N.J. Admin. Code § 8:42-6.1 - Policies and procedures
(a) The agency
shall establish written policies and procedures governing patient care that are
reviewed at least every three years by the agency's governing authority,
revised as needed, and implemented. They shall include at least the following:
1. Criteria for admission and discharge of
patients.
i. Admission criteria shall be
based solely upon the patient's needs and the ability of the agency to meet
safely the medical, nursing, and social needs of the patient.
ii. Discharge policies shall preclude
punitive discharge;
2.
Criteria for physician's orders for home health services, including time frames
and other requirements for written, verbal, and renewal orders.
i. Physician's orders for physical therapy,
occupational therapy, and speech therapy shall include the modality, frequency,
and duration of treatment;
3. Protocols for initiation, implementation,
review, and revision of plans of care and of the service plan;
4. Protocols for reassessment of patients, in
accordance with time frames documented by each health care practitioner in the
service plan;
5. Protocols for
providing continuity of care by the same health care practitioner whenever
possible;
6. Provision of care in
accordance with the plan of care;
7. Provision of emergency care;
8. Policies and procedures for the use of
restraints, including at least:
i. The need
for written physicians orders;
ii.
Indications and contraindications for use, including emergency use or use
during medical procedures;
iii.
Alternatives to physical restraints, such as environmental interventions or
behavior management;
iv. The
designation of staff who are authorized to use restraints according to scope of
practice; and
v. Teaching the
patient's family or primary caregiver the use of a progressive range of
restraining procedures from the least restrictive to the most restrictive, the
appropriate application and release of restraints, and observation of the
patient;
9. Requirements
for a discharge plan for each patient developed prior to the patient's
discharge, and methods for including the patient and/or the patient's family in
planning and implementing the discharge plan; and
10. A system for referral of patients to
other sources of care.
Notes
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