N.J.A.C. 8:43G — HOSPITAL LICENSING STANDARDS (Subchapter 1 to 38)

(a) There shall be food-warming facilities on the unit for use by patients and their families. (b) Single bedrooms shall be available as needed to accommodate patients with neutropenia, bone marrow transplants, or radiation implants. Notes N.J. Admin. Code § 8:43G-21.11

Notes N.J. Admin. Code § 8:43G-21.12

(a) A Class 2 Vertical Laminar Air Flow Hood shall be used during the preparation of all chemotherapy on the unit. (b) To develop procedures for preparing chemotherapy, hospitals shall refer to the following publications: Centers for Disease Control and Prevention (CDC); National…

Notes N.J. Admin. Code § 8:43G-21.14

Requirements for the oncology education program shall be as provided in N.J.A.C. 8:43G-5.9. Notes N.J. Admin. Code § 8:43G-21.15

Notes N.J. Admin. Code § 8:43G-21.16

There shall be a program of continuous quality improvement for oncology that is integrated into the hospital continuous quality improvement program and includes regularly collecting and analyzing data to help identify health-service problems and their extent, and recommending, im…

(a) There shall be a multidisciplinary cancer committee, chaired by a physician, that is responsible for at least the development of oncology policies and procedures, tumor review, and tumor registry. (b) There shall be a formal mechanism for communication between the oncology se…

Notes N.J. Admin. Code § 8:43G-21.3

(a) The unit shall have written policies and procedures that are reviewed at least once every three years, revised more frequently as needed, and implemented. They shall include at least: 1. Criteria for admission; 2. Centers for Disease Control and Prevention (CDC); National Ins…

(a) There shall be a clinical coordinator with responsibility to administer the program of care who is a registered professional nurse with the equivalent of two years of full-time experience in oncology. (b) There shall be a clinical resource person who is a registered professio…

Notes N.J. Admin. Code § 8:43G-21.6

(a) A member of social work services shall be assigned to the unit to provide psychosocial services, assist with discharge planning, and provide information regarding financial aspects of care. (b) A registered dietitian shall be assigned to the oncology service. Notes N.J. Admin…

Notes N.J. Admin. Code § 8:43G-21.8

(a) There shall be multidisciplinary patient care team meetings that take place on a regularly scheduled basis and include at least a physician or physician's appointed designee, a nurse, a social worker, a dietitian, and other disciplines as necessary. (b) Patient and family tea…

The standards in this subchapter shall apply only to hospitals that have a separate, designated unit or service for pediatrics and pediatric intensive care. Notes N.J. Admin. Code § 8:43G-22.1

(a) The physician director of the pediatric service shall be board certified in pediatrics. (b) The nurse with administrative responsibility for nursing care in pediatrics shall be a registered professional nurse with at least three years of experience in pediatrics. Notes N.J. A…

Notes N.J. Admin. Code § 8:43G-22.11

(a) A minimum of 10 percent of the beds used for pediatric care shall be capable of functioning as isolation rooms. (b) Each pediatric unit shall have at least one playroom with recreation equipment and child-size tables and chairs. (c) There shall be an adult supervising when ch…

The standards in N.J.A.C. 8:43G-22.14 through 22.22 shall apply only to hospitals that have a separate, designated unit or service for pediatric intensive care. Notes N.J. Admin. Code § 8:43G-22.13

There shall be a multidisciplinary pediatric intensive care committee or its equivalent that includes at least representatives of nursing, medical staff, administration, respiratory therapy, and social work. This committee shall meet regularly to discuss unit administration and w…

(a) There shall be a full-time physician director of the pediatric intensive care service who is board certified or board eligible in pediatric critical care. (b) The pediatric intensive care unit shall be covered at all times by at least one physician, present in the hospital or…

(a) There shall be a physician who can handle pediatric emergencies, other than the physician assigned to the emergency department, in the hospital at all times. (b) There shall be at least one registered professional nurse to every two patients in the pediatric intensive care un…

