N.J. Admin. Code § 5:27A-9.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 5:27A-9.1 - Health maintenance and monitoring services

(a) The residential health care facility shall provide health maintenance and monitoring services under the direction of a registered professional nurse.

(b) The facility shall have at least one registered professional nurse available at all times. Available, in this instance, shall mean on call and capable of being reached by telephone.

(c) A registered professional nurse shall be designated in writing as the director of health maintenance and monitoring services and shall be responsible for the direction, provision and quality of health maintenance and monitoring services. The director shall be responsible, in coordination with the administrator, for developing and implementing written objectives, standards of practice, policies and procedures and an organization plan for the health maintenance and monitoring service. The director may be employed directly by the facility or on a contractual basis.

(d) Written policies and procedures shall include, but not be limited to, the following:

1. Assessing the health service needs of all residents in the facility;

2. Monitoring the conditions of the residents on a continuing basis;

3. Notification of the administrator if there are significant changes in a resident's condition;

4. Assessing the resident's needs for referral to a physician, advanced practice nurse, or physician assistant, or to community agencies as appropriate;

5. Maintaining records as required by the facility;

6. Serving as a resource person and health educator to the residents and to the administrator of the facility; and

7. Monitoring resident's medication.

(e) The facility shall provide a minimum of 0.20 hours of nursing care from a registered professional nurse per resident per week. So long as the total minimum hourly requirement is met, the registered professional nurse shall determine whether visits to an individual resident shall be weekly, biweekly, or according to a schedule based on the individual resident's needs, as determined by the nurse's assessment.

N.J. Admin. Code § 5:27A-9.1