reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7 - CARDIAC › Section 8:43G-7.44 - Pediatric cardiac catheterization staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				director of the pediatric cardiac catheterization service who is board certified in
				pediatrics, in the subspecialty of pediatric cardiology, and who has completed at
				least one year of additional training in an accredited program for interventional
				pediatric cardiac procedures.
(b) Any
				physician performing pediatric cardiac catheterization in the pediatric cardiac
				catheterization laboratory shall be board certified in the subspecialty of pediatric
				cardiology, or shall meet current requirements to be examined and shall be examined
				within two years of eligibility.
(c)
				Each physician performing diagnostic cardiac catheterization without supervision
				shall have performed at least 50 pediatric cardiac catheterizations as the primary
				operator. The hospital shall determine policy requiring the minimum number of annual
				procedures that a physician must perform.
(d) Each physician shall perform a minimum of 50
				pediatric procedures per year with a minimum of 100 procedures over a two year
				period.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7 - CARDIAC › Section 8:43G-7.45 - Pediatric catheterization continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a peer review committee for the pediatric cardiac
				  catheterization service that includes at least the director of the pediatric
				  catheterization laboratory, the director of pediatric cardiology, a pediatric
				  catheterization cardiologist, and a non-catheterizing cardiologist. The committee
				  shall review all mortalities, serious complications, and selected procedures done in
				  the pediatric catheterization suite to identify trends and problems in the service.
				  Minutes of these meetings shall be maintained.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7 - CARDIAC › Section 8:43G-7.46 - Staff qualifications waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Exceptions for
				physicians with hospital privileges to these minimum board certification and
				training requirements may be granted by the Commissioner or his or her designee upon
				application by an institution providing acceptable documentation which assures that
				the physician's qualifications are at a level assuring the level of patient safety
				intended by the requirements of these rules. As part of the waiver request, the
				hospital shall provide documentation of the practitioner's qualifications that at a
				minimum addresses the following:
1. A curriculum
				vitae which describes the practitioner's academic training and professional
				experience;
2. Documentation of the
				volume of procedures that the practitioner has completed on an annual
				basis;
3. Length of experience in
				performance of procedure;
4. Current
				status and future intention to meet the requirements for board-certification;
				and
5. Documentation of the
				practitioner's complication rates in performing the procedure for which a waiver is
				sought.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.1 - Stroke center standards; scope

Current through Register Vol. 56, No. 14, July 15, 2024
This subchapter sets forth the standards for designation as a
				  primary or comprehensive stroke center with which all applicants for the respective
				  designations shall comply.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.2 - 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:
"Acute care rehabilitation" means the provision of occupational
				  therapy, physical therapy and speech-language pathology, as medically necessary,
				  during the acute phase of a stroke patient's hospital stay.
"Acute stroke" means the rapid onset of a focal neurological
				  deficit with signs or symptoms persisting longer than 24 hours and not otherwise
				  attributable to another disease process. The term "acute stroke" includes the
				  subtype acute hemorrhagic stroke and the subtype acute ischemic stroke.
"Complex stroke" means a stroke occurring in a person who also
				  suffers from one or more of the following co-morbid conditions:
1. Any previous ipsilateral surgery or intervention;
2. Any previous ipsilateral stroke or intervention;
3. Known history of vascular disease or major vascular surgery
				  within two years;
4. Severe (symptomatic) chronic obstructive pulmonary lung
				  disease;
5. Class III or IV cardiac symptoms, or previous cardiac bypass
				  surgery; or
6. History of radiation or any prior (even non-vascular) surgery
				  to the neck.
"Comprehensive stroke center" means a licensed general hospital
				  designated to evaluate, stabilize and provide emergency care to patients with acute
				  stroke symptoms, that has the capability to provide specialized care to patients
				  with complex strokes, including patients with acute stroke symptoms transferred from
				  other general hospitals.
"Hospitalist" means a licensed physician whose primary
				  professional focus is hospital medicine and who is board certified or board eligible
				  in critical care, neurology, emergency medicine, family medicine, general internal
				  medicine, surgery or anesthesiology.
