reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.4 - Designation of caregiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Following entry
				into a hospital and prior to discharge, a hospital's discharge planning team shall
				offer every patient, or the patient's legally authorized decision maker, an
				opportunity to designate a caregiver for after-care assistance tasks, in accordance
				with the patient's discharge plan and in a timeframe consistent with the discharge
				planning process set forth in this subchapter.
1.
				A patient may designate a caregiver in an 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.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.5 - Release of information

Current through Register Vol. 56, No. 14, July 15, 2024
The discharge planning team shall disclose to the designated
				  caregiver, the patient's discharge plan only after providing notice of, and
				  obtaining written consent for, the intended disclosure from the patient or the
				  patient's legally authorized decision maker.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.6 - Consultation with the caregiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				discharge planning team shall schedule after-care assistance training at a time
				convenient for the caregiver in accordance with N.J.A.C. 8:43G-11A.7.
(b) The discharge planning team shall meet with
				the caregiver at a time that takes into consideration:
1. The severity of patient's condition;
2. The setting in which care is to be delivered;
				and
3. The patient's need for after-care
				assistance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.7 - After-care assistance training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A
				hospital shall ensure that after-care assistance training offered to the caregiver
				includes instructions on performing each after-care assistance task set forth in the
				patient's discharge plan.
(b) A hospital
				shall ensure that the caregiver has opportunities to:
1. Choose whether this training is conducted
				in-person or through video technology; and
2. Ask hospital staff questions during and after
				the training.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 11A - CAREGIVERS › Section 8:43G-11A.8 - Discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The discharge
				planning team shall notify the caregiver in advance of the patient's discharge or
				transfer to another facility.
(b) The
				discharge planning team shall document promptly in the patient's medical record all
				attempts to contact the caregiver.
1. If required,
				the discharge planning team shall make multiple attempts to contact the
				caregiver.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.1 - Emergency department structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
The hospital shall provide emergency services on a 24 hour basis,
				  unless it is a licensed special or psychiatric hospital. Special and psychiatric
				  hospitals shall have a written plan and a system to meet medical emergencies based
				  on the types of patients and cases that are typically treated in the hospital. Those
				  hospitals exempted under this section shall not offer emergency medical services to
				  the general public.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.3 - Emergency department staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				physician director of the emergency department who is board certified in emergency
				medicine or who has five years of full-time experience in emergency medicine, which
				may include three years residency in emergency medicine, within the past seven
				years.
(b) Each physician practicing in
				the emergency department, except residents functioning under supervision as part of
				the hospital's graduate residency training program, consulting physicians, and
				private physicians who are attending to their patients in the emergency department,
				shall meet at least one of the following qualifications:
1. Board certification in emergency
				medicine;
2. Successful completion of an
				approved residency program in emergency medicine, family medicine, general internal
				medicine, general surgery, or general pediatrics; or
3. Three years of full-time clinical experience in
				emergency medicine within the past five years.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.4 - Additional pediatric requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each emergency
				department shall have a designated pediatric liaison physician and a designated
				pediatric liaison nurse, who shall be responsible for review and approval of the
				emergency department's pediatric activities, including:
1. Policies and procedures for pediatric
				care;
2. Pediatric equipment;
3. Continuous quality improvement for pediatric
				patients;
4. Staff training and
				education for pediatric care; and
5.
				Pediatric emergency medicine registry.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.5 - Emergency department staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) At all times at
				least one licensed physician who meets at least one of the qualifications in
				8:43G-12.3(b)  shall be
				present in the emergency department to attend to all emergencies.
(b) There shall be a physician specialist on call
				to the emergency department for each major clinical service provided by the
				hospital, including a physician who is credentialed by the hospital to care for
				children and who is either board certified in pediatrics or has attained provider
				status in Advanced Pediatric Life Support or Pediatric Advanced Life Support.
1. The hospital emergency department shall comply
				with the requirements set forth in
				8:43G-5.1(l)2  for all
				emergency department patients deemed by a hospital clinical provider to require
				emergent care, regardless of whether the patient lacks a primary care physician. In
				addition, the hospital clinical provider making that judgment shall make a
				determination as to whether the responding on-call physician may be a resident or,
				rather, the emergency requires a physician who has completed all residency
				requirements.
2. A standing transfer
				agreement with a facility that can provide an appropriate level of care for
				pediatric patients may be substituted for the on-call physician credentialed and
				qualified to care for children if the hospital does not have the capability of
				providing such a physician for on-call duty.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.6 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise.
