reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.4 - Obstetrics staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The obstetric
				service in hospitals designated as a CPC-Basic shall be covered at all times by a
				board eligible or certified obstetrician or a board eligible or certified family
				practice physician with obstetric privileges, who is present in the hospital or
				available by telephone and able to arrive within 30 minutes of being summoned, under
				normal transportation conditions. If coverage is provided by a family practice
				physician as described above, there shall be a mechanism of coverage to ensure that
				an obstetrician is able to arrive within 30 minutes of being summoned to perform a
				cesarean section.
(b) The obstetric
				service in hospitals designated as a CPC-Intermediate shall be covered at all times
				by a board eligible or certified obstetrician or board eligible or certified family
				practice physician with obstetric privileges, or an obstetric resident with at least
				three years of training, who is either present in the hospital or available by
				telephone and able to arrive within 30 minutes of being summoned, under normal
				transportation conditions. If coverage is provided by a family practice physician as
				described above, there shall be a mechanism of coverage to ensure that an
				obstetrician is able to arrive within 30 minutes of being summoned to perform a
				cesarean section.
(c) The obstetric
				service in hospitals designated as Community Perinatal Centers Intensive shall be
				covered at all times by a board eligible or certified obstetrician, who is present
				in the hospital.
(d) The obstetric
				service in hospitals designated as a Regional Perinatal Center shall be covered at
				all times by a board certified obstetrician with certification in maternal-fetal
				medicine, who is either present in the hospital or available by telephone and able
				to arrive within 30 minutes of being summoned, under normal transportation
				conditions. This physician may fulfill the requirement for physician coverage at (c)
				above during those times in which he or she is present in the hospital.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.5 - Obstetrics patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Obstetric patients
				shall be informed upon admission about hospital policies and procedures, including
				at least policies regarding visitors, and the unit's security procedures.
(b) Prenatal instruction shall be offered and
				include, at a minimum, information about childbirth, parenting, breast and
				breast/bottle feeding, immunizations, prevention of infection and disease in
				infants, and alternative methods of pain management during childbirth.
(c) There shall be the capability of starting a
				Cesarean section within 30 minutes of the decision to perform such a delivery
				method.
(d) The medical record for the
				obstetric patient shall include the prenatal record, documentation of the course of
				labor, including fetal monitoring strip or any other comparable electronic data
				record, delivery, and the postpartum period and a copy of any vital records filed in
				accord with N.J.S.A. 26.
(e) Criteria
				shall be developed in consultation with the social work department for identifying
				patients in need of social work services and/or discharge planning and making
				referrals as needed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.7 - Obstetric space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The obstetric
				service shall be physically separate from any service not concerned with obstetric
				care.
(b) The obstetric service shall
				have a minimum of 10 obstetric beds.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.8 - Obstetric staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the obstetric education program shall be as
				  provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.9 - Interdisciplinary breastfeeding team

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The hospital shall
				establish an interdisciplinary breastfeeding team that represents the various
				professional healthcare disciplines and lay advocacy groups to include, at a
				minimum, nurses, nurse managers, maternal-child physicians, health educators,
				breastfeeding support staff, pharmacists, and patient/community
				representatives.
(b) The members of the
				interdisciplinary breastfeeding team shall address:
1. Hospital practices affecting
				breastfeeding;
2. The hospital's
				Continuous Quality Improvement Program on how to improve breastfeeding outcomes, as
				requested; and
3. Solutions to reducing
				hospital barriers to breastfeeding.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.10 - Obstetric continuous quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				continuous quality improvement program for obstetrics that is integrated into the
				hospital continuous quality improvement program and includes regularly collecting
				and analyzing data to help identify health-service problems and their extent, and
				recommending, implementing, and monitoring corrective actions on the basis of these
				data.
(b) The continuous quality
				improvement program for obstetrics should include at least: high-risk screening,
				review of unattended deliveries, transports to other facilities and return
				transports, appropriateness of Cesarean sections, use of oxytoxic drugs, prevention
				of infections in the nursery, fetal morbidity and mortality and maternal and infant
				morbidity and mortality.