"Primary stroke center" means a licensed general hospital
				  designated to evaluate, stabilize and provide emergency care to patients with acute
				  stroke symptoms, and to admit such patients for inpatient services as appropriate to
				  the needs of the patient, but which has limited capacity to provide inpatient care
				  to patients with a complex stroke.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.4 - Primary stroke center staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				physician director of a primary stroke center, who may also serve as a physician
				member of a stroke team, who is board certified in neurology or neurosurgery and who
				shall meet two or more of the following qualifications:
1. Completion of a stroke fellowship;
2. Participation (as an attendee or faculty) in at
				least two regional, national or international stroke courses or conferences each
				year;
3. Authorship of five or more
				peer-reviewed publications on stroke; and/or
4. Eight or more continuing medical education
				(CME) credits each year in the area of cerebrovascular disease.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.5 - Primary stroke center education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A hospital
				designated as a primary stroke center shall, under the direction of a stroke center
				physician director, provide education regarding acute stroke to both the hospital's
				personnel and the public.
1. The hospital shall
				provide to personnel engaged in direct patient care of acute stroke patients
				continuing education annually regarding diagnosis and treatment of acute stroke as
				follows:
i. For those personnel who are assigned
				to an acute stroke team, a minimum of eight CME credits or eight continuing
				education units (CEU) or eight hours of training for unlicensed assistive personnel,
				as applicable, each year in the area of cerebrovascular disease; and
ii. For those personnel who are not assigned to a
				stroke team but are regularly assigned to the care of acute stroke patients, a
				minimum of four CME credits or four CEU or four hours of training for unlicensed
				assistive personnel, as applicable, each year in the area of cerebrovascular
				disease.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.6 - Primary stroke center continuous quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A hospital
				designated as a primary stroke center shall collect patient-level data to support
				evaluation of outcomes and quality improvement activities.
1. Data shall be collected on each patient
				evaluated for stroke and each patient receiving acute stroke interventional
				therapy.
2. Data shall be submitted on a
				quarterly basis, with quarterly data submitted within 45 days of the end of each
				quarter, either through an encrypted electronic transmission, or on a computer disk
				sent by overnight mail to:
Stroke Data Coordinator
Office of Health Care Quality Assessment
225 E. State Street, 2nd Floor
Trenton, New Jersey 08608-1800
3. Instructions for the electronic transmission of
				data may be obtained from the stroke data collection instructions manual posted at
				the Office of Health Care Quality Assessment's website
www.nj.gov/health/healthcarequality
or by calling (609) 984-7334.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.7 - Comprehensive stroke center staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				meeting the requirements of
				8:43G-7A.3 and 7A.4, a hospital
				designated as a comprehensive stroke center shall:
1. Satisfy the following staff qualifications,
				consistent with the on-call criteria set forth at
				8:43G-5.1 (
l
)2:
i. A neurosurgical team capable of assessing and
				treating complex stroke and stroke-like syndromes;
ii. A neuroradiologist with current Certificate of
				Added Qualifications in neuroradiology on staff; and
iii. A physician with neuro-interventional
				angiographic training and skills on staff as deemed by the hospital's credentialing
				process;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.8 - Comprehensive stroke center education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				satisfying the requirements of
				8:43G-7A.5, a hospital designated as a
				comprehensive stroke center shall:
1. Provide
				guidance and continuing medical education to hospitals designated as primary stroke
				centers with which they have transfer agreements;
2. Provide graduate medical education in stroke;
				and
3. Conduct research on
				stroke-related topics, such as laboratory research or clinical drug studies or
				both.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.9 - Comprehensive stroke center continuous quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
A hospital designated as a comprehensive stroke center shall, in
				  addition to satisfying the requirements of
				  8:43G-7A.6, develop and maintain
				  de-identified outcomes data from affiliated primary stroke centers and shall
				  integrate this data and its own patient-level data with available regional, State
				  and national data in order to develop benchmarks for performance to be used in
				  assessing and improving quality in the hospital and its affiliated primary stroke
				  centers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.10 - Licensing and compliance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) General hospitals
				seeking designation as a primary stroke center or a comprehensive stroke center
				shall meet the applicable minimum criteria and standards contained in this
				subchapter and file a licensing amendment in accordance with
				8:43G-2.2.
(b) Existing designated primary and comprehensive
				stroke centers shall continue to meet the minimum criteria and standards contained
				in this subchapter on an annual basis.