(a) The following services shall be available to the pediatric intensive care unit at all times: 1. Blood bank; 2. Dialysis; 3. Hematology; 4. Laboratory; 5. Nuclear medicine; 6. Pharmacy; 7. Radiology; 8. Computer tomography; and 9. Respiratory therapy. (b) There shall be a syst…

Notes N.J. Admin. Code § 8:43G-22.18

(a) There shall be at least one isolation room in the pediatric intensive care unit. There shall be additional isolation rooms based on a ratio of one room to every six pediatric intensive care beds. (b) The pediatric intensive care unit shall be a closed unit, and no traffic to …

(a) The service shall have written policies and procedures that are reviewed at least once every three years, revised more frequently as needed, and implemented. They shall include at least:1. The age below which all patients must be admitted to a pediatric service; 2. The age ab…

(a) The pediatric intensive care unit shall have immediate access to equipment that has the capability for continuous monitoring of at least: 1. Arterial pressure; 2. Central venous pressure; 3. Electrocardiogram; 4. Heart rate; 5. Intracranial pressure; 6. Pulmonary arterial pre…

Notes N.J. Admin. Code § 8:43G-22.21

The continuous quality improvement program for pediatric intensive care shall include interhospital exchanges or information and case reviews with pediatric specialists in other hospitals. Notes N.J. Admin. Code § 8:43G-22.22 Amended by R.1999 d.436, effective 12/20/1999. See: 31…

(a) The nursing assessment of each pediatric patient shall include assessment of the patient's developmental needs. Nursing care shall be structured around this assessment. (b) All standard blood studies on pediatric patients shall use at least micro methodology. (c) There shall …

Notes N.J. Admin. Code § 8:43G-22.4

Emergency equipment shall be child-sized or adaptable for children. Notes N.J. Admin. Code § 8:43G-22.5

Requirements for the pediatrics and pediatric intensive care education program shall be as provided in N.J.A.C. 8:43G-5.9. Notes N.J. Admin. Code § 8:43G-22.6

Notes N.J. Admin. Code § 8:43G-22.7

There shall be a program of continuous quality improvement for each pediatric 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 re…

The standards in N.J.A.C. 8:43G-22.10 through 22.12 shall apply only to hospitals that have a separate, designated unit or service for pediatrics. Notes N.J. Admin. Code § 8:43G-22.9

The standards set forth in this subchapter shall apply only to hospitals that are licensed as children's hospitals. Notes N.J. Admin. Code § 8:43G-22A.1

(a) The hospital shall have a governing body, which shall carry out the following responsibilities: safeguard the program's resources; approve the children's program's long range plan; and approve the children's program's operation plans. The governing body shall meet either of t…

The hospital shall have an organized quality improvement program for each pediatric service which includes regularly collecting and analyzing data to help identify health-service problems and their extent, and recommending, implementing, and monitoring corrective actions on the b…

(a) The hospital shall be a teaching site for an organized academic department of pediatrics of an approved medical school program. (b) The hospital shall be engaged in an ongoing clinical research program. (c) The pediatric teaching program shall be approved by the Residency Rev…

(a) The children's program shall have adequate physical space and facilities provided either in a separate building(s) or in a defined and contiguous space within a building reserved for the housing of children which shall include: 1. Inpatient facilities separate from obstetrics…

(a) By October 21, 2003, all licensed children's hospitals shall operate a pediatric intensive care unit in accordance with N.J.A.C. 8:43G-22. (b) A licensed children's hospital not licensed to operate a pediatric intensive care unit on October 21, 2002 shall file a licensing app…

(a) A hospital shall have a pharmacy that is licensed by the New Jersey State Board of Pharmacy, with a current Drug Enforcement Administration registration and a controlled dangerous substance registration from the Department. (b) A multidisciplinary pharmacy and therapeutics co…

(a) There shall be a program of continuous quality improvement for the pharmacy 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 …

Notes N.J. Admin. Code § 8:43G-23.11

(a) The pharmacy and therapeutics committee, or its equivalent, shall review, approve, and ensure implementation of policies and procedures addressing at least the following areas: 1. Outpatient pharmacy services; 2. Administration of drugs; 3. Use of patients' previously acquire…