"Comes to the emergency department" means, with respect to an
				  individual requesting examination or treatment by him or herself or with another
				  person, that the individual is on hospital property (including ambulances owned and
				  operated by the hospital even if the ambulance is not on hospital grounds). An
				  individual in a nonhospital-owned ambulance on hospital property is considered to
				  have come to the emergency department.
"Emergency department" means, an organized clinical department of
				  the hospital which, at a minimum, evaluates and treats emergency medical
				  conditions.
"Emergency medical condition" means:
1. A medical condition manifesting itself by acute symptoms or
				  sufficient severity (including severe pain, psychiatric disturbances and/or symptoms
				  of substance abuse) such that absence of immediate attention could reasonably be
				  expected to result in:
i. Placing the health of the individual (or, with respect to a
				  pregnant woman the health of the woman or her unborn child) in serious
				  jeopardy;
ii. Serious impairment to bodily functions; or
iii. Serious dysfunction of a bodily organ or part; or
2. With respect to a pregnant woman who is having contractions:
i. That there is inadequate time to effect a safe transfer to
				  another hospital before delivery; or
ii. That transfer may pose a threat to the health or safety of the
				  woman or the unborn child.
"Medical screening examination" means an examination and
				  evaluation within the capability of the hospital's emergency department, including
				  ancillary services routinely available to the emergency department, performed by
				  qualified medical personnel (as defined below and specified by hospital by-laws or
				  policies and procedures) to determine whether or not an emergency medical condition
				  exists.
"Qualified medical personnel" means a physician who meets the
				  requirements at 8:43G-12.3, or an advanced practice
				  nurse certified by the New Jersey State Board of Nursing, or a physician assistant
				  licensed by the New Jersey State Board of Medical Examiners. The advanced practice
				  nurse or licensed physician assistant shall have training and experience in
				  emergency care.
"Stabilize" means to provide such medical treatment of an
				  emergency medical condition that is necessary to assure within reasonable medical
				  probability, that no material deterioration of the condition is likely to result
				  from or occur during the transfer of the individual from a facility or that the
				  woman has delivered the child and the placenta.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.7 - Emergency department patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When an individual
				comes to the emergency department requesting examination or treatment for a medical
				condition, or if a request is made on the individual's behalf, clinical priority for
				treatment shall be assigned by a registered professional nurse or qualified medical
				personnel.
(b) Treatment for
				life-threatening emergencies shall be initiated immediately.
(c) If an individual comes to the emergency
				department requesting examination or treatment for a medical condition, or if a
				request is made on the individual's behalf, the hospital shall provide for an
				appropriate medical screening examination performed by qualified medical personnel.
				Medical screening may be provided in the emergency department or urgent care clinic
				or area accessible to the emergency department and on hospital grounds.
1. Qualified medical personnel shall perform all
				medical screenings designed to identify patients clinically suspected of presenting
				with a stroke.
2. If the hospital is a
				designated primary or comprehensive stroke center, whenever a clinical suspicion of
				stroke exists, the stroke team shall further evaluate the patient consistent with
				the stroke treatment protocols established by the hospital as required for
				designation in accordance with N.J.A.C. 8:43G-7A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.9 - Emergency department space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The emergency
				department shall meet criteria established by the Guidelines for Design and
				Construction of Residential Health, Care, and Support Facilities, 2014 edition.
				Facility Guidelines Institute; American Society for Healthcare Engineering, which is
				incorporated herein by reference, as amended and supplemented, and is available from
				the Facility Guidelines Institute, Inc., 350 N. Saint Paul St., Suite 100, Dallas,
				TX 75201. Website:
www.fgiguidelines.org
.
				E-mail: info@fgiguidelines.org.
(b) The
				emergency department shall have the necessary monitoring devices, supplies, and
				equipment to meet the needs of patients of all ages. Availability of pediatric
				equipment shall be in accordance with American Academy of Pediatrics; Committee on
				Pediatric Emergency Medicine; American College of Emergency Physicians, Pediatric
				Committee; Emergency Nurses Association Pediatric Committee. "Joint Policy
				Statement--Guidelines for Care of Children in the Emergency Department."
PEDIATRICS
. Oct 2009; 124(4); 1233-1243, which is available at
http://pediatrics.aappublications.org/content/pediatrics/124/4/1233.full.pdf
.
