reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.1 - Radiology structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
Radiological services shall be provided on-site, except for
				  specialized services that have been approved through the Certificate of Need process
				  to be provided on an off-site regional basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.2 - Radiology policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The radiology
				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 and procedures shall include at least:
1.
				Safety practices;
2.
				Emergencies;
3. Adverse
				reactions;
4. Management of the
				critically ill patient; and
5. Infection
				control, including patients in isolation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.5 - Radiology continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality improvement for
				  the radiology 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.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.7 - Diagnostic services staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
All radiologists performing diagnostic radiology services in the
				  hospital shall have successfully completed an approved graduate medical education
				  residency training program in radiology.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.8 - Diagnostic services staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A radiologist who
				has completed a residency training program in radiology shall be able to arrive, and
				shall arrive, at the hospital within 30 minutes of being summoned, under normal
				transportation conditions.
(b) A
				currently licensed radiologic technologist shall be present in the hospital or on
				call at all times; if on call, the technologist shall be able to arrive, and shall
				arrive, at the hospital within 30 minutes of being summoned, under normal
				transportation conditions.
(c) A
				registered professional nurse shall be available in the radiology service when
				needed, in the physician's judgment, to administer medications and perform other
				nursing duties.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.10 - Diagnostic services patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Radiologists shall
				supervise and interpret all radiologic procedures, unless performed by clinical
				practitioners in specialty areas who are trained and experienced in these
				procedures.
(b) All radiologic tests
				shall be interpreted, on a preliminary basis, within 24 hours of the time that test
				results are available for interpretation.
(c) If provided by the hospital, computer
				tomography shall be available within one hour at all times, when deemed appropriate
				in the judgement of the radiologist, unless the machinery is temporarily disabled or
				in use.
(d) Ultrasound shall be
				available within one hour at all times, unless the machinery is temporarily disabled
				or in use.
(e) If provided by the
				hospital, nuclear medicine shall be available within one hour at all times, unless
				the machinery is temporarily disabled or in use, or unless the needed pharmaceutical
				product is unavailable.
(f) If provided
				by the hospital, special procedures such as angiography and interventional
				procedures shall be available within one hour at all times, when deemed appropriate
				in the judgement of the radiologist, unless the machinery is temporarily disabled or
				in use.
(g) The radiology staff shall
				make every effort to ensure that patients waiting for radiology services or
				transport from radiology are comfortable while waiting and that the service
				responsible for transporting the patient back to the unit is notified when the
				patient is ready to be returned.
(h)
				Fluoroscopy with image intensification and a general radiographic room, and a mobile
				x-ray unit, shall be available.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.12 - Diagnostic services supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Cardiopulmonary
				resuscitation technology shall be immediately available to radiology services on all
				shifts. This technology shall include at least:
1.
				A patient monitor and defibrillator;
2.
				Emergency drugs; and
3. Means of
				maintaining respiration.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.13 - Radiation oncology services staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All physicians
				performing radiation oncology services shall have successfully completed an approved
				residency training program in radiology or radiation oncology.
1. For the purpose of this rule a qualified
				radiation oncologist shall be:
i. Certified by the
				American Board of Radiology in general radiology, radiation oncology or therapeutic
				radiology prior to 1976; or
ii.
				Certified or actively engaged in the process for certification by the American Board
				or the American Osteopathic Board of Radiology in radiation oncology since
				1976.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.14 - Radiation oncology services staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) During regular
				hours, a radiation oncologist shall be physically on site when patients are
				receiving radiation treatments, except for routine absences of a short duration
				(such as during a lunch break, local tumor board meeting, or institutional committee
				meeting) or for brief unexpected absences. Such absences shall not constitute more
				than 10 percent of the time that patients are under treatment. On site shall include
				the radiation oncology facility or radiation oncology facility campus.
(b) After the radiation oncology facility is
				closed a radiation oncologist shall be available for telephone consultation within
				one hour of being summoned and be available to evaluate and treat the patient within
				four hours of being summoned for radiation oncologic emergencies.
(c) There shall be at least one licensed radiation
				(therapy technologist) therapist or radiation oncologist present to operate each
				cobalt machine when it is in use.
(d)
				There shall be at least two radiation therapists present to operate each linear
				accelerator when it is in use except under emergency conditions. A radiation
				oncologist may act as a substitute for one of the two therapists.