(c) If
				non-obstetric patients are admitted to the obstetric unit, the continuous quality
				improvement program shall review cases of all non-obstetric patients transferred
				from the obstetric unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.11 - Labor and delivery staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be at
				least one registered professional nurse present whenever a patient is in a labor
				area. Nurse staffing assignments for patients in active labor shall be determined by
				patient acuity levels.
(b) All
				deliveries shall be attended by an obstetrician, a physician with obstetrical
				privileges, a certified nurse-midwife or an obstetric resident with at least three
				years of training.
(c) There shall be at
				least one registered professional nurse attending the patient once she reaches full
				dilation until she enters the recovery phase of delivery.
(d) If oxytoxics are administered, the following
				shall occur within one hour prior to administration: the patient shall be examined
				vaginally by either a physician with obstetric privileges, a certified nurse midwife
				or an advance practice nurse in accordance with hospital bylaws, and electronic
				fetal heart rate monitoring shall be initiated.
(e) All obstetrics departments shall have the
				capability of starting an emergency cesarean section within 30 minutes of the
				decision to perform a cesarean section.
(f) A health professional certified in neonatal
				resuscitation shall be available within the obstetrics unit for each
				delivery.
(g) A pediatrician or
				pediatric resident shall be present in the delivery room for all high-risk
				deliveries.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.13 - Postpartum policies and procedures and staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) At least one
				registered professional nurse shall be on duty in the postpartum area whenever a
				patient is present.
(b) Nurse staffing
				assignments for postpartum patients shall be determined by patient acuity
				levels.
(c) There shall be written
				policies and procedures for the care of postpartum patients. The policies and
				procedures shall be reviewed annually, and revised as needed, and shall include at
				least the following:
1. Monitoring and
				documentation of patient's vital signs, condition of uterus, and rate of
				bleeding.
2. Identification and
				management of postpartum complications; and
3. Physical care, including care of the perineum
				and breasts, and ambulation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.14 - Postpartum patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The hospital shall
				provide or arrange for an organized program of education in self-care and newborn
				care.
(b) The hospital shall provide
				each mother a comprehensive evaluation of infant feeding (that is breastfeeding
				and/or formula feeding, as appropriate) and follow-up assessments, as necessary,
				performed by a lactation consultant or an obstetrics staff member with demonstrated
				core competencies in infant feeding.
1. An
				obstetrics staff member with the qualifications described in (b) above shall teach
				and assist a mother with hand expression and/or the use of a breast pump within four
				hours of the mother either being separated from her infant(s) or experiencing
				ineffective breastfeeding.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.15 - Newborn care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A current roster of
				physicians, their specific pediatric privileges, and an on-call schedule shall be
				kept in each nursing unit in newborn care.
(b) A physician or an advanced practice nurse
				skilled in neonatal assessment shall perform a complete physical examination of the
				neonate within 24 hours of birth. This examination may serve as both the initial and
				discharge examination if the neonate is discharged within 24 hours. If the neonate
				remains in the hospital for more than 24 hours, a second examination shall be
				performed prior to discharge.
(c)
				Isolation practices for the newborn nursery shall follow the recommendations set
				forth in the following publication: Siegal, JD, Rhinehart, E, Jackson, M, et al.,
				and the Healthcare Infection Control Practices Advisory Committee. "2007 Guideline
				for Isolation Precautions: Preventing Transmission of Infectious Agents in
				Healthcare Settings." Last update: October 2017; 1-203, available at:
http://www.cdc.gov/infectioncontrol/guidelines/index.html
and is incorporated herein by reference, as amended and supplemented.
(d) The newborn nursery shall identify and report
				any outbreak of disease, or any single case of a disease as specified in
N.J.A.C. 8:57-1.1
through
1.5
.
(e) The hospital
				shall screen all newborns for high risk factors associated with hearing impairment
				pursuant to
N.J.S.A. 26:2-103
.4, biochemical disorders pursuant to
N.J.S.A. 26:2-111
, and
				congenital heart defects no sooner than 24 hours after birth by using pulse oximetry
				pursuant to
N.J.S.A. 26:2-111
.4.
1. The hospital shall report
				congenital defects pursuant to
N.J.S.A. 26:8-40
.21 and shall complete birth certificates and death certificates pursuant
				to N.J.S.A.
