N.J. Admin. Code § 8:43G-36.8

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

Section 8:43G-36.8 - Administrative and staff qualifications

(a) Physician qualifications for satellite emergency departments are as follows:

1. There shall be a physician director of the satellite emergency department, who may also be the director of the hospital's emergency department, who is board certified in emergency medicine or who has five years of full-time experience in emergency medicine, which may include three years residency in emergency medicine, within the past seven years. If the physician director of the satellite emergency department is not the physician director of the hospital emergency department, then there shall be coordination of all care and services between the two to ensure care delivery and quality improvement in accordance with 8:43G-5.16.

2. Each physician practicing in the satellite emergency department, except residents functioning under supervision as part of a hospital's graduate residency training program, consulting physicians, and private physicians who are attending to their patients in the satellite emergency department, shall meet at least one of the following qualifications:

i. Board certification or current eligibility to be certified in emergency medicine;

ii. Successful completion of an approved residency program in emergency medicine, family medicine, general internal medicine, general surgery, or general pediatrics; or

iii. Three years of full-time clinical experience in emergency medicine within the past five years.

3. Each physician practicing in the satellite emergency department, except residents functioning under direct supervision as part of the hospital's residency program, consulting physicians, and private physicians who are attending to their patients in the emergency department, shall attain provider status in Advanced Cardiac Life Support and either Advanced Pediatric Life Support or Pediatric Advanced Life Support within 12 months of initial assignment, and shall continuously maintain this status thereafter. Physicians who are board certified in emergency medicine shall be exempt from this requirement.

4. Each physician practicing in the satellite emergency department, except residents functioning under direct supervision as part of a hospital's graduate residency program, consulting physicians, and private physicians who are attending to their patients in the satellite emergency department, shall attain provider status in Advanced Trauma Life Support within 12 months of initial assignment, and shall continuously maintain this status thereafter. Physicians who are board certified in emergency medicine shall be exempt from this requirement.

(b) One licensed registered professional nurse certified in Advanced Cardiac Life Support (ACLS) and either Pediatric Advanced Life Support (PALS), Advanced Pediatric Life Support (APLS) or Emergency Nurse Pediatric Course (ENPC), with at least one year of emergency room experience, shall be on duty at all times in the satellite emergency department.

(c) One New Jersey licensed x-ray technician shall be on duty at all times.

(d) One staff person deemed competent by the laboratory director to perform lab tests specified in this chapter shall be on duty at all times.

(e) One current staff person who meets the qualifications identified in (c) and (d) above may be designated responsible for these areas of care and service.

(f) The facility must have policies and procedures in place to address and ensure increased staffing to address increased patient volume and acuity.

N.J. Admin. Code § 8:43G-36.8