(e) A radiation physicist shall be available to
				the radiation oncology service on a full or part-time basis. Multiple unit programs
				shall have a minimum of one full-time equivalent physicist on site. A radiation
				physicist must supervise all treatment calculations other than
				emergencies.
(f) A registered
				professional nurse shall be available on-site on a full or part-time basis to the
				radiation oncology unit. In the case of multiple megavoltage radiation oncology unit
				programs, a minimum of one full-time equivalent registered professional nurse is
				required.
(g) A professional member of
				the social work department shall be available on a full or part-time basis to the
				radiation oncology unit to meet the psychosocial needs of radiation oncology
				patients and families.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.16 - Radiation oncology patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written plan of
				care shall be developed upon initiation of treatment for each radiation oncology
				patient.
(b) Individual patient records
				of radiation oncology treatments shall be maintained for at least two years after
				the death of the patient. If no date of death is known, records shall be maintained
				at least until the patient would have attained the age of 90 years, or for five
				years, whichever is later. A copy of the record of radiation oncology treatments
				shall be included in the patient's medical record, if applicable.
(c) Computerized treatment planning for radiation
				oncology shall be available either on-site or by arrangement with another provider
				of services.
(d) Each patient's record
				shall be reviewed at least once each week to assess compliance with the plan
				developed by a radiation oncologist. The review shall be conducted by a physicist,
				chief technologist, or dosimetrist. At least one verification image shall be made
				prior to the initial treatment and then every two weeks thereafter for each site of
				disease under treatment.
(e) During a
				course of treatment, there shall be at least a weekly evaluation of the patient by a
				radiation oncologist.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.18 - Radiation oncology services supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each radiation
				oncology department or facility shall have at least one dedicated fluoroscopic or
				computerized tomography simulator.
(b)
				Emergency drugs shall be immediately available to the radiation oncology
				service.
(c) Cobalt-60 equipment shall
				have a skin to source distance of greater than or equal to 80 centimeters.
(d) All new single unit facilities shall have dual
				photon energy equipment with electron capability. All existing single unit
				facilities shall obtain dual photon energy equipment with electron capability by
				December 20, 2002.
(e) By December 20,
				2002, new or replacement machines shall, at a minimum, provider greater than or
				equal to 10 MV photon energy level capability and greater than or equal to 10 MeV
				electron energy level capability unless another machine already exists at that
				facility with these capabilities.
(f) By
				December 20, 2002, all cobalt 60 machines shall be replaced with machines meeting
				the specifications outlined in sections (d) and (e) above.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.19 - Radiation therapy 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 radiation therapy 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 on
				the basis of these data.
(b) New and
				existing radiation oncology facilities shall:
1.
				Have and maintain accreditation by the American College of Radiology, the American
				College of Radiation Oncology, or the American Society for Radiation Oncology;
				and
2. Within 45 days of receiving a
				certificate of accreditation from one of the entities in (b)1 above, submit a copy
				of the certificate to the Department as a condition of
				licensure.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.20 - Staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the radiology staff education program shall be
				  as provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.22 - Megavoltage radiation oncology program utilization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For existing
				facilities or programs, the minimum annual megavoltage radiation oncology treatment
				volume shall be 150 new patients per facility. For new facilities or programs, by
				the second year of operation, the minimum annual megavoltage radiation oncology
				treatment volume shall be 150 new patients per facility averaged over a two year
				period.
(b) For those facilities
				offering brachytherapy, the minimum annual brachytherapy treatment volume shall be
				an average of 10 patients per year, over a two year period.
(c) Megavoltage radiation oncology facilities
				providing potentially curative treatment to children under 13 years of age shall
				participate in protocols of a national multi-institutional pediatric oncology group
				such as Children's Cancer Group (CCG) or Pediatric Oncology Group (POG).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.23 - Independent verification of MRO equipment calibration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Independent
				verification of megavoltage radiation oncology equipment output shall be made by an
				external accrediting organization such as the Radiation Physics Center or MD
				Anderson or any other external accrediting organization approved by the Department
				prior to the initiation of the megavoltage service, if new, and annually
				thereafter.
(b) Existing megavoltage
				radiation oncology services shall have until December 20, 2000 to achieve initial
				independent verification of its MRO equipment output and maintain that verification
				annually thereafter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 28 - RADIOLOGY AND RADIATION ONCOLOGY › Section 8:43G-28.24 - Data to be maintained and reported

Current through Register Vol. 56, No. 14, July 15, 2024
Megavoltage radiation oncology facilities annually shall submit,
				  on or before March 31 of each year, utilization, performance, and outcome data that
				  the Department may request including, but not limited to, staff qualifications,
				  verification of equipment calibration, program accreditation status, and program
				  utilization by service category, on reporting forms that the Department
				  establishes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.1 - Physical therapy policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The physical therapy
				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 patient
				assessment and treatment plans;
2.