				26:8-28 and
				26:6-11.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.16 - Normal newborn nurse staff qualifications, staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Hospitals designated
				as a CPC-Basic may provide care to neonates born greater than 2,499 grams or at
				least 36 weeks gestation. The only exception to this criteria is if it has been
				documented in the medical record that the neonate was expected to meet the weight
				and age criteria and the neonate does not require a higher level of care than
				otherwise specified for a CPC-Basic. Service restrictions placed on CPC-Basic
				include:
1. Mechanical ventilatory support shall
				not be provided except for resuscitative measures; and
2. Total parenteral nutrition shall not be
				provided.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.17 - Intermediate nursery staff qualifications, staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Hospitals designated
				as a CPC-Intermediate may provide care to neonates born greater than 1,499 grams or
				at least 32 weeks gestation. The only exception to this criteria is if it has been
				documented in the medical record that the neonate was expected to meet the weight
				and age criteria and the neonate does not require a higher level of care than
				otherwise specified for a CPC-Intermediate. Service restrictions placed on
				CPC-Intermediate include:
1. In no case shall
				continuous or intermittent positive pressure ventilatory support be administered to
				an intubated neonate for more than 48 hours, except in cases where authorization has
				been received from the neonatologist on-call at the Regional Perinatal Center or the
				CPC-Intensive and the CPC-Intermediate has demonstrated the ability to intubate and
				is able to hourly monitor the partial pressure of oxygen in the neonate's blood.
				Authorization from the neonatologist on-call at the Regional Perinatal Center or the
				CPC-Intensive shall be obtained on a daily basis and shall be documented in the
				medical record; and
2. All neonates,
				regardless of birth weight, who require surgery, or other highly specialized
				services shall be transported to a higher level facility capable of providing the
				care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.18 - Neonatal intensive care nursery staff qualification, staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A CPC-Intensive may
				provide care to neonates greater than 999 grams and at least 28 weeks gestation. A
				CPC-Intensive may provide care to neonates born in the facility who are below the
				specified weight and age criteria only if the infant does not require a higher level
				of care than otherwise specified for CPC-Intensive and if it has been documented in
				the medical record that the birth was expected to meet the weight and age criteria.
				A CPC-Intensive may provide long term ventilatory support and total parenteral
				nutrition.
(b) A Regional Perinatal
				Center may provide care to all neonates regardless of weight and gestational age and
				may provide long term ventilatory support and total parenteral nutrition.
(c) The physician director of the neonatal
				intensive care nursery in a CPC-Intensive and a Regional Perinatal Center shall be
				board certified in pediatrics with certification in neonatal medicine.
(d) There shall be a nurse manager of the neonatal
				intensive care nursery in CPC-Intensive and Regional Perinatal Centers who meets the
				qualifications of the nurse manager specified in
				8:43G-19.16(c).
(e) There shall be a health professional certified
				in neonatal resuscitation available within the unit at all times.
(f) The neonatal intensive care nursery in
				CPC-Intensive and Regional Perinatal Centers shall be covered at all times by a
				neonatal fellow or a board eligible or certified pediatrician with training and
				experience in neonatal medicine, or a certified neonatal or pediatric nurse
				practitioner who is present in the hospital.
(g) The neonatal intensive care nursery in
				CPC-Intensive and Regional Perinatal Centers shall be covered at all times by a
				board certified pediatrician with certification in neonatal medicine, who is either
				present in the hospital or available by telephone and able to arrive within 30
				minutes of being summoned, under normal transportation conditions. This physician
				may also serve as the physician director of the neonatal intensive care
				nursery.
(h) The neonatal intensive care
				nursery shall have at least one registered professional nurse to every two neonates
				requiring intensive care services. Additional staffing assignments shall be
				determined by the acuity levels of the infants.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.19 - Newborn care patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The newborn service
				shall provide for immediate resuscitation of the newborn, including at least:
1. Short-term ventilation with laryngoscope,
				endotracheal tube, and bag-valve-mask;
2. Oxygen administration;
3. Intravenous therapy;
4. Temperature control; and
5. Infusion equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.20 - Newborn care supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each room used as a
				nursery accessory room shall be equipped with at least three foot-controlled,
				covered, and labeled receptacles: one for the disposal of wet or soiled diapers, one
				for the disposal of trash, and one for the sanitary disposal of linens other than
				wet or soiled diapers. Disposable liners shall be used in the diaper and trash
				receptacles.
