N.J. Admin. Code § 8:111-7.2

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

Section 8:111-7.2 - Medical policies and medical staff bylaws

(a) The medical director, in conjunction with the medical staff, shall develop, implement and review annually written medical policies. This shall include medical staff bylaws that shall be subject to the review and approval of the governing authority and consistent with New Jersey laws and rules.

(b) The written medical policies and bylaws shall include, but need not be limited to, the following:

1. A plan for medical staff meetings that are documented by minutes;

2. A procedure for reviewing credentials and delinating qualifications of medical staff, appointments and reappointments, evaluation of medical care and the granting, denial, curtailment, suspension or revocation of medical staff privileges;

3. Specifications for verbal and telephone orders, including the identification of the licensed medical staff authorized to give and receive verbal and telephone orders;

4. A system for completion of entries in client clinical records by members of the medical staff, including specification of a time limit for completion of the clinical record, which must not exceed 30 days following a client's last treatment or discharge; and

5. For those facilities serving women and dependent children, a plan for ensuring that the needs of the children, as well as the mothers, are adequately assessed and met during treatment.

N.J. Admin. Code § 8:111-7.2

Recodified from 10:161A-7.2 53 N.J.R. 2208(a), effective 12/20/2021