Current through Register Vol. 54, No. 7, April 4, 2022
(a) At least
one physician or advanced practice nurse, licensed to practice in New Jersey,
shall assume overall responsibility for the direction and provision of medical
and health care.
shall be made with a community hospital for the acceptance of any person
requiring inpatient or outpatient hospital services. Services shall include
emergency, diagnostic, and/or treatment services.
1. Written approval for treatment in
emergency situations shall be obtained from the legal guardian or competent
adult at the time of admission.
Written approval for routine hospital treatment shall be obtained from the
legal guardian, or from the competent adult individual before treatment is
rendered to that individual.
(c) Primary immunizations shall be given, as
required, upon admission and reimmunizations as recommended on a regular basis
for diphtheria, tetanus, pertussis, polio, measles, and other diseases as
identified consonant with acceptable medical practices and New Jersey
Department of Health and Senior Services regulations in accordance with
be made for the isolation of persons with a communicable disease and the
prevention of its spread in accordance with N.J.A.C. 8:57.
1. Communicable disease shall be reported to
State and local health authorities and the inspecting agency in accordance with
accommodations shall be provided for observation and/or for temporary isolation
until transfer is made.
Mantoux Skin Test for tuberculosis shall be given every three years. If the
individual has had a previous positive Mantoux tuberculin skin test, or the
result of the Mantoux tuberculin skin test is significant (10 or more mm of
induration), the licensee shall require:
That the individual obtain a written statement from a physician or advance
practice nurse certifying that he or she poses no threat of tuberculosis
ii. A protocol to
follow, recommended by the physician or advance practice nurse, before allowing
the individual to come into contact with other individuals being served and
Written procedures shall be prominently posted for staff members to follow in
the event of a medical emergency.
(f) Health services staff shall be trained in
the facility's procedures for medical emergencies.
(g) First aid supplies shall be available and
accessible to all staff.
than first aid, no medication or treatment shall be administered by employees
of the facility except on written order of a licensed physician or advanced