(c) The emergency department shall be equipped to
				stabilize all patients.
(d) The
				emergency department shall be equipped with, at least, patient monitoring equipment
				and resuscitation equipment.
(e) The
				emergency department shall have a functioning two way communications system
				operating on an assigned frequency of 155.340 MHz for communicating with ambulance
				services about arriving patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.10 - Emergency department staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Requirements for the
				emergency department education program shall be as provided in
				8:43G-5.9.
(b) Regularly assigned emergency department staff
				shall attend training or educational programs related to the identification and
				reporting of child abuse and/or neglect in accordance with
				9:6-1 et seq.; sexual abuse; domestic
				violence; and abuse of the elderly or disabled adult.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.11 - Emergency department 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 emergency department that is
				integrated into the hospital continuous quality assurance program and includes
				regularly collecting and analyzing data to help identify health-service problems and
				their extent, and recommending, implementing, and monitoring corrective actions on
				the basis of these data.
(b) The
				continuous quality improvement program shall include periodic collection of
				emergency department data in at least the following areas:
1. Waiting time;
2. Appropriateness and timeliness of
				transfers;
3. Provision of written
				instructions;
4. Timeliness of
				diagnostic studies;
5. Appropriateness
				of treatment rendered;
6. Unscheduled
				revisits within 72 hours for the same condition;
7. Mortality; and
8. Care of patients who are retained in the
				emergency department for long periods of time.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.12 - Trauma services; scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The requirements of
				N.J.A.C.
				8:43G-12.13 through 12.23 and this section apply
				to all hospitals that the Department designates as Level I or Level II trauma
				centers, pursuant to Certificate of Need designation criteria at N.J.A.C.
				8:33.
(b) The purpose of the rules
				designated in (a) above is to specify the personnel, organization and other
				resources required for hospitals designated and licensed as trauma centers, and to
				delineate the joint responsibilities of community hospital emergency departments and
				trauma centers in the treatment of trauma patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.14 - Trauma services structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Hospitals designated
				as Level I or Level II trauma centers shall have organized departments or services
				for the following specialties:
1. General
				surgery;
2. Neurologic
				surgery;
3. Orthopedic
				surgery;
4. Emergency services;
				and
5. Anesthesia.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.15 - Trauma services policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The trauma 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 ensure a systematic and comprehensive approach to the care of
				trauma patients and shall include at least:
1.
				Trauma patient triage protocols;
2.
				Trauma team response protocols;
3.
				Trauma patient resuscitation and stabilization protocols;
4. Operating room protocols, including priority
				status for trauma patients, as required by
				8:43G-12.19;
5. Trauma patient transport protocols;
6. Bypass and diversion protocols ensuring that
				major trauma patients are not diverted unless needed to ensure patient safety;
				and
7. Monitoring and evaluation of
				trauma patients throughout their hospital stay.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.16 - Trauma services staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				physician director of trauma services who is board certified in surgery, and who has
				also completed the following post-residency clinical experience in trauma services
				(which may include experience in a trauma or surgical critical care fellowship
				program) at a center equivalent to Level I or Level II-trauma center:
1. For Level I trauma centers, at least five years
				experience; and
2. For Level II centers,
				at least three years experience.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.17 - Trauma services staff time and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For Level I and
				Level II trauma centers there shall be present in-hospital at all times personnel
				who meet the following qualifications:
1. At least
				one general surgeon who is credentialed to provide trauma care and, in consultation
				with the chief of neurosurgery, credentialed to initiate neurosurgical stabilization
				of patient; and
2. An emergency
				physician in accordance with requirements at
				8:43G-12.3, who is credentialed in
				accordance with 8:43G-12.16(b);
				and
3. Anesthesia personnel in
				accordance with requirements at
				8:43G-6.3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.18 - Trauma services patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The trauma service
				is required to provide on-site specialized services, including, at a minimum:
1. Acute hemodialysis;
2. Radiological services as follows:
i. Angiography;
ii. Computerized tomography, with a technician
				present in the hospital 24 hours a day; and
iii. Nuclear scanning;
3. For Level I trauma centers, cardiac surgery
				designation; and
4. A critical care unit
				for trauma center patients with a nurse:patient ratio of at least 1:2 on each
				shift.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.19 - Trauma services environment

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be an immediately available and adequately staffed
				  operating room in-hospital 24 hours a day, for any emergency operative procedures
				  needed by trauma center patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.20 - Trauma services quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				organized quality improvement program at Level I and Level II trauma centers that is
				integrated into the hospital quality assurance 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 quality
				improvement program shall include periodic collection and review of data in at least
				the following areas:
1. All trauma deaths and
				other cases identified by clinical indicators as potential problems;
2. Morbidity review;
3. Multidisciplinary trauma conference;
4. Medical nursing audit, utilization review,
				tissue review;
5. Review of prehospital
				trauma care; and
6. Any instances of
				bypass or diversion of major trauma patients.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.21 - Trauma services trauma registry

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each Level I and
				Level II trauma center shall maintain a trauma registry enumerating demographic,
				injury scene, prehospital, emergency department, inpatient, and discharge/outcome
				data for all patients treated or evaluated by the trauma center. The trauma registry
				shall include all items in a minimum data set defined by the Department.