(b) Bassinets and equipment
				not in routine use shall be stored outside the nurseries or nursery accessory
				rooms.
(c) Individual supplies, linen,
				and equipment shall be provided for each infant.
(d) If newborns are weighed on a common scale, an
				impervious cover that completely covers the surface of the scale pan shall be used
				and changed after each newborn is weighed.
(e) Prepackaged formula shall be used within the
				time period designated on the package.
(f) Each incubator and bassinet shall be cleaned
				and disinfected after each time a newborn occupying it is discharged. The detergent
				and disinfectant used shall be registered by the U.S. Environmental Protection
				Agency.
(g) Provisions shall be made for
				the emergency repair and replacement of equipment in the newborn nursery.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.21 - Scope of nurse-midwifery standards

Current through Register Vol. 56, No. 14, July 15, 2024
The standards in
				  8:43G-19.22 through 19.26 shall apply
				  only to hospitals that have a separate, designated service or unit for
				  nurse-midwifery. Hospitals which do not have a separate, designated service or unit
				  for nurse-midwifery but grant obstetrical privileges to nurse-midwives are not
				  required to follow
				  8:43G-19.24(a)  and
				  19.25.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.22 - Nurse-midwifery structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
Nurse-midwifery services shall be organized as part of the
				  obstetric service. The physician director of obstetrics shall be responsible for
				  assuring that nurse-midwifery services conform with applicable rules and hospital
				  policies and procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.23 - Nurse-midwifery policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Nurse-midwifery
				services shall be based on written policies and procedures that are reviewed
				annually, revised as needed, and implemented. These policies and procedures shall
				include mechanisms by which medical staff in the obstetric and newborn services
				consult with and assist nurse-midwives.
(b) The hospital shall delineate and fully review
				the privileges and credentials of each nurse-midwife periodically.
(c) There shall be standing orders for
				nurse-midwifery services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.24 - Nurse-midwifery staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				certified nurse-midwife who serves as director of nurse-midwifery services,
				coordinates and is responsible for all nurse midwifery services provided in the
				hospital, and monitors the quality of nurse-midwifery care.
(b) All nurse-midwives practicing in the hospital
				shall be registered professional nurses and currently certified by the New Jersey
				Board of Medical Examiners.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.25 - Nurse-midwifery staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the nurse-midwifery education program shall be
				  as provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.26 - Nurse-midwifery quality assurance methods

Current through Register Vol. 56, No. 14, July 15, 2024
The quality assurance program for nurse-midwifery services shall
				  include physicians and nurse-midwives and shall monitor at least high-risk
				  screening, transfers and return transfers, and mortality and morbidity by birth
				  weight.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.27 - Obstetric/non-obstetric mix program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the hospital
				places non-obstetric patients on the obstetric unit, it shall establish written
				policies and procedures that are reviewed at least once every three years, revised
				more frequently as needed, and implemented. These policies shall include:
1. Criteria and procedures for admission of female
				non-obstetric patients;
2. Criteria for
				non-admission;
3. Method for ensuring
				that no obstetric patient is excluded from the obstetric service; and
4. Protocols for cultures of non-obstetric
				patients, including the type of cultures, when, and under what circumstances they
				are performed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.28 - Obstetric/non-obstetric mix patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A non-obstetric
				patient shall not be admitted to the obstetric service if she has any of the
				following conditions:
1. An oral temperature of
				100.4 degrees Fahrenheit or higher upon admission;
2. Substance abuse or misuse;
3. A history of household contacts with
				staphylococcal infection or other contagious diseases that have occurred within one
				month prior to admission;
4. Known
				malignancy requiring the use of radioactive therapeutics;
5. Has received antibiotics other than
				prophylactic antibiotics, with the exception of local application of antibiotics
				such as bladder irrigation or local vaginal preparation during the two-week period
				prior to admission; or
6. Has received
				preoperative prophylactic antibiotics more than six hours prior to surgery or more
				than 72 hours following surgery.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.29 - Physical plant general compliance for new construction, alteration or renovation for newborn care

Current through Register Vol. 56, No. 14, July 15, 2024
Physical plant standards for newborn care areas shall be in
				  compliance with 5:23-3.2 of the New Jersey Uniform
				  Construction Code.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.30 - Functional areas for newborn care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Functional areas for
				newborn care shall be as follows:
1. Neonatal
				resuscitation area or room;
2.