(c) In accordance with
				26:2H-12.2 8d, failure to comply with
				the provisions of this subchapter may result in suspension or revocation of the
				hospital's stroke center designation or other enforcement action in accordance with
				N.J.A.C. 8:43E.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Appendix - APPENDIX

Current through Register Vol. 56, No. 14, July 15, 2024
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.1 - Central service policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The hospital's
				central service shall have written policies and procedures that are reviewed at
				least once every three years or as needed, revised as needed, and implemented. These
				policies and procedures shall be approved by the hospital's infection control
				committee.
(b) Policies and procedures
				for central service shall include at least decontamination and sterilization
				activities, including receiving, decontamination, storage, cleaning, packaging,
				disinfection, sterilization, and distribution of reusable items.
(c) All equipment and instruments in the hospital
				shall be processed according to central service cleaning and sterilization policies
				and procedures.
(d) Manufacturers'
				written recommendations for equipment use, testing, and cleaning shall be readily
				available in central service and in the department where the equipment is
				used.
(e) Methods for processing
				reusable medical devices shall conform with the following publications, incorporated
				herein by reference, as amended and supplemented:
1. Sterilization, Part 1: Sterilization in Health
				Care Facilities, 2015 Edition. The Association for the Advancement of Medical
				Instrumentation (AAMI). This book is available from AAMI, 4301 N. Fairfax Drive,
				Suite 301, Arlington, VA 22203-1633. Phone: (703) 525-4890. Fax: (703) 525-1424.
				Website:
www.aami.org
. E-mail:
				sloughlin@aami.org; and
2. Society of
				Gastroenterology Nurses and Associates . "Standard of Infection Prevention in the
				Gastroenterology Setting" (2015), which is available from the Society of
				Gastroenterology Nurses and Associates, Inc., 330 North Wabash, Suite 2000, Chicago,
				IL 60611. Phone (800) 245-SGNA or (312) 321-5165. Fax: (312) 673-6694. Website:
www.sgna.org
. E-mail:
				SGNA@smithbucklin.com.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.2 - Central service staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				full-time director or supervisor of central service.
(b) The director or supervisor of central services
				shall have two years of supervisory experience and shall be certified through a
				national sterile processing program recognized by the Department.
(c) All personnel involved in sterile processing
				shall be certified through a national sterile processing program recognized by the
				Department within three years of employment.
(d) Personnel involved in the use of ethylene
				oxide shall have the appropriate licensure from the New Jersey Department of
				Environmental Protection.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.3 - Central service staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Requirements for the
				central service education program shall be as provided in
				8:43G-5.9.
(b) All new central service employees shall
				receive on-the-job training on practices and equipment unique to the
				hospital.
(c) Competency for processing
				tasks shall be documented annually by the employee's supervisor or by the Director
				of Central Services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.4 - Central service patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Entrance to the
				central service processing and decontamination area shall be restricted to persons
				attired in hospital-laundered or protective attire, in relation to the purpose and
				scope of their duties.
1. All personnel performing
				decontamination, preparation, and assembly shall be provided hospital laundered
				scrubs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.5 - Single use medical devices and outsourcing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Single use patient
				care items shall not be reprocessed except under the following conditions:
1. The manufacturer provides written instruction
				for cleaning and sterilization of the item and the facility has the resources to
				meet those specifications; and/or
2.
				Methods for processing single use patient care items conform with the following Food
				and Drug Administration regulations:
i. Premarket
				notification, registration and listing shall comply with 21 C.F.R. Part 807,
				incorporated herein by reference, as amended and supplemented; and
ii. Quality system regulations shall be as
				specified in 21 C.F.R. Part 807, incorporated herein by reference, as amended and
				supplemented; and
3. A
				quality control program shall be established to ensure the delivery of a safe
				product as specified in the contract with the third party processor.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.6 - Central service space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each sterilizer
				processing area shall have exhaust ventilation to remove heat, moisture and odors
				without recirculating the exhaust to other areas of the hospital.
(b) Exterior shipment cartons shall not be brought
				into sterile supply storage or processing areas.
(c) Soiled or contaminated supplies shall be
				physically separated from those that are clean or sterile.
(d) All work surfaces in central supply shall be
				cleaned with germicidal disinfectant at the end of each work shift and more
				frequently as necessary.
