N.J. Admin. Code § 8:31B-4.74

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

Section 8:31B-4.74 - Pediatric Acute Care Units (PED)

(a) Function:

1. Pediatric Acute Care Units provide care to Pediatric patients (normally children less than 14 years and including "boarder patients") in Pediatric nursing units on the basis of physicians' orders and approved nursing care plans. Pediatric Acute Care should include the costs and revenues associated with all patients, regardless of age, treated in units normally reserved for the care of patients less than 14 years of age and does not include costs and revenues of treating patients less than 14 years in Medical-Surgical and Pediatric Acute Units. Cost and revenue associated with swing beds (that is, those not designated exclusively for one type of patient) shall be apportioned among the appropriate Routine Service Centers as defined herein based on actual utilization.

2. Special costs shall be allocated as follows: Costs associated with detained newborns should be included in the Pediatric Acute Care Unit (PED). The allocation of detained newborn costs between the Newborn Nursery and the Pediatric Acute Care Unit (PED) should be accomplished by applying a ratio of newborn charges to detained infant charges or the percentage of detained infants to total newborns. Housekeeping costs in Newborn Nursery (NBN) should be reclassified to Housekeeping (HKP). The method chosen for these allocations must be consistent from year to year.

3. All revenue generated from charge differentials between private and semi-private rooms (except those assigned for medical necessity) is to be reported as a reconciliation per N.J.A.C. 8:31B-4. Medical and Surgical Supplies should be reported in accordance with 8:31B-4.55.

4. Functions include serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing of equipment and assistance to physician in changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing I.V. fluids; answering of patients' call signals; and keeping patients' room (personal effects) in order.

(b) Units of service: Patients (Admissions and Transfers In) and Patient Days.

N.J. Admin. Code § 8:31B-4.74

Amended by R.1995 d.507, effective 9/7/1995.
See: 27 New Jersey Register 2148(a), 27 New Jersey Register 3481(a).