N.J. Admin. Code § 13:92-9.1

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:92-9.1 - Medical services

(a) Necessary medical care shall be made available to all juveniles in accordance with appropriate medical practices.

(b) Each detention facility shall have written medical policies and procedures, made available and explained to all staff, and reviewed every six months and amended as necessary.

(c) The name, address, and phone number of the facility's licensed New Jersey physician(s), designated pursuant to the provisions of N.J.A.C 13:92-11.5, and available emergency hospitals and clinics in the area shall be readily available to all staff.

(d) No medication shall be administered to any juvenile without a prescription or without the direction of a licensed New Jersey physician or advanced practice nurse. Over the counter (OTC) medications shall only be administered when there are written "standing orders" or "protocols" approved annually by a New Jersey licensed physician, advanced practice nurse, the nursing administrator, and the administrator of the facility. All medication administered shall be under the direction of a New Jersey licensed physician or advanced practice nurse. Medicine may only be administered by:

1. Qualified health care personnel such as:

i. A registered professional nurse and/or licensed practical nurse;

ii. An advanced practice nurse; or

iii. A physician assistant licensed and authorized by law; or

2. Medication assistance staff.

(e) In accordance with N.J.A.C. 13:92-6.4, whenever a juvenile is administered medication, it shall be recorded in the "Medication Log" and on an "Individual Medication Administration Record" form that shall be maintained in the juvenile's medical file.

(f) When medication is dispensed by medication assistance staff, a "unit dose" medication administration system shall be employed. "Unit dose" means a prescribed dose of medication that is individually packaged by a pharmaceutical company or qualified health care personnel.

(g) Medication to be dispensed by medication assistance staff shall be secured and stored individually, in unit dose packaging for each juvenile, in a locked metal container with access only by the New Jersey licensed physician, qualified health care personnel licensed and authorized by State law, medication assistance staff, and the facility administrator. The key to the locked metal container shall be maintained in "Central Control" and logged in and out, to appropriate personnel only, with each use. The key shall not be accessible to juveniles or staff, other than those specified in this subsection.

(h) Authorization for medical care of juveniles shall be obtained from the parents or legal guardians whenever possible, in accordance with provisions of 30:4-7.1 et seq., as amended and supplemented.

(i) The Family Court and the parents or legal guardians of a juvenile shall be advised of any emergency medical treatment or action which is necessary.

(j) There shall be a staff member(s) on each shift or on-site on a 24-hour basis designated to be responsible for first aid and maintenance of an accountability for medical and first aid supplies. This staff member shall possess a current American Red Cross First Aid Certification, and a current Cardiopulmonary Resuscitation (CPR) Certification.

(k) Sick call shall be conducted daily and be available to each juvenile.

1. A daily sick call list may be initiated by the senior staff worker. A sick call shall then be conducted by a physician, registered professional nurse, physician assistant, or an advanced practice nurse, who is licensed and authorized by State law.

2. At times when a physician, registered professional nurse, physician assistant or an advanced practice nurse are not on-site, sick calls may be directed by the senior staff worker. A physician, registered professional nurse, physician assistant or an advanced practice nurse shall be on call at all times, and medically approved written standing orders or protocols shall be followed. A physician, registered professional nurse, physician assistant or an advanced practice nurse shall be notified, as needed, for guidance and instruction.

(l) Emergency dental treatment shall be provided when necessary.

N.J. Admin. Code § 13:92-9.1

Amended by 50 N.J.R. 2241(a), effective 11/5/2018