N.J. Admin. Code § 8:33E-1.5

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

Section 8:33E-1.5 - Facility personnel

(a) All facilities applying to provide or providing any invasive cardiac diagnostic services pursuant to this subchapter shall provide for and maintain the following minimum staff members:

1. One physician;

2. One registered nurse; and

3. One technician who must be qualified in at least one of the technician categories listed at (b)6 through 8 below.

(b) While the following functions shall be performed within each facility, more than one function may be executed by a single individual if that individual has been appropriately cross-trained to perform the required functions:

1. The laboratory director (physician in charge) shall be the chief diagnostician within the unit, and shall be certified by the Cardiovascular Subspecialty Board of the American Board of Internal Medicine or by the Subspecialty Board of Pediatric Cardiology of the American Board of Pediatrics. In addition to Board certification, the director shall have broad experience and training in invasive cardiac diagnostic procedures, including, but not limited to, a minimum of 12 months in a cardiac catheterization training program and the performance of 200 cardiac catheterization procedures with 100 of these procedures performed as the primary operator.

2. Associate physicians may be assigned to the laboratory and shall meet the identical training requirements for laboratory director contained in (b)1 above. In addition, all catheterizing physicians shall adhere to the minimum physician volume standards established for each laboratory in accordance with 8:33E-1.4(b)2 and (c)2, whichever is applicable.

i. Exceptions to these minimum training and certification requirements for incumbent Directors and associate physicians requirements may be granted by the Commissioner upon application by an institution providing documentation as to the physician's qualifications, in accordance with the requirements of this chapter, 8:43G-7.15(b), 7.25 and 7.44; and N.J.A.C. 13:35.

3. The registered nurse shall assist with administration of medications and the preparation and observation of the patient. The nurse shall have cardiac intensive care unit (CCU) experience, shall meet the licensing requirements specified at 8:43G-7.15(e), and shall have knowledge of cardiovascular medications, experience with catheterization and, for pediatric cardiac surgery centers, pediatric experience.

4. The cardiac catheterization technician shall handle blood samples and assist in the performance of tests. The technician shall help in the maintenance of equipment and supplies and should be trained to aid in patient observation and acute cardiac care.

5. The cardiac catheterization technician shall be responsible for continuous monitoring and recording of all physiologic data including the electrocardiogram.

6. The radiologic technician shall be skilled in conventional radiography and shall have special training and skills in angiographic techniques. This technician shall be competent in magnification radiography, subtraction photography, cine recording, television presentations and the use of videotape, and digital recording, except that skill in techniques that have been superceded through widely accepted technological advances shall no longer be required. This technician shall be responsible for the care and maintenance of all radiologic equipment.

7. The electronic and radiological repair technician shall be available for consultations regarding the operation and maintenance of all radiographic and physiologic measuring and recoding instruments in the laboratory. This person shall be immediately available to carry out repairs in the event of equipment failures during the course of the procedure.

8. Hospitals providing invasive cardiac diagnostic services should, to the extent possible, have bi- or multi-lingual clinical personnel available who can overcome language barriers and know and understand cultural differences among patients.

(c) One physician trained and experienced in cardiac catheterization shall be present in the room during all catheterization and angiographic procedures. An appropriately trained and experienced registered nurse and technician shall also be present during all procedures.

N.J. Admin. Code § 8:33E-1.5

Amended by R.2001 d.210, effective 6/18/2001.
See: 33 New Jersey Register 616(b), 33 New Jersey Register 2105(a).
Rewrote section.
Amended by R.2004 d.37, effective 1/20/2004.
See: 35 New Jersey Register 3773(a), 36 New Jersey Register 416(a).
Rewrote (b).