(b) All other hospitals shall maintain a trauma
				registry for major trauma patients, including all items in an abbreviated data set
				determined by the Department.
(c) In
				accordance with procedures which shall be established and promulgated by the
				Department by December 20, 2000, all hospitals shall periodically submit
				computerized trauma registry data to the Department's Office of Emergency Medical
				Services (OEMS) for inclusion in the New Jersey State Trauma Registry.
(d) The Department shall not publicly disclose
				trauma registry data that identifies patients, staff, quality improvement
				determinations, or any data related to mortality or mortality rates for identified
				hospitals.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.22 - Trauma services compliance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) After designation,
				Level I and Level II trauma centers shall demonstrate continuing compliance with the
				applicable requirements of this subchapter according to the following process:
1. Trauma centers shall maintain current
				verification at Level I or Level II in accordance with the verification review
				program conducted by the American College of Surgeons (ACS), 633 N. Saint Clair
				Street, Chicago, IL 60611-3211, Phone (800) 621-4111; (312) 202-5000. Fax: (312)
				202-5001. Website:
http://www.facs.org
.
				E-mail: postmaster@facs.org.
2. Trauma
				centers shall undergo ACS reverification reviews, at the hospital's expense, prior
				to expiration of current verification. The trauma center shall arrange for staff of
				the OEMS within the Department to be present at such reviews;
3. The trauma center shall submit a copy of the
				written report of the ACS Verification Review Committee site visit to OEMS, and
				shall certify that it has corrected "criteria" deficiencies and addressed
				"non-criteria" recommendations contained in the ACS report within six months of
				receiving the report. However, individual patient chart reviews shall be considered
				confidential information, are not required to be submitted, and shall not be
				disclosed to the public;
4. The
				Department may use information from ACS verification reviews in the conjunction with
				other survey methods to determine whether licensure deficiencies have occurred, in
				accordance with the provisions of N.J.A.C. 8:43E; and
5. The Department may terminate the Level I or
				Level II designation of a trauma center for failure to maintain ACS verification or
				other licensure deficiencies if a continuing pattern of substandard care is
				demonstrated which adversely affects patient outcomes and which has not been
				corrected within six months. Proposed termination shall follow the process for
				enforcement remedies and hearings set forth in N.J.A.C. 8:43E.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.23 - Pediatric trauma services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				meeting the requirements in
				8:43G-12.12 through 12.22, each Level I
				and Level II trauma center shall continuously maintain verification by the Committee
				on Trauma of the American College of Surgeons (ACS) as an adult trauma center for
				caring for injured children, in accordance with Chapter 10 (pages 39-42) of the ACS
				publication identified in
				8:43G-12.22(a)1, except
				as otherwise provided in (b) below.
(b)
				A Level II trauma center which cannot meet the ACS pediatric trauma requirements
				specified in (a) above shall enter into a transfer agreement with the Level I trauma
				center for its region for the triage or transfer of pediatric trauma cases which the
				Level II trauma center does not have the capabilities to treat.
(c) Level I and Level II trauma centers shall have
				licensed general pediatric beds at the same site as other trauma center facilities
				and resources.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this
				subchapter is to:
1. Implement
				26:2H-12.6b through g (
				P.L.