(e) An area
				shall be designated for central supply employees to change their clothing and store
				personal items.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.7 - Use and sterilization of patient care items

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patient care items
				shall be scrupulously cleaned to sterilization or disinfection. The selection and
				use of disinfection and/or sterilization methods for patient care items or equipment
				shall be divided into the following three categories:
1. Critical items are objects that enter sterile
				tissue or the vascular system. These instruments other than scopes must be
				sterilized by a process that can demonstrate a sterility assurance level of
				10[-6].
2. Semicritical items are
				objects which come into contact with mucous membranes or with skin that is not
				intact. Semicritical items require high level disinfection or intermediate level
				disinfection. (At a minimum, the disinfectant must be labeled as
				tuberculocidal.)
3. Noncritical items
				are objects that come in contact with intact skin, but not with mucous membranes.
				Noncritical items require intermediate level disinfection or low level
				disinfection.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.8 - Monitoring the sterilization cycle

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Biological
				monitoring with live spores, or an FDA approved equivalent, shall be performed as
				follows:
1. Ethylene oxide--in each load;
2. Peracetic acid--weekly;
3. Low temperature gas plasma--daily in the
				working load; and
4. Steam
				sterilizers--weekly.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 8 - CENTRAL SERVICE › Section 8:43G-8.10 - Central service quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of quality improvement for central
				  service that is integrated into the hospital 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 8 - CENTRAL SERVICE › Section 8:43G-8.11 - Sterilizer patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All hinged
				instruments shall be sterilizer processed in an open position.
(b) All instruments and equipment shall be
				visually inspected for cracks, pitting, rust, or any condition that would impede
				cleaning/sterilization. Defective instruments and equipment shall not be
				used.
(c) Sterilizers in use shall be
				cleaned on a scheduled basis.
(d)
				Sterilizer drains shall be flushed at least weekly, unless otherwise specified by
				the manufacturer.
(e) Sterilizer door
				gaskets shall provide effective sealing.
(f) A record of each sterilization/disinfection
				load, including the date, load/cycle number and the specific contents of the load
				shall be retained for a least one year or per hospital policy whichever is
				greater.
(g) Instruments and medical
				devices sterilized by ethylene oxide shall be aerated in a mechanical aerator
				according to manufacturer's recommendations, or if these recommendations are not
				available, they shall be aerated at 140 degrees Fahrenheit for a minimum of eight
				hours or at 122 degrees Fahrenheit for a minimum of 12 hours.
(h) An indicating thermometer, accurate to three
				degrees Fahrenheit, shall be located in all ethylene oxide aeration
				equipment.
(i) All sterilizers shall be
				operated and maintained in accordance with the manufacturer's
				instructions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The standards set forth in this chapter shall apply to licensed
				  critical and intensive care beds inclusive of medical, surgical, coronary,
				  pulmonary, cardiovascular, and neurological critical care, but not pediatric or
				  neonatal intensive care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.2 - Critical care structural organizations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				organizational chart, or alternative documentation, that delineates the lines of
				authority, responsibility, and accountability of staff in the critical care
				service.
(b) There shall be a
				multidisciplinary critical care committee or its equivalent for critical care units
				that includes representatives of at least the medical and nursing staff. The
				committee shall discuss issues related to the administration of the critical care
				practice that will enhance patient care.
(c) Meetings with representatives of critical care
				medical and nursing personnel, at management and staff levels, shall be scheduled at
				least four times a year to improve interdisciplinary communication.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.4 - Critical care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The critical care
				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. Criteria for admission to and
				discharge and transfer from the unit;
2.
				A list of procedures that resident physicians, who are graduates of an accredited
				medical school participating in an approved training program in a hospital setting,
				may and may not perform;
3. Infection
				control protocols;
4. Protocols for
				transfer and transport of patients within the hospital or from the hospital to
				another facility including who shall accompany the patient being transferred or
				transported;
5. A visitors policy that
				specifies visiting hours and number of visitors permitted each patient at any one
				time, subject to the discretion of the patient's physician or primary care
				nurse;
6. A policy on the removal of a
				patient's life support system;
7. A
				policy defining the physician, specialist and consulting physician to be called for
				patient emergencies, including a response time for physicians to respond to patient
				emergencies;
8. Standing orders for
				patient emergencies;
9. Policies on
				involving and communicating with families of patients during the first 24 hours
				after admission and throughout the patient's stay;
10. The hospital shall have in effect policies and
				procedures which ensure that priority lab services will be available to critical
				care patients if medically indicated; and
11. Policies on including the registered
				professional nurse in discussions and decisions among physicians and families about
				the use of resuscitation technology on patients in the critical care unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.5 - Critical care staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				physician director who has clinical responsibility for the care rendered in each
				critical care unit or combination of critical care units.