				Procedures for medical emergencies; and
3. Mechanisms for interdisciplinary
				communication.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.3 - Physical therapy staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The physical therapy
				service shall be under the clinical direction of a physical therapist licensed by
				the New Jersey State Board of Physical Therapy.
(b) A medical staff committee or a physician shall
				be responsible for clinical services in the physical therapy service.
(c) A copy of each physical therapist's and
				physical therapist assistant's license shall be conspicuously posted in the physical
				therapy service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.5 - Physical therapy staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be at least a ratio of one physical therapist to
				  supervise every two physical therapist assistants, or, with a waiver from the New
				  Jersey State Board of Physical Therapy, one physical therapist to supervise every
				  three physical therapist assistants.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.6 - Physical therapy patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Physical therapy
				services shall be available on-site.
(b)
				The physical therapy service shall offer services at least five days a week,
				excluding holidays.
(c) Visual privacy
				shall be offered and provided to all patients during evaluation and treatment, when
				clinically indicated.
(d) Provisions for
				auditory privacy shall be made for all patients during evaluation and treatment,
				when clinically indicated.
(e) On
				discharge, patients shall receive written instructions regarding a home program of
				treatment, if clinically indicated. The instructions and their receipt shall be
				documented in the medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.8 - Physical therapy space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Staff of the
				physical therapy service shall be given space for developing documentation and
				storing reference books and personal items.
(b) Privacy shall be provided for patients and
				staff when they need to change clothing before or after treatment.
(c) There shall be lavatories with handwashing
				facilities in an accessible location, handicapped accessible, handicapped adapted,
				and well-ventilated.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.9 - Physical therapy supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All equipment shall
				be clean and in good repair.
(b)
				Physical therapy equipment shall be stored in a safe and accessible place. It shall
				not be stored in public walkways and hallways.
(c) Call bells shall be provided to patients in
				the physical therapy service who are not under visual supervision.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.10 - Physical therapy staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the physical therapy education program should be
				  as provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.12 - Physical therapy quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of quality improvement for physical
				  therapy 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 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.13 - Occupational therapy policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The occupational
				therapy 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
				patient assessment and treatment plans;
2. Emergency procedures for medical emergencies;
				and
3. Mechanisms for interdisciplinary
				communication.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.15 - Occupational therapy staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The occupational
				therapy service shall be under the clinical direction of an occupational therapist
				registered by the American Occupational Therapy Association.
(b) A medical staff committee or a physician shall
				be responsible for clinical services in the occupational therapy service.
(c) All occupational therapists shall be
				registered and all certified occupational therapy assistants shall be certified by
				the American Occupational Therapy Association.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.17 - Occupational therapy patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Occupational therapy
				services shall be available on-site.
(b)
				The occupational therapy service shall have the capacity to offer services, when
				required by a physician's order, at least five days a week, excluding
				holidays.
(c) Provisions for auditory
				privacy shall be made for all patients during evaluation and treatment, when
				clinically indicated.
(d) On discharge,
				patients shall receive written instructions regarding a home program of treatment,
				if clinically indicated. The instructions and their receipt shall be documented in
				the medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.19 - Occupational therapy space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Privacy shall be
				provided for patients and staff when they need to change clothing before, during, or
				after treatment.
(b) Staff of the
				occupational therapy department shall be given space for developing documentation
				and storing reference books and personal items.
(c) There shall be lavatories with handwashing
				facilities that are in an accessible location, handicapped accessible, handicapped
				adapted, and well ventilated.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.20 - Occupational therapy supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All equipment shall
				be clean and in good repair.
(b)
				Occupational therapy equipment shall be stored in a safe and accessible place. It
				shall not be stored and used in public walkways and hallways.