				2005, c. 50 );
2. Promote the provision of emergency care to
				sexual assault victims by all emergency health care facilities; and
3. Establish the standard of care for all
				emergency health care facilities to provide sexual assault victims with:
i. Verbal and written information about emergency
				contraception and sexually transmitted diseases; and
ii. Emergency contraception, upon their
				request.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.2 - Incorporated documents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department incorporates by references in
				this subchapter the brochure entitled, "For People Who Have Been Sexually Assaulted
				... What You Need To Know about STDs and Emergency Contraception," which is the
				brochure developed by the Department, in collaboration with the Division on Women,
				the New Jersey Coalition Against Sexual Assault and the Sexual Assault Nurse
				Examiner program that provides information relating to emergency contraception for
				the prevention of pregnancy in sexual assault victims and sexually transmitted
				diseases and is available:
1. In the subchapter
				Appendix; and
2. In PDF format, in
				English and Spanish, at the Department's webpage,
http://www.state.nj.us/health/hivstdtb/stds/index.shtml
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following words and terms, when used in
				this subchapter, shall have the meanings established at
				26:2H-12.6b.
"Division on Women"
"Emergency care to sexual assault victims"
"Emergency contraception"
"Medically and factually accurate and objective"
"Sexual assault nurse examiner program"
"Sexual assault victim"
"Sexual offense"
(b) The following words and terms, when used in
				this subchapter, shall have the following meanings unless the context clearly
				indicates otherwise.
"Act" means
				  26:2H-12.6b though g (
				  P.L.
				  2005, c. 50 ) and this
				  subchapter.
"Commissioner" means the Commissioner of the Department of Health
				  and Senior Services or his or her designee.
"Department" means the Department of Health and Senior
				  Services.
"Emergency health care facility" or "facility" means a general
				  hospital or satellite emergency department licensed pursuant to
				  26:2H-1 et seq. ( P.L. 1971, c. 136)
				  and the Department's Hospital Licensing Standards at N.J.A.C. 8:43G.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.4 - Emergency care for sexual assault victims

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each emergency
				health care facility shall provide emergency care to a sexual assault victim,
				including:
1. Medically and factually accurate and
				objective verbal and written information about emergency contraception and sexually
				transmitted diseases, as set forth at
				8:43G-12A.6;
2. Verbal information regarding the option to
				receive emergency contraception at the facility; and
3. Emergency contraception upon request, unless
				contraindicated.
i. The emergency health care
				facility's provision of emergency contraception shall include the initial dose that
				the victim may take at the facility, the follow-up doses that the victim can
				self-administer later and applicable instructions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.5 - Policies and procedures concerning personnel training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each emergency
				health care facility shall establish written policies and procedures to ensure that
				all personnel who provide care or information to a sexual assault victim:
1. Complete mandatory training to provide
				medically and factually accurate and objective verbal and written information about
				emergency contraception and sexually transmitted diseases to a sexual assault
				victim;
2. Provide the care and
				information set forth at
				8:43G-12A.4(a)  for
				each sexual assault victim; and
3.
				Document in writing the provision of care and information to each sexual assault
				victim.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.6 - Written information on emergency contraception and sexually transmitted diseases for sexual assault victims

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each emergency
				health care facility shall provide each sexual assault victim a copy of the brochure
				entitled "For People Who Have Been Sexually Assaulted . . . What You Need To Know
				about STDs and Emergency Contraception."
(b) The Department shall make a copy of the
				brochure entitled, "For People Who Have Been Sexually Assaulted . . . What You Need
				To Know about STDs and Emergency Contraception," available to each emergency health
				care facility through the methods set forth at
				8:43G-12A.2.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.7 - Investigation and compliance

Current through Register Vol. 56, No. 14, July 15, 2024
The Department shall investigate every complaint of an emergency
				  health care facility's noncompliance with the provisions of the Act, in accordance
				  with 26:2H-12.6f(a),
				  including the failure of a facility to provide the services required by the
				  Act.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Section 8:43G-12A.8 - Penalties

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the Department
				determines that an emergency health care facility has violated any provision of the
				Act, the Department may assess the penalty established at
				8:43E-3.4(a)16.
1. All penalties assessed pursuant to (a) above
				shall be allocated on a quarterly basis to the Division on Women for supplemental
				funding for designated rape crisis centers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12A - EMERGENCY CARE FOR SEXUAL ASSAULT VICTIMS › Appendix - APPENDIX

Current through Register Vol. 56, No. 14, July 15, 2024
For People Who Have Been Sexually Assaulted...
What You Need To Know about STDs and Emergency
				  Contraception
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.1 - Housekeeping policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The housekeeping
				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 a minimum, scope of responsibility, assignment by designated unit, and
				responsibility for all cleaning tasks.