				Admission/observation/continuing care nursery or area;
3. Normal newborn nursery or holding
				nursery;
4. Infectious isolation
				nursery;
5. Intermediate care
				nursery;
6. Neonatal intensive care
				nursery;
7. LDR rooms;
8. Maternal postpartum rooms;
9. Mother-infant rooms; and
10. Lactation support room.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.31 - General newborn care functional area requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) General
				requirements for functional areas designated in
				8:43G-19.36 shall be as required in (b)
				through (s) below.
(b) The hospital
				shall ensure that functional areas of maternal/infant care, as appropriate, are
				equipped with the following:
1. Readily available
				breast pumps and collection kits;
2.
				Indirect, high-intensity, or portable lighting that shall be available and
				adjustable to satisfy diagnostic and procedural requirements; and
3. Exam items that shall be available or
				immediately accessible in the unit including, at a minimum, otoscopes,
				ophthalmoscopes, infant scale, exam gloves, and a hand-washing sink.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.32 - Neonatal unit resuscitation area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				infant resuscitation area for each cesarean/delivery room. This area shall be
				located either within the cesarean/delivery room or in a separate but immediately
				accessible room. The square footage requirement for the infant resuscitation area is
				as follows:
1. If the resuscitation area is
				located within the cesarean/delivery room, a minimum of 40 square feet of additional
				clear floor area shall be provided; or
2. If the resuscitation area is located in a
				separate room, this room shall have a minimum of 150 square feet of clear floor area
				and shall also contain a free-standing handwashing sink.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.33 - Neonatal admission/observation/continuing care nursery or area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				admission/observation/continuing care nursery available for infants who are stable
				but require frequent feedings or close observation. This nursery may be located in
				the normal newborn nursery or may be provided in a separate area.
(b) If the admission/observation/continuing care
				nursery is provided in a separate area, the following physical plant requirements
				shall be followed:
1. There shall be a minimum of
				24 square feet of floor area exclusive of auxiliary work areas for each infant
				station with a minimum of three feet between bassinets;
2. One oxygen outlet, one medical air outlet and
				one vacuum outlet shall be provided for each infant station;
3. Two duplex electrical receptacles shall be
				provided for each infant station;
4. A
				hands-free handwashing sink shall be provided in the room; and
5. This area shall be served by a connecting
				workroom.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.34 - Normal newborn nursery or holding nursery

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				either a normal newborn nursery or a holding nursery. A normal newborn nursery shall
				be located close to the postpartum unit and shall be inaccessible to unrelated
				traffic. If a holding nursery is provided, it shall meet the requirements of (b)
				through (g) below.
(b) The number of
				bassinets shall equal the number of licensed obstetric beds.
(c) A minimum of 24 square feet for each bassinet
				exclusive of auxiliary work areas shall be provided, with three feet between
				bassinets in all directions from edge of one to the other with a separate aisle four
				feet wide, in addition to the required bed space.
(d) A maximum of 16 bassinets shall be permitted
				in one normal newborn nursery.
(e) One
				oxygen outlet, one medical air outlet and one vacuum outlet for each infant station
				shall be provided.
(f) Oxygen air and
				suction systems shall have chime alarms to signal loss of suction or low oxygen and
				air supply.
(g) Two duplex wall-mounted
				electrical receptacles shall be provided for every infant station.
(h) A free-standing handwashing sink with hands
				free controls shall be provided, with a minimum of one sink at each end of the
				nursery, and at a ratio of one sink for every six infant stations.
(i) There shall be at least one lactation support
				room available for consultation, breastfeeding and expression of breast
				milk.
(j) A soiled utility room shall be
				provided.
(k) A clean utility room or
				area shall be provided.
