N.J. Admin. Code § 8:43F-5.3

Current through Register Vol. 56, No. 23, December 2, 2024
Section 8:43F-5.3 - Assessment
(a) A registered professional nurse (RN) shall assess the nursing needs of each participant, coordinate the written interdisciplinary plan of care, and ensure the timeliness of all services.
(b) An initial assessment shall be completed for each participant on the day of admission and shall include at least personal hygiene, immediate dietary needs, medications, ambulation and diagnosis. Based on this initial assessment, a written initial plan of care shall be developed within five business days of the date the initial assessment is performed.
(c) A physician, advanced practice nurse or physician assistant shall provide orders for each participant's care beginning on the day of admission.
(d) Each physician, advanced practice nurse or physician assistant order shall be executed by the nursing, dietary, social work, activities, rehabilitation or pharmacy service, as appropriate in accordance with professional standards of practice.
(e) A comprehensive assessment shall be completed for each participant within 14 days of the date the participant first attends the program. The comprehensive assessment shall include, at a minimum, evaluation of the following:
1. Cognitive patterns;
2. Communication/hearing patterns and vision;
3. Physical functioning;
4. Psychosocial well-being;
5. Medical condition/diagnoses;
6. Nutritional status and life style;
7. Oral/dental status;
8. Skin condition;
9. Medication use; and
10. Special treatment and procedures, assistive devices.

N.J. Admin. Code § 8:43F-5.3