(b) The housekeeping service shall have a written
				schedule that determines the frequency of cleaning and maintaining cleanliness for
				all equipment, structures, areas, and systems within its scope of
				responsibility.
(c) There shall be a
				list available at all times of all cleaning and disinfecting agents used in the
				hospital together with their Materials Safety Data Sheet (MSDS).
(d) Records of all pesticides and herbicides used
				at the hospital shall be maintained on-site, together with their Materials Safety
				Data Sheet (MSDS).
(e) All cleaning and
				disinfecting agents shall be correctly labeled with the name of the product and its
				use, as specified by the manufacturer, including agents that have been repackaged
				from a bulk source.
(f) All pesticides
				shall be applied in accordance with State Pesticide Control Code, N.J.A.C.
				7:30.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.2 - Housekeeping staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a housekeeping or environmental service with a
				  designated director who has at least two years of experience in institutional
				  housekeeping or environmental services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.4 - Housekeeping patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All areas, including
				areas with limited access such as cabinets, drawers, locked medication rooms, and
				storage areas, shall be kept clean to sight and touch.
(b) All toilets and bathrooms shall be kept clean
				to sight and touch, in good repair, and free of odors that reflect poor housekeeping
				practices.
(c) Reusable hand-cleanser
				dispensers shall be clean inside and out. Disposable dispensers shall be discarded
				and not refilled.
(d) Floors shall be
				kept clean.
(e) Hard surfaced floors
				shall be coated with a slip-resistant floor finish.
(f) Carpeting shall be kept clean and odor free
				and shall not be frayed, worn, torn, or buckled.
(g) Window and partitioning curtains and drapes
				shall be kept clean to sight and touch and odor-free.
(h) Walls, ceilings, and vents shall be kept clean
				to sight and touch and odor-free.
(i)
				Windows and screens shall be kept clean to sight and touch, and in good
				repair.
(j) Mattresses, mattress pads
				and coverings, pillows, bedsprings, and other furnishings shall be properly
				maintained and kept clean. They shall be thoroughly cleaned and disinfected upon
				discharge of each patient.
(k) All
				equipment and environmental surfaces shall be kept clean to sight and
				touch.
(l) When areas of the hospital
				are undergoing renovation or new construction, protective measures shall be taken to
				contain dust and redirect traffic in patient care areas.
(m) Housekeeping and cleaning supplies shall be
				selected and approved by the Infection Control Committee. They shall be measured and
				used correctly and according to manufacturers' written instructions.
(n) Effective and safe controls shall be used to
				minimize or eliminate the presence of rodents, flies, roaches, and other vermin in
				the hospital. The premises shall be kept in such condition as to prevent the
				breeding, harboring, or feeding of vermin. All openings to the outer air shall be
				effectively protected against the entrance of insects.
(o) Fly strips shall not be located over food
				preparation and service areas or in patient care areas.
(p) Periodic documented inspections of buildings
				and grounds shall be performed. Buildings and grounds shall be maintained in a clean
				and safe condition.
(q) Articles in
				storage shall be elevated from the floor and away from walls, ceilings, and air
				vents to facilitate cleaning. Storage units shall be non-porous and
				cleanable.
(r) All communal toys shall
				be washed daily or more frequently as needed. No stuffed animals shall be allowed
				except for personal use.
(s) Plants and
				flowers shall not be allowed in patient treatment areas (such as operating rooms and
				procedure rooms) or sterile processing areas.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.5 - Housekeeping supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Toilet tissue and
				proper waste receptacles shall be provided in all toilet areas.
(b) Hand cleanser, sanitary towels, and waste
				receptacles or hand-drying machines shall be provided at each handwashing unit. Hand
				cleanser and hand-drying machines shall be approved by the infection control
				committee.
(c) All portable equipment,
				such as carts, stretchers, intravenous poles, and wheelchairs, shall be kept clean
				and maintained in good repair.
(d) When
				not in use, cleaning and disinfecting agents shall be stored on separate shelves
				from other supplies and in enclosed areas.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.7 - Housekeeping staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Requirements for the
				housekeeping education program shall be as provided in
				8:43G-5.9.
(b) Orientation for new housekeeping employees
				shall include training in cleaning and infection control techniques.