(
l
) An examination and treatment
				room or work area shall be provided within the suite. Such room or work area shall
				contain a work-counter, storage, and a free-standing sink equipped for handwashing
				with foot control.
(m) Storage
				facilities for the newborn nursery shall be as follows:
1. There shall be storage space for items such as
				linens and formula within the area;
2.
				There shall be an equipment storage room for large items of equipment; and
3. There shall be storage space within the nursery
				area for an emergency cart.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.35 - Infectious nursery

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An infectious
				isolation nursery shall be available in at least one level of nursery
				care.
(b) The infectious isolation
				nursery shall be an enclosed and separate room within the nursery unit with
				provision for observation of the neonate from adjacent nurseries or control
				area.
(c) The isolation nursery shall be
				served by an anteroom that contains a freestanding handwashing sink with hands free
				controls and separate storage facilities for clean and soiled materials and
				gowns.
(d) One oxygen outlet, one
				medical air outlet and one vacuum outlet shall be provided for each infant
				station.
(e) Two duplex receptacles
				shall be provided for each infant station.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.36 - Intermediate care nursery

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The intermediate
				care nursery shall be a separate nursery designed exclusively for the care of
				intermediate level infants located away from general hospital traffic and close to
				the delivery room and the intensive care nursery, if provided.
(b) Each infant patient station shall have a
				minimum of 50 square feet of floor space, excluding ancillary space for storage.
				There shall be four feet between incubators or bassinets with a separate aisle five
				feet wide, in addition to required bed space.
(c) Each infant care station shall have two oxygen
				outlets, two medical air outlets and two vacuum outlets.
(d) Oxygen air and suction systems shall have
				chime alarms to signal loss of suction or low oxygen and air supply.
(e) Four duplex receptacles shall be provided for
				each station.
(f) A handwashing sink
				with hands free controls, soap dispenser and towel dispenser shall be provided at
				the entrance of the intermediate care nursery. One sink shall be provided for every
				three infant care stations within the nursery.
(g) A soiled utility room shall be
				provided.
(h) A clean utility room or
				area shall be provided.
(i) Storage
				facilities for the intermediate care nursery shall be as follows:
1. There shall be storage for supplies needed for
				immediate use for each infant care station; and
2. There shall be at least 20 square feet of floor
				space for equipment for each infant care station immediate accessible to the
				nursery.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.37 - Neonatal intensive care nursery

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The neonatal
				intensive care nursery shall be near the cesarean/ delivery room and shall be
				removed from routine hospital traffic.
(b) The intensive care nursery shall provide 100
				square feet per bassinet or incubator allowing a minimum of six feet between
				bassinets and at a minimum, an eight foot wide aisle.
(c) There shall be three oxygen outlets, three
				medical air outlets and four vacuum outlets for each infant care station.
(d) Oxygen air and suction systems shall have
				chime alarms to signal loss of suction or low oxygen and air supply;
(e) There shall be seven duplex receptacles for
				each infant care station.
(f) Storage
				facilities for the neonatal intensive care nursery shall be as follows:
1. There shall be storage and counter space for
				immediate use within the infant's room for each infant care station; and
2. There shall be at least 30 square feet of floor
				space for equipment for each infant care station immediately accessible to the
				nursery.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 19 - OBSTETRICS › Section 8:43G-19.38 - Shared services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the intermediate
				care and neonatal intensive care nurseries are located in the same suite, then the
				following services may be shared:
1. Janitor's
				closet;
2. Soiled utility;
3. Clean utility;
4. The three multi-purpose rooms required for a
				intensive care nursery;
5. Storage
				room;
6. Male/female staff lockers,
				lounge and toilets; and
7. On-call
				room.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 20 - EMPLOYEE HEALTH › Section 8:43G-20.1 - Employee health policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Employee health
				service shall have written policies and procedures that are reviewed at least once
				every three years, revised more frequently as needed, and implemented. These
				policies shall be readily available for employees to review and include at least the
				following:
1. The content and frequency of employee
				health examinations performed by a registered professional nurse, physician, or
				other qualified medical personnel as defined at
				8:43G-20.2(a);
2. Precautionary measures to prevent the
				transmission of communicable diseases from employees to patients;
3. Requirements for a physician note approving an
				employee's return to work after an absence due to a communicable disease;
				and
4. Clinical restrictions for
				employees exposed to rubella or rubeola who are seronegative and
				unvaccinated.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 20 - EMPLOYEE HEALTH › Section 8:43G-20.6 - Employee health continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality improvement for
				  employee health that is integrated into the hospital continuous quality improvement
				  program and includes regularly collecting and analyzing data to help identify
				  employee health problems and their extent, and recommending, implementing, and
				  monitoring corrective actions on the basis of these data.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.1 - Scope of oncology standards

Current through Register Vol. 56, No. 14, July 15, 2024
The standards in this subchapter shall apply only to hospitals
				  that have a separate, designated patient care unit for oncology.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.2 - Oncology structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				multidisciplinary cancer committee, chaired by a physician, that is responsible for
				at least the development of oncology policies and procedures, tumor review, and
				tumor registry.