(b) The physician director of the critical care
				unit or combination of units shall be board certified in medicine, anesthesia, or
				surgery, and/or have completed a formal fellowship program in critical care approved
				by the specialty board in the individual's primary specialty. In the case of a
				critical care unit that provides one specialty area of critical care, such as
				coronary care, the physician director of the unit shall be board certified in that
				particular specialty or subspecialty.
(c) There shall be a registered professional nurse
				with administrative responsibility for the critical care unit or combination of
				units who is accountable for all critical care nursing rendered in the unit or
				units.
(d) The nursing manager of each
				unit within the critical care service shall be certified in critical care nursing by
				the American Association of Critical Care Nurses or have three years of experience
				in critical care nursing.
(e) Each
				licensed nurse in the critical care service shall have training in basic cardiac
				life support.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.7 - Critical care staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Nurse staffing shall
				be determined by the acuity of illness of the patients on the critical care
				unit.
(b) There shall always be at least
				one registered professional nurse for every three patients. There shall be the
				capability to increase nurse staffing to one nurse for every two patients or one
				nurse per patient based on acuity levels.
(c) There shall be a mechanism in place for the
				critical care service to have access to nutritional support services for advice on
				both enteral and parenteral nutritional techniques.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.9 - Critical care patient service

Current through Register Vol. 56, No. 14, July 15, 2024
Information and explanation shall be provided to the patient and
				  the patient's family and documented in the patient's record, regarding the patient's
				  condition, equipment, and specific procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.11 - Critical care space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a handwashing sink that is easily accessible to
				  each patient's bedside.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.13 - Critical care supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each critical care
				unit shall be equipped to provide at least:
1.
				Cardiopulmonary resuscitation, including a defibrillator/monitor and emergency
				drugs;
2. Airway management, including
				endotracheal and assisted ventilation;
3. Oxygen delivery systems;
4. Continual electrocardiogram monitoring,
				including 12-lead electrocardiogram;
5.
				Emergency temporary cardiac pacing;
6.
				Titrated therapeutic interventions with infusion pumps;
7. Hemodynamic monitoring capabilities, pulse
				oximetry and end-tidal carbon dioxide monitoring; and
8. Portable life-support equipment for use in
				patient transport, both within the hospital and for transfer.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.14 - Critical care staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the critical and intermediate care staff
				  education and training program shall be as provided in
				  8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.16 - Critical care continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of continuous quality improvement for the critical care service 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 activities of the critical care service shall include
				maintaining data on mortality rates, complications, and patients readmitted to the
				hospital and critical care unit with the same diagnosis during a specified interval
				of time.
(c) Continuous quality
				improvement program for the critical care service shall include review of cases
				involving removal of life support.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.18 - Intermediate care standards; scope

Current through Register Vol. 56, No. 14, July 15, 2024
The standards set forth in
				  8:43G-9.19 through 9.25 shall apply to
				  designated medical, surgical, coronary, pulmonary, cardiovascular, and neurological
				  beds providing intermediate care, but not pediatric or neonatal intermediate
				  care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.19 - Intermediate care structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Intermediate care
				services shall be provided in all hospitals that provide critical care
				services.
(b) Dedicated intermediate
				care beds shall be provided within an identifiable patient care nursing unit. There
				shall be a separate physical area devoted to nursing management for the care of the
				intermediate patient. This separate area may be designated within an existing
				nursing station located on the intermediate nursing care unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.20 - Intermediate care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The intermediate
				care 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. Criteria for admission
				to the service;
2. Criteria for
				discharge and transfer from the service to other patient care units in the
				hospital;
3. Criteria for discharge from
				the service to other health care facilities;
4. The number or percentage of beds on the service
				that provide continuous electrocardiogram monitoring;
5. The frequency with which physicians must visit
				their patients on the unit; and
6.