(c) Call bells shall be provided to patients in
				the occupational therapy department who are not under visual supervision.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.21 - Occupational therapy staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the occupational therapy education program shall
				  be as provided in
				  8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 29 - PHYSICAL AND OCCUPATIONAL THERAPY › Section 8:43G-29.23 - Occupational therapy continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality for occupational
				  therapy that is integrated into the hospital continuous quality 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 30 - RENAL DIALYSIS › Section 8:43G-30.1 - Scope of renal dialysis standards

Current through Register Vol. 56, No. 14, July 15, 2024
These standards shall apply to both hemodialysis and peritoneal
				  dialysis units. In addition to the rules of this subchapter, hospitals providing
				  inpatient renal dialysis services or an on-site, separate designated unit or service
				  for ambulatory patients shall also comply with N.J.A.C. 8:43A-24 in accordance with
				  8:43G-30.3 and 30.4.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following terms, when used in this subchapter, shall have the
				  following meanings, unless the context clearly indicates otherwise:
"Ambulatory dialysis" means the performance of a regular course of
				  maintenance dialysis therapy on an outpatient basis.
"Inpatient dialysis" means dialysis therapy provided to
				  either:
1. A hospitalized individual who abruptly sustains loss of kidney
				  function, in whom dialysis is required as a temporary life-supporting measure and in
				  whom recovery of kidney function is expected; or
2. A hospitalized individual with end stage renal disease who
				  requires a regular course of maintenance dialysis therapy.
"Patient care technician" means unlicensed dialysis facility staff
				  who has been specifically trained and demonstrates competency to provide direct
				  patient care, under the direct supervision of a registered professional nurse, to
				  individuals receiving dialysis services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.3 - General provisions; inpatient renal dialysis services

Current through Register Vol. 56, No. 14, July 15, 2024
Hospitals providing inpatient renal dialysis services shall
				  comply with both the rules of this subchapter and with the rules at N.J.A.C.
				  8:43A-24, with the exception of
				  8:43A-24.7, 24.13 and 24.15.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.4 - General provisions; ambulatory renal dialysis services

Current through Register Vol. 56, No. 14, July 15, 2024
Hospitals providing an on-site, separate, designated unit or
				  service for ambulatory renal dialysis patients shall comply with both the rules of
				  this subchapter and with the rules at N.J.A.C. 8:43A-24.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.5 - Physical plant requirements for inpatient renal dialysis units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The treatment area
				for inpatient renal dialysis services shall be an open planned area separated from
				administrative and service areas.
(b)
				The minimum dimensional requirements for each dialysis station shall be:
1. There shall be a minimum width of 10 feet along
				the service wall.
2. The floor area
				within the cubicle curtain of each dialysis station shall be at least 80 square feet
				and shall not include the area of the service wall.
3. There shall be 30 inches of clear space around
				each machine and lounge, except that one side of the machine may be installed flush
				against the wall.
4. There shall be a
				minimum of four feet between beds and/or lounges.
5. The dimensional requirements listed in (b)1
				through 4 above shall apply to those facilities initially licensed March 6, 2006 or
				later.
6. In the case of new
				construction or renovation involving at least 25 percent of the physical plant,
				hospital-based ambulatory renal dialysis units shall be required to conform to the
				standards provided in (b)1 through 4 above.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.6 - Staffing requirements for inpatient dialysis services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A nephrologist shall
				be present prior to the initiation of the following:
1. A patient's first inpatient dialysis treatment;
i. Chronic dialysis patients who are dialytically
				stable and who have been admitted to the hospital for conditions unrelated to their
				end stage renal disease shall be exempt from (a)1 above; and
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 30 - RENAL DIALYSIS › Section 8:43G-30.7 - Inpatient care plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written plan of
				care for each patient shall be developed by a multidisciplinary team consisting of,
				at least, a nephrologist, a registered professional nurse, a dietitian, and a
				licensed social worker (the current outpatient dialysis care plan for previously
				diagnosed ESRD patients may be used to meet the requirement for the social worker
				review). The plan of care shall specify goals and expected outcomes.
(b) The written care plan for each inpatient
				dialysis patient shall be discussed with the patient and/or family, and implemented
				within 24 hours of admission to the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.1 - Respiratory care structural organization; definitions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The respiratory care
				service shall be represented on hospital committees responsible for neonatal,
				pediatric and adult intensive care, patient care, and infection control.
(b) The following term, when used in this
				subchapter, shall have the following meaning:
"Licensed respiratory care practitioner" means an individual who
				  qualified and passed the National Board of Respiratory Care Entry Level Examination
				  and is licensed by the State Board of Respiratory Care in accordance with N.J.A.C.
