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

Requirements for the respiratory care education program shall be as provided in N.J.A.C. 8:43G-5.9. Notes N.J. Admin. Code § 8:43G-31.12

Notes N.J. Admin. Code § 8:43G-31.13

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 recommen…

(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 thera…

(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…

Notes N.J. Admin. Code § 8:43G-31.4

(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 …

Notes N.J. Admin. Code § 8:43G-31.6

(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 tr…

Notes N.J. Admin. Code § 8:43G-31.8

(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. Notes N.J. Admin. Code § 8:43G-31.9

The standards set forth in this subchapter apply only to hospitals that have a separate, designated unit or service for same-day stay. Notes N.J. Admin. Code § 8:43G-32.1

(a) The standards set forth in N.J.A.C. 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 define…

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…

(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 …

Same-day medical patients shall receive nursing care based on their acuity. Notes N.J. Admin. Code § 8:43G-32.13

(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 b…

Notes N.J. Admin. Code § 8:43G-32.15

There shall be waiting areas for families and significant others of patients undergoing same-day medical procedures. Notes N.J. Admin. Code § 8:43G-32.16

Notes N.J. Admin. Code § 8:43G-32.17

Requirements for the same-day services education program shall be as provided in N.J.A.C. 8:43G-5.9. Notes N.J. Admin. Code § 8:43G-32.18

Notes N.J. Admin. Code § 8:43G-32.19

(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…

(a) There shall be a program of continuous quality improvement for same-day medical 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, …

The standards set forth in N.J.A.C. 8:43G-32.22 and 32.23 shall apply to a service, unit, or area(s), separate from the emergency department and designated by the hospital for the purpose of monitoring and/or observing patients who have not yet been determined to require inpatien…

(a) The hospital shall have a clearly defined plan and written policies and procedures for the use of an observation service that are reviewed at least once every three years, revised as needed, and implemented. These policies and procedures shall include at least: 1. Criteria fo…

(a) Prior to implementation, the hospital shall inform the Department in writing of the location and the number of spaces in the service. (b) The hospital may mix observation beds and inpatient beds in the same room provided the following requirements are met: 1. Observation pati…

(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 wh…

(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 surgic…

(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 …

Notes N.J. Admin. Code § 8:43G-32.6

(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 signif…

Notes N.J. Admin. Code § 8:43G-32.8

(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 reco…

(a) Each hospital shall have an organized social services department or function, with social services performed by social workers under the direction of a licensed social worker. (b) There shall be an organizational chart or alternative documentation clearly delineating the line…

There shall be a program of continuous quality improvement for social work that is integrated into the hospital continuous quality improvement program and pertains to the scope of social work services provided. The program shall include regularly collecting and analyzing data to …

(a) The social work department shall have written policies and procedures that are reviewed at least once every three years, revised more frequently as needed, and implemented. The policies and procedures concerning the scope of social work services shall address the following ar…

(a) There shall be a director of the social work department who is licensed by the New Jersey State Board of Social Work Examiners in compliance with rules at N.J.A.C. 13:44G. (b) Each social worker shall be certified or licensed by the New Jersey State Board of Social Work Exami…

Notes N.J. Admin. Code § 8:43G-33.4

Notes N.J. Admin. Code § 8:43G-33.5

(a) There shall be a system for clinical staff to refer patients directly to the social work department. (b) The social worker shall consult with members of other disciplines in providing patient care services. (c) Each patient who has received social work intervention shall be i…

Notes N.J. Admin. Code § 8:43G-33.7

(a) All reasonable efforts shall be made for privacy in patient and family interviews and in the handling of confidential phone calls by social workers. (b) Social work department files on patients shall be kept physically secure and confidential. Notes N.J. Admin. Code § 8:43G-3…

Requirements for the social work staff education program shall be as provided in N.J.A.C. 8:43G-5.9. Notes N.J. Admin. Code § 8:43G-33.9

There shall be an organizational chart, or alternative documentation that delineates the lines of authority, responsibility, and accountability of staff in surgery services. Notes N.J. Admin. Code § 8:43G-34.1

Notes N.J. Admin. Code § 8:43G-34.10

(a) There shall be a complete and current record of all surgical procedures. (b) The hospital's quality improvement program shall include a systematic review and evaluation of patient care, anesthesia practices and anesthesia techniques. The surgical staff shall identify problem-…