
				  Substances Act of 1970 (Title II,
				  Public Law
				  91-513) and the New Jersey Controlled Dangerous
				  Substances Act of 1970,
				  N.J.S.A.
				  24:21-1et seq.
"Current" means up-to-date.
"Department" means the New Jersey Department of Health.
"Designated community agency" means any agency in which the
				  resident is a participating program member or under treatment, or an agency
				  designated by the Social Security Administration as the resident's representative
				  payee.
"Director of health maintenance and monitoring services" means a
				  registered professional nurse who is responsible for the direction, provision and
				  quality of health maintenance and monitoring services for the residents of the
				  facility.
"Dietitian" means an individual who is registered or eligible for
				  registration by the Commission on Dietetic Registration , 120 South Riverside Plaza,
				  Suite 2190, Chicago, IL 60606, telephone: (800) 877-1600, website:
www.cdrnet.org
.
"Disinfection" means the killing of infectious agents outside the
				  body, or organisms transmitting such agents, by chemical and physical means,
				  directly applied.
1. "High-level
				disinfection" means that disinfection which kills vegetative bacteria, tubercle
				bacillus, some spores, fungi, lipid and non-lipid viruses.
2. "Intermediate-level disinfection" means that
				disinfection which kills vegetative bacteria, tubercle bacillus, fungi, lipid and
				non-lipid viruses and does not kill resistant bacterial spores.
3. "Low-level disinfection" means that
				disinfection which kills most vegetative bacteria, fungi, and lipid viruses and does
				not kill spores and non-lipid viruses. Low-level disinfection is sometimes less
				active against some of the gram-negative rods (Pseudomonas) and Mycobacterium
				(TB).
"Documented" means written, signed, and dated.
"Drug" means a substance as defined in the New Jersey State Board
				  of Pharmacy Rules,
				  N.J.A.C.
				  13:39-1.2. The term "medication" is used
				  interchangeably with the term "drug" in this chapter.
"Employee" means a member of the administrator's family or any
				  other person who is gainfully employed in the residential health care facility on a
				  full or part-time basis and for whom a record of hours worked and wages paid
				  (salaries, room and board, or any combination thereof) are maintained and who meets
				  the health, age and other requirements of this chapter.
"Epidemic" means the occurrence in a facility of one or more cases
				  of an illness in excess of normal expectancy for that illness, derived from a common
				  or propagated source.
"Facility" means a residential health care facility licensed
				  pursuant to this chapter.
"Full-time" means relating to a time period established by the
				  facility as a full working week, as defined and specified in the facility's policies
				  and procedures.
"Governing authority" means the organization, person, or persons
				  designated to assume legal responsibility for the management, operation, and
				  financial viability of the facility.
"Guardian" means a person appointed by a court of competent
				  jurisdiction to handle the affairs and protect the rights of any resident of the
				  facility.
"Health care facility" means a facility so defined in
				  N.J.S.A.
				  26:2H-1et seq., and amendments thereto.
"Job description" means written specifications developed for each
				  position in the facility, containing the qualifications, duties and
				  responsibilities, and accountability required of employees in that position.
"Licensed practical nurse" means an individual who is so licensed
				  by the New Jersey State Board of Nursing pursuant to
				  N.J.S.A.
				  45:11-27.
"Licensed nursing personnel" (licensed nurse) means registered
				  professional nurses or practical nurses licensed by the New Jersey State Board of
				  Nursing.
"Medication," for the purposes of this chapter, is used
				  interchangeably with the term "drug." Please see the definition of "drug" in this
				  chapter.
"Medication regimen review" means an individual resident record
				  review conducted by the consultant pharmacist, including, but not limited to,
				  laboratory tests, dietary requirements, physician's and nurse's clinical notes,
				  physician's orders and progress notes, in order to monitor for potentially
				  significant adverse drug reactions, drug-to-drug and drug-food interactions,
				  allergies, contraindications, rationality of therapy, drug use evaluation, and
				  laboratory tests results.
"Monitor" means to observe, watch, or check.
"Pharmacist" means an individual who is so registered by the New
				  Jersey State Board of Pharmacy, pursuant to
				  N.J.A.C.
				  13:39-3.
"Physician" means an individual who is licensed or authorized by
				  the New Jersey State Board of Medical Examiners to practice medicine in the State of
				  New Jersey, pursuant to
				  N.J.S.A.
				  45:9-1et seq.
"Physician assistant" means an individual who is so licensed by
				  the New Jersey State Board of Medical Examiners, pursuant to
				  N.J.S.A.
				  45:9-27.10et seq.
"Religious and recreational activities" includes any religious,
				  social, or recreational activity that is consistent with the resident's preferences
				  and choosing, regardless of whether the activity is coordinated, offered, provided,
				  or sponsored by facility staff or by an outside activities provider.
"Residential health care facility" means a facility located with,
				  and operated by, a licensed health care facility that provides food, shelter,
				  supervised health care and related services, in a homelike setting, to four or more
				  persons 18 years of age or older who are unrelated to the owner or
				  administrator.
"Resident" means a person residing in a residential health care
				  facility who is 18 years of age or older , mobile pursuant to his or her power with
				  or without assistive devices and able to effectuate his or her own evacuation from
				  the facility.
"Resident supervision" means the provision of direct services
				  required by this chapter to residents.
"Responsible person" means a person who has been designated by the
				  resident and who has agreed to assist the resident, as needed, in arranging for
				  health, social and financial services or making decisions regarding such
				  services.
"Self administration" means a procedure in which any medication is
				  taken orally, injected, inserted, or topically or otherwise administered by a
				  resident to himself or herself. The complete procedure of self-administration
				  includes removing an individual dose from a previously dispensed (in accordance with
				  the New Jersey State Board of Pharmacy rules, N.J.A.C. 13:39), labeled container
				  (including a unit dose container), verifying it with the directions on the label,
				  and taking orally, injecting, inserting, or topically or otherwise administering the
				  medication.
"Shift" means a time period defined as a full working day by the
				  facility in its policy manual.
"Signature" means at least the first initial and full surname and
				  title (for example, R.N., L.P.N., D.D.S., M.D., D.O.) of a person, legibly written
				  with his or her own hand. A controlled electronic signature system may be
				  used.
"Social isolation" means a state of isolation wherein a resident
				  of a long-term care facility is unable to engage in social interactions and
				  religious and recreational activities with other facility residents or with family
				  members, friends, and external support systems.
"Staff education plan" means a written plan which describes a
				  coordinated program for staff education for each service, including inservice
				  programs and on-the-job training.
"Staff orientation plan" means a written plan for the orientation
				  of each new employee to the duties and responsibilities of the service to which he
				  or she has been assigned, as well as to the personnel policies of the
				  facility.
"Supervision" means authoritative procedural guidance by a
				  qualified individual for the accomplishment of a function or activity within his or
				  her sphere of competence, with initial direction and periodic on-site inspection of
				  the actual act of accomplishing the function or activity.
1. "Direct supervision" means supervision on the
				premises.