				  13:44F.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.2 - Respiratory care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The respiratory 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. A system for the reissuing
				and discontinuing of all respiratory therapy orders;
2. The duties and responsibilities of respiratory
				care practitioners;
3. The education,
				training, and experience requirements of respiratory care practitioners qualified to
				initiate and maintain therapies and in which special care units they may
				work;
4. Procedures for control of
				infection, the spread of infection, and electrical, explosive, and mechanical
				hazards; and
5. Protocols that encourage
				multidisciplinary input into the patient's written plan of care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.3 - Respiratory care staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				physician director of respiratory care or pulmonary medicine who is board certified
				or board eligible in pulmonary medicine, and who is responsible for all respiratory
				care rendered in the hospital.
(b) There
				shall be an administrative director of respiratory care who is licensed by the New
				Jersey State Board of Respiratory Care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.5 - Respiratory care staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be at
				least one licensed respiratory care practitioner assigned primarily to patients in
				licensed critical care units. Assignments shall be based on the acuity level of
				patient illness assessed each shift.
(b)
				There shall be at least one licensed respiratory care practitioner in the hospital
				or on call, at all times, in addition to the one who is primarily assigned to
				patients in the critical care unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.7 - Respiratory care patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				organized program for teaching patients to administer their own therapy, with
				adequate supervision and documentation, in any case where it is appropriate for the
				patient and where the patient is able to receive and follow therapy
				instructions.
(b) Written treatment
				plans, and respiratory therapy goals shall be written by the licensed respiratory
				care practitioner. The written treatment plans shall supplement the respiratory care
				orders written by physicians and become part of the medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.9 - Respiratory care space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				adequate space available to store all equipment not in routine use. No respiratory
				care equipment shall be stored in hallways.
(b) There shall be office space dedicated to
				members of the respiratory care service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.11 - Respiratory care supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The respiratory care
				service shall have equipment available to evaluate respiratory therapy.
(b) Pulse oximeters and end-tidal carbon dioxide
				(CO[LESS THAN]2[GREATER THAN]) monitors shall be available for patients in the
				hospital who have a medical condition that requires oxygen and carbon dioxide
				monitoring.
(c) There shall be a
				documented system for preventive maintenance of all respiratory therapy
				equipment.
(d) All mechanical and
				electrical equipment shall be tested before using for the first time or after
				repairs.
(e) Notwithstanding the
				requirements of (c) and (d) above, hospitals receiving ventilators from State
				storage or from the Federal stockpile shall comply with the following before
				releasing a ventilator into service:
1. Perform a
				mechanical and electrical equipment function test on the ventilator, which shall
				consist of:
i. Performing a standard
				preoperational check of the ventilator in the manner recommended by the manufacturer
				of the ventilator;
ii. Performing a
				power-on self-test; and
iii. Running the
				ventilator for a minimum of 15 minutes; and
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.12 - Respiratory care staff education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the respiratory care education program shall be
				  as provided in 8:43G-5.9.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 31 - RESPIRATORY CARE › Section 8:43G-31.14 - Respiratory care continuous quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a program of continuous quality improvement for
				  respiratory care 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 32 - SAME-DAY STAY › Section 8:43G-32.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The standards set forth in this subchapter apply only to
				  hospitals that have a separate, designated unit or service for same-day stay.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.2 - Same-day surgery services structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				organizational chart or alternative documentation clearly delineating the lines of
				responsibility, authority, and communication for the same-day surgery service and,
				if the same-day medical service is a separate entity, the lines of communication
				between the two services.
(b) There
				shall be a mechanism for approving policies and procedures and evaluating and
				reviewing the activities of the same-day surgery service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.3 - Same-day surgery services policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The same-day surgery
				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. Infection control
				practices;
2. Criteria for the types of
				patients who may be admitted for same-day surgery;
3. Categories of surgical procedures that may be
				performed on a same-day basis;
4. When,
				where, and by whom preadmission testing may be performed;
5. Minimum requirements for preadmission testing
				for all types of anesthesia;
6. A system
				for handling medical and non-medical emergencies.
7. A system for securing the belongings and
				valuables of the patient;
8. Criteria
				and procedures for discharging a patient, which includes nursing assessments of
				self-care capability and who is responsible for discharging the patient;
				and
9. A requirement that patients who
				receive anesthesia, excluding minor local blocks, not drive themselves home after
				discharge and are accompanied home by a responsible adult. If the patient fails to
				comply with the requirement, the circumstances shall be documented in the patient's
				medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.4 - Same-day surgery services 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 same-day surgery service
				who is board certified. Certification shall be by a board of the American Board of
				Medical Specialists. This may be the same person who is the physician director of
				the surgical service.