				Acuity assignments made on a daily basis for patients in each intermediate care unit
				with the minimum average ratio of one nurse to every six patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.21 - Intermediate care staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a physician director of the intermediate care
				  service who is board certified in internal medicine, anesthesiology, or surgery,
				  and/or has completed a formal fellowship program in critical care approved by the
				  specialty board in the individual's primary specialty. In the case of a unit that
				  provides one specialty area of intermediate care, such as coronary care, the
				  physician director of the unit shall be board certified in that particular specialty
				  or subspecialty. The physician director of the intermediate care service may also be
				  the physician director of another service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.23 - Intermediate care staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the intermediate care services staff education
				  and training program shall be as provided at
				  8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 9 - CRITICAL AND INTERMEDIATE CARE › Section 8:43G-9.24 - Intermediate care continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of continuous quality improvement for the intermediate care service 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 activities of the intermediate care service shall
				include collecting and maintaining data on patient acuity and patient mix.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 10 - DIETARY › Section 8:43G-10.1 - Dietary policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The dietary service
				shall have written policies and procedures for all dietary services that are
				reviewed at least once every three years, revised more frequently as needed, and
				implemented.
(b) A diet manual detailing
				nutritional and therapeutic standards for meals and snacks, and a nutrient analysis
				of menus, shall be annually reviewed. A current diet manual shall be available at
				each nurses station and in the dietary department and medical library.
(c) There shall be a policy to promote the
				participation of the dietary service in meetings of multidisciplinary health care
				teams to assess patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 10 - DIETARY › Section 8:43G-10.3 - Dietary staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				food service director who has a baccalaureate degree from an accredited college or
				university in food, nutrition, food services management, or a related area, or has
				at least four years of experience in food services management in a health care
				facility and successful completion of Food Management Certification (FMC) and
				Dietetic Assistant programs or their equivalents.
(b) A registered dietitian shall have full-time
				responsibility for the clinical aspect of the dietary service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 10 - DIETARY › Section 8:43G-10.4 - Dietary staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A dietitian shall be
				on duty in the hospital for a specified period, as determined by the hospital,
				during every 48-hour weekend or holiday period.
(b) Dietary service members shall be assigned
				duties based upon their education, training and competencies and in accordance with
				their job descriptions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 10 - DIETARY › Section 8:43G-10.6 - Dietary patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All new admissions shall be listed with the
				dietary service by the first pre-meal deadline following admission, as specified in
				the dietary service's policies and procedures.
(b) Each patient's diet shall be documented in the
				medical record.
(c) A physician shall
				write a specific dietary order for each patient.
(d) Patients shall be screened for nutritional
				assessments based on specific criteria. Nutritional assessments for patients
				determined to be at nutritional risk shall be completed within 72 hours of
				admission.
(e) The dietary service shall
				set guidelines for subsequent nutritional assessments of patients determined to be
				at nutritional risk.
(f) Patients'
				nutritional needs for food and food supplements shall be met, in accordance with
				physician orders.
(g) All diets shall
				conform to the hospital's diet manual.
(h) At least three meals shall be served daily,
				and no more than 15 hours shall elapse between dinner and breakfast.
(i) Nourishment shall be available between meals
				and at night.
(j) Food production shall
				be sufficient in quantity to meet nutritional needs and shall be coordinated with
				dietary orders.
(k) Physician orders and
				changes in physician orders for diets shall be effected by the next mealtime, if
				they are received by the dietary services by the pre-meal deadline specified in the
				dietary service's policies and procedures.
(l) The dietary service shall follow the policies
				and procedures developed by the pharmacy and therapeutics committee regarding
				possible food/drug interactions.
(m)
				There shall be a mechanism for evaluating patients on each nursing unit to ensure
				they are being adequately nourished. This may involve rounds, review of charts,
				plate waste measurement, or multidisciplinary team conferences.
(n) There shall be a mechanism for the dietary
				service to be informed if the patient does not receive the diet that has been
				ordered, or is unable to consume the diet.
(o) There shall be a mechanism for patients and
				their families to interact with the dietary service, such as a written comment
				sheet, patient rounds, or distribution of the dietary service's phone
				number.