(b) There shall be a
				formal mechanism for communication between the oncology service and each of the
				following clinical areas: nursing, dietary, social work, and pharmacy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.4 - Oncology policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The unit shall have
				written policies and procedures that are reviewed at least once every three years,
				revised more frequently as needed, and implemented. They shall include at least:
1. Criteria for admission;
2. Centers for Disease Control and Prevention
				(CDC); National Institute for Occupational Safety and Health (NIOSH). "Preventing
				Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care
				Settings."
NIOSH Alert.
Publication No. 2004-165. 1-58. Last
				update: September 2016; Conor TH, MacKenzie BA, DeBord DG, et al., CDC and NIOSH.
				"NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings,
				2016." (Supersedes 2014-138).
NIOSH.
Publication No. 2016-161;
				1-42, available from: NIOSH-Publications Dissemination, 4676 Columbia Parkway,
				Cincinnati, OH 45226-1998. Phone:1-800-35-NIOSH (1-800-356-4674). Fax: (513)
				533-8573. Website:
www.cdc.gov/niosh
. E-mail:
				pubstaft@cdc.gov.
3. Neuss MN, Gilmore
				TR, Belderson JM, et al., for the American Society of Clinical Oncology/Oncology
				Nursing Society (ONS). "Updated American Society of Clinical Oncology/Oncology
				Nursing Society Chemotherapy Administration Safety Standards, Including Standards
				for Pediatric Oncology."
Oncology Nursing Forum
. 44; (1); January
				2017. The contact information for ONS is: 125 Enterprise Drive, Pittsburgh, PA
				15275. Phone: (412) 859-6100; Toll-free Phone: (866) 257-4ONS; Toll-free Fax: (877)
				369-5497. Fax: (412) 859-6162. Website:
http://www.ons.org
. E-mail help@ons.org.
4. Training of nursing and housekeeping staff in
				the disposal of chemotherapeutic agents;
5. Use, handling, storage, and disposal of
				specific chemicals, agents, and body wastes;
6. Assuring informed consents to chemotherapy;
				and
7. Psychological/social and
				spiritual aspects of patient care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.5 - Oncology staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				clinical coordinator with responsibility to administer the program of care who is a
				registered professional nurse with the equivalent of two years of full-time
				experience in oncology.
(b) There shall
				be a clinical resource person who is a registered professional nurse with the
				equivalent of two years of clinical experience in oncology who is available to the
				unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.7 - Oncology staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A member of social
				work services shall be assigned to the unit to provide psychosocial services, assist
				with discharge planning, and provide information regarding financial aspects of
				care.
(b) A registered dietitian shall
				be assigned to the oncology service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.9 - Oncology patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				multidisciplinary patient care team meetings that take place on a regularly
				scheduled basis and include at least a physician or physician's appointed designee,
				a nurse, a social worker, a dietitian, and other disciplines as necessary.
(b) Patient and family teaching shall be provided
				in any case where the patient and family are in need of and able to receive
				instruction.
(c) Criteria shall be
				developed in consultation with the social work department for identifying patients
				in need of social work services and/or discharge planning and making referrals as
				needed.
