N.J. Admin. Code § 8:43G-30.6

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

Section 8:43G-30.6 - Staffing requirements for inpatient dialysis services

(a) A nephrologist shall be present prior to the initiation of the following:

1. A patient's first inpatient dialysis treatment;

i. Chronic dialysis patients who are dialytically stable and who have been admitted to the hospital for conditions unrelated to their end stage renal disease shall be exempt from (a)1 above; and

2. Emergency dialysis to a patient with a life-threatening situation, as determined by medical staff.

i. In the case of emergency dialysis, the nephrologist shall be present during the dialysis and until the patient is deemed stable.

(b) The staffing ratio in the inpatient dialysis setting shall be no greater than one registered nurse to three patients, except in the critical care setting which shall be a ratio of one to one. Staffing shall be increased if warranted by the acuity needs of the patients.

(c) In those instances where the staffing ratio requirement is one to one, a registered nurse with a minimum of six months experience in hemodialysis, obtained within the last 24 months, shall provide the service. In those instances where the staffing requirement is other than one to one, for the first three patients, a registered nurse meeting the requirement identified above shall provide the treatments.

(d) An inpatient facility providing dialysis services shall have at least one registered nurse providing treatments to the first three patients. There shall be an additional registered nurse, licensed practical nurse, or trained technician to assist the required registered nurse for the next three patients. There shall be two additional staff, one of which is a registered nurse, for each additional group of one to six patients.

N.J. Admin. Code § 8:43G-30.6