N.J. Admin. Code § 8:43G-29.1

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

Section 8:43G-29.1 - Physical therapy policies and procedures

(a) The physical therapy service shall have written policies and procedures that are reviewed at least once every three years, revised more frequently as needed, and implemented. They shall include at least:

1. Criteria for patient assessment and treatment plans;

2. Procedures for medical emergencies; and

3. Mechanisms for interdisciplinary communication.

(b) Each patient referred to the physical therapy service by physician's order shall be assessed by a physical therapist. The assessment shall include review of the medical record or medical history. A written plan of care shall be developed, based on the assessment.

(c) Physical therapy assessment and treatment shall be initiated within 48 hours of referral, excluding weekends and holidays.

(d) The physical therapy service shall develop specific criteria for patient assessment and patient treatment that are used by staff in patient contact, documentation, and for quality assurance. Criteria shall include at least the following:

1. Appropriateness of referrals;

2. Timeliness of the initiation of therapy;

3. Implementation of physical therapy orders;

4. Follow-up for patients who have not responded to therapy; and

5. The adequacy of interdisciplinary communication.

(e) The patient assessment and plan of care shall include measurable goals with specified time frames and shall be documented in the medical record. If goals are not met, the reasons why the goals are not met shall be specified in the medical record.

(f) Each physical therapy treatment shall be documented in the patient's medical record. A note shall be entered into the medical record at least weekly, or more frequently if there is a significant change in the patient's status or treatment needs.

(g) The physical therapist shall discuss the plan of care with the patient and family, if possible.

N.J. Admin. Code § 8:43G-29.1

Amended by R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
In (a), substituted "at least once every three years, revised more frequently" for "annually, revised" in the introductory paragraph.