(d) There shall be a system to
				refer patients, family, and staff to in-house and community support groups and
				services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.11 - Oncology space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				food-warming facilities on the unit for use by patients and their
				families.
(b) Single bedrooms shall be
				available as needed to accommodate patients with neutropenia, bone marrow
				transplants, or radiation implants.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.13 - Oncology supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A Class 2 Vertical
				Laminar Air Flow Hood shall be used during the preparation of all chemotherapy on
				the unit.
(b) To develop procedures for
				preparing chemotherapy, hospitals shall refer to the following publications: Centers
				for Disease Control and Prevention (CDC); National Institute for Occupational Safety
				and Health (NIOSH). "Preventing Occupational Exposures to Antineoplastic and Other
				Hazardous Drugs in Health Care Settings."
NIOSH Alert
. Publication
				No. 2004-165. 1-58. Last update: September 2016; Conor TH, MacKenzie BA, DeBord DG,
				et al., CDC and NIOSH. "NIOSH List of Antineoplastic and Other Hazardous Drugs in
				Healthcare Settings, 2016." (Supersedes 2014-138).
NIOSH.
Publication No. 2016-161; 1-42, available from: NIOSH-Publications Dissemination,
				4676 Columbia Parkway, Cincinnati, OH 45226-1998. Phone:1-800-35-NIOSH
				(1-800-356-4674). Fax: (513) 533-8573. Website:
www.cdc.gov/niosh
. E-mail:
				pubstaft@cdc.gov.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.15 - Oncology staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the oncology education program shall be as
				  provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 21 - ONCOLOGY › Section 8:43G-21.17 - Oncology continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality improvement for
				  oncology that is integrated into the hospital continuous quality improvement program
				  and includes regularly collecting and analyzing data to help identify health-service
				  problems and their extent, and recommending, implementing, and monitoring corrective
				  actions on the basis of these data.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 22 - PEDIATRICS › Section 8:43G-22.1 - Scope of pediatric and pediatric intensive care standards

Current through Register Vol. 56, No. 14, July 15, 2024
The standards in this subchapter shall apply only to hospitals
				  that have a separate, designated unit or service for pediatrics and pediatric
				  intensive care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 22 - PEDIATRICS › Section 8:43G-22.2 - Pediatrics and pediatric intensive care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The service shall
				have written policies and procedures that are reviewed at least once every three
				years, revised more frequently as needed, and implemented. They shall include at
				least:
1. The age below which all patients must be
				admitted to a pediatric service;
2. The
				age above which patients are admitted to a pediatric service only at the discretion
				of the physician director of the service;
3. Admission and discharge criteria specific to
				the service;
4. A visitors policy that
				allows for 24 hour visitation by designated visitors and specifies the number of
				visitors permitted each patient at any one time;
5. Criteria for those pediatric patients who
				require a pediatric consultation or case management by a pediatrician;
6. Infection control protocols;
7. Protocols for specific types of patient
				emergencies;
8. An emergency transfer
				policy which specifies mechanisms for transport of pediatric patients requiring
				specialized or intensive care services to facilities providing such care;
				and
9. Safety measures for the purpose
				of preventing electrical and bodily injury to patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 22 - PEDIATRICS › Section 8:43G-22.3 - Pediatrics and pediatric intensive care patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The nursing
				assessment of each pediatric patient shall include assessment of the patient's
				developmental needs. Nursing care shall be structured around this
				assessment.
(b) All standard blood
				studies on pediatric patients shall use at least micro methodology.
(c) There shall be documented evidence of
				pediatric medical and nursing staff participation in the development of policies and
				procedures of pediatric patients in any department where pediatric patients may
				receive treatment. At a minimum, this shall include the areas of dietary, emergency
				department, laboratory, pharmacy services, radiology, rehabilitation, and social
				work.
(d) Criteria shall be developed in
				consultation with the social work department for identifying patients in need of
				social work and/or discharge planning and making referrals as needed.
(e) The parents or guardians of pediatric patients
				shall be included in the development of the nursing patient plan of care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 22 - PEDIATRICS › Section 8:43G-22.6 - Pediatrics and pediatric intensive care staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the pediatrics and pediatric intensive care
				  education program shall be as provided in
				  8:43G-5.9.