(b) If there is a
				postanesthesia care unit, or postoperative unit dedicated to same-day surgery
				patients, there shall be a registered professional nurse present whenever a patient
				is in the unit. Additional nursing staff shall be assigned based on the volume and
				case mix of patients in the unit.
(c)
				All registered professional nurses in the postanesthesia care unit or postoperative
				unit dedicated to same-day surgery patients shall have training in basic cardiac
				life support.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.5 - Same-day surgery patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				documentation of perioperative patient education.
(b) There shall be a system to ensure checking of
				each patient's preoperative record for completeness before the procedure
				begins.
(c) Physician orders, specific
				for each patient, shall govern the postoperative care of each patient.
(d) After the surgical procedure and before
				discharge, the patient and/or significant other shall receive written and oral
				instructions on self-care, follow-up, signs and symptoms to be reported to the
				surgeon, and how to report signs and symptoms.
(e) The medical record for same-day surgery
				patients shall include at least:
1. The patient's
				written informed consent;
2. A
				preoperative note by the physician, dentist, or podiatrist, which includes the
				surgical plan;
3. A preoperative
				anesthesia note by the anesthesiologist, if applicable;
4. Documentation of the history and physical
				examination performed by a physician or clinical practitioner within 30 days,
				including all updates and assessments as set forth at
				8:43G-16.6(b), prior to
				the procedure;
5. Preadmission testing
				results;
6. A preoperative nursing
				assessment;
7. A perioperative nurses'
				note that describes the patient's condition during the procedure;
8. A medication record reflecting the drug given,
				date, time, dosage, route of administration, and signature and status of individual
				administering the drug;
9. Any physician
				orders;
10. The surgeon's postoperative
				note on the procedure;
11. The surgeon's
				discharge note, written prior to discharge from the hospital, which describes the
				disposition of the patient and discharge instructions; and
12. Nurses' notes that describe the patient's
				postoperative progress.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.7 - Same-day surgery services space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If same-day surgery
				is performed in a suite dedicated to same-day patients, the suite shall be
				maintained as a closed unit. Access to the restricted zone of the surgical suite
				shall be through or past a control center.
(b) There shall be a waiting area for families and
				significant others of patients undergoing same-day surgery.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.9 - Same-day surgery services 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 same-day surgery 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. Continuous quality improvement shall include monitoring at
				least:
1. Complications;
2. Inpatient admissions from the same-day surgery
				service;
3. Related admissions
				subsequent to discharge from same-day surgery;
4. Incidents; and
5. Medical emergencies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.10 - Same-day medical services standards; scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The standards set
				forth in 8:43G-32.11 through 32.20 apply only to
				hospitals that have a separate, designated unit or service for medical same-day
				stay.
(b) Same-day medical services are
				defined as elective treatments, diagnostic and non-surgical procedures as defined in
				the ICD-10-CM codes, with the patient being discharged in a routine status before
				midnight of the day of admission or treatment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.11 - Same-day medical services structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be an organizational chart or alternative
				  documentation clearly delineating the lines of responsibility, authority, and
				  communication for the same-day medical service and, if the same-day surgery service
				  is a separate entity, the lines of communication between the two services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.12 - Same-day medical services policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The same-day medical
				service shall have written policies and procedures that are reviewed annually,
				revised as needed, and implemented. They shall include at least:
1. Infection control practices;
2. Criteria for the types of patients who may be
				admitted for same-day medical services;
3. Categories of procedures and treatments that
				may be performed on a same-day basis;
4.
				A system for handling medical and non-medical emergencies;
5. A system for securing the belongings and
				valuables of patients; and
6. Criteria
				and procedures for discharging a patient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.13 - Same-day medical services staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
Same-day medical patients shall receive nursing care based on
				  their acuity.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.14 - Same-day medical services patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				medical record for each patient admitted for same-day medical care. This record
				shall include, at least, documentation of a history and physical examination,
				results of tests, all treatments and the patient's response to treatments
				rendered.
(b) There shall be physician
				orders, specific for each patient, that govern the care of each same-day medical
				service patient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.16 - Same-day medical services space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be waiting areas for families and significant others
				  of patients undergoing same-day medical procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 32 - SAME-DAY STAY › Section 8:43G-32.18 - Same-day services education

Current through Register Vol. 56, No. 14, July 15, 2024
Requirements for the same-day services education program shall be
				  as provided in 8:43G-5.9.