(c) For specialty units, including at least the
				newborn nursery, surgical suite, emergency department, pediatrics, critical care,
				renal dialysis, post mortem, and central services sterile preparation, housekeeping
				staff shall be specifically trained jointly by housekeeping and the unit staff to
				clean the unit to which they are assigned.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.8 - Housekeeping quality improvement methods

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				program of quality improvement for housekeeping that is coordinated with the
				hospital quality improvement program and includes collecting and analyzing data to
				help identify problems and their extent, and recommending, implementing, and
				monitoring corrective actions on the basis of these data. (See N.J.A.C. 8:43G-27,
				Continuous Quality Improvement).
(b)
				Hospitals that contract with a commercial housekeeping service shall use quality
				improvement measures to ensure that the same standards are met as apply to an
				in-house housekeeping service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.9 - Laundry policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The laundry service
				shall have written policies and procedures, which are reviewed every three years or
				more frequently as needed, revised as needed, implemented, and followed, and which
				include at least a policy that identifies special handling practices for soiled
				laundry.
(b) All used laundry shall be
				considered contaminated and handled according to the hospital's written policies and
				procedures, which are approved by the infection control committee.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.10 - Laundry staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
There shall be a designated director or supervisor of laundry
				  with a minimum of two years of experience in institutional laundry service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.11 - Laundry patient services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All laundry from
				patient rooms and other service areas shall be transported in such a way that no
				leakage occurs.
(b) Laundry carts shall
				be in good repair, kept clean, and identified for use with either clean linen or
				soiled laundry.
(c) Clean linen shall be
				transported in covered carts and stored in a covered or enclosed area.
(d) Bedding (sheets, pillowcases, drawsheets, and
				blankets) and clothing provided to staff and patients shall be clean and in good
				repair.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.12 - Laundry space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Soiled laundry shall
				be stored in containers provided for it in a clean, ventilated, vermin-proof and
				vermin-free area, separate from other supplies. It shall be collected from the
				storage area regularly so that it does not overflow or accumulate beyond the
				capacity of the storage containers.
(b)
				Soiled laundry shall be stored, sorted, rinsed, and laundered only in areas
				specifically designated for those purposes.
(c) If a laundry chute is used, it shall be kept
				locked.
(d) If a laundry chute is used,
				it shall be maintained in good repair and cleaned, and there shall be no build-up of
				visible soil.
(e) Laundry chutes shall
				empty into an enclosed room.
(f) If the
				hospital has an in-house laundry for the bulk of the hospital's linens, it shall
				provide a receiving, holding, and sorting area with hand washing facilities. The
				walls, floor, and ceiling of the area shall be kept clean and in good
				repair.
(g) If the hospital has a
				limited-use, home-style laundry (for example, for the use of the psychiatric unit or
				for laundering items such as cubicle curtains), the walls, floor, and ceiling of the
				area shall be kept clean and in good repair.
(h) If the hospital contracts with a commercial
				laundry service, the hospital shall have areas for sorting and receiving laundry.
				These areas shall be kept clean and in good repair.
(i) A written schedule shall be developed and
				implemented for removing lint from laundry areas on a routine basis.
(j) If the hospital has an in-house laundry, the
				flow of ventilating air shall be from clean to soiled areas, and ventilation shall
				be adequate to prevent odor build-up. Soiled laundry and clean linen shall be kept
				separate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.13 - Laundry supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The hospital shall
				have on-site an adequate supply, in good repair, of sheets, pillowcases, drawsheets,
				blankets, towels, washcloths, and scrub suits.
1.
				All hospitals shall provide laundered scrub suits in the following areas: surgical
				suites, obstetrical surgical suites, postanesthesia care unit, central services, and
				those areas as determined by hospital policy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.14 - Laundry staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Requirements for the
				laundry staff education program shall be as provided in
				8:43G-5.9.
(b) Orientation for new laundry employees shall
				include protocols for handling and receiving soiled laundry and clean
				linen.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 13 - HOUSEKEEPING, LAUNDRY, AND SANITATION › Section 8:43G-13.15 - Laundry 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 laundry service that is
				coordinated with the hospital continuous quality improvement program and includes
				regularly collecting and analyzing data to help identify problems and their extent,
				and recommending, implementing, and monitoring corrective actions on the basis of
				these data. (See N.J.A.C. 8:43G-27, Continuous Quality Improvement).
(b) Hospitals that contract with a commercial
				laundry service shall use continuous quality improvement measures to ensure that the
				standards of 8:43G-13.9 through this section are
				met.