(p) Patients with special
				dietary needs, based on criteria established by the hospital, shall receive dietary
				instruction from a dietician or authorized designee during
				hospitalization.
(q) The dietary service
				shall comply with the requirements of
N.J.A.C. 8:24
, "Sanitation in
				Retail Food Establishments and Food and Beverage Vending Machines".
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 10 - DIETARY › Section 8:43G-10.10 - Dietary continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of continuous quality improvement for dietary services 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 based on
				this data.
(b) Patient satisfaction
				shall be monitored on an ongoing basis, and a survey mechanism shall be in place
				that produces quarterly summaries.
(c)
				As part of its quality assurance activities, the dietary service shall maintain a
				log detailing problem identification, action, and follow-up.
(d) There shall be a system in place to ensure the
				accuracy of dietary orders that are transmitted to the dietary service. This system
				shall be monitored as part of the quality assurance program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11 - DISCHARGE PLANNING › Section 8:43G-11.1 - Discharge planning structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each hospital shall
				have a discharge planning program with formal mechanisms in place which include
				criteria by which every patient is screened for post-discharge needs.
(b) The hospital shall maintain an organizational
				chart or alternative documentation that clearly delineates the responsibilities,
				authority, and accountability of the discharge planning program staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11 - DISCHARGE PLANNING › Section 8:43G-11.4 - Discharge planning staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A team that includes
				at least a social worker and a registered professional nurse shall have
				responsibility for and guide multidisciplinary discharge planning for patients who,
				upon screening, are determined to require coordinated discharge planning. This team
				shall receive input from, and communicate with, the patient's attending physician,
				staff nurse or nurses, and other health professionals.
(b) The social worker and registered nurse who are
				members of the discharge planning team shall have received education or training in
				hospital discharge planning.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11 - DISCHARGE PLANNING › Section 8:43G-11.5 - Discharge planning patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patients who require
				post-discharge continuity of care shall be linked to needed resources, such as:
1. Placement in a nursing home;
2. Enrollment with a home care program;
3. Transfer to another health care
				facility;
4. Referral to community
				resources; or
5. Information regarding
				availability of Medicare or Medicaid benefits.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11 - DISCHARGE PLANNING › Section 8:43G-11.6 - Discharge planning continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of continuous quality improvement for discharge planning 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. The program shall monitor at least:
1. That communication occurs among members of the
				multidisciplinary team, and the patient and family;
2. Appropriateness of referrals; and
3. Implementation of the discharge plan.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this subchapter apply to general acute care hospitals
				  in accordance with
N.J.S.A. 26:2H-5
.24 through 5.32.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this subchapter implement
N.J.S.A.
				  26:2H-5
.24 through 5.32, by requiring
				  hospitals to offer patients who are able to return to their place of residence after
				  discharge an opportunity to designate caregivers to perform after-care assistance
				  tasks and to train these caregivers to competently perform post-hospital care as set
				  forth in the patients' discharge plans.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following words and terms are defined at
N.J.S.A. 26:2H-5
.25 and are
				  used in this subchapter as defined therein: "After-care assistance";
"Caregiver";
"Discharge";
"Entry";
"Hospital";and
"Residence."
(b) The following words and terms, when used in this subchapter,
				  have the following meanings, unless the context clearly indicates otherwise:
"Act" shall mean
N.J.S.A.
				  26:2H-5
.24 through 5.32.
"Legally authorized decision maker" means a person with the legal
				  right to act as an agent of a person who becomes unable to make decisions on his or
				  her own behalf regarding medical treatment, as either:
1. Having been appointed a guardian by a court of competent
				  jurisdiction;
2. Having a power of attorney to make medical treatment decisions
				  for that patient;
3. Having been designated a person's health care proxy; or
4. Operating under a valid advance directive pursuant to the "New
				  Jersey Advance Directives for Health Care Act,"
N.J.S.A.
				  26:2H-53
et seq., or the "New Jersey
				  Advance Directives for Mental Health Care Act,"
N.J.S.A.
				  26:2H-102
et seq.
"Patient" means a person admitted to a general acute care hospital
				  who is determined by the discharge planning team to be able to return to his or her
				  residence upon discharge and who requires certain after-care tasks and support
				  services as set forth in that person's discharge plan.