N.J. Admin. Code § 10:47-6.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:47-6.1 - General medical and health care

(a) At least one physician or advanced practice nurse, licensed to practice in New Jersey, shall assume overall responsibility for the direction and provision of medical and health care.

(b) Arrangements shall be made with a community hospital for the acceptance of any person requiring inpatient or outpatient hospital services. Services shall include emergency, diagnostic, and/or treatment services.

1. Written approval for treatment in emergency situations shall be obtained from the legal guardian or competent adult at the time of admission.

2. Written approval for routine hospital treatment shall be obtained from the legal guardian, or from the competent adult individual before treatment is rendered to that individual.

(c) Primary immunizations shall be given, as required, upon admission and reimmunizations as recommended on a regular basis for diphtheria, tetanus, pertussis, polio, measles, and other diseases as identified consonant with acceptable medical practices and New Jersey Department of Health and Senior Services regulations in accordance with N.J.A.C. 8:57.

(d) Provision shall be made for the isolation of persons with a communicable disease and the prevention of its spread in accordance with N.J.A.C. 8:57.

1. Communicable disease shall be reported to State and local health authorities and the inspecting agency in accordance with N.J.A.C. 8:57.

2. Private accommodations shall be provided for observation and/or for temporary isolation until transfer is made.

3. The Mantoux Skin Test for tuberculosis shall be given every three years. If the individual has had a previous positive Mantoux tuberculin skin test, or the result of the Mantoux tuberculin skin test is significant (10 or more mm of induration), the licensee shall require:

i. That the individual obtain a written statement from a physician or advance practice nurse certifying that he or she poses no threat of tuberculosis contagion; or

ii. A protocol to follow, recommended by the physician or advance practice nurse, before allowing the individual to come into contact with other individuals being served and staff.

(e) Written procedures shall be prominently posted for staff members to follow in the event of a medical emergency.

(f) Health services staff shall be trained in the facility's procedures for medical emergencies.

(g) First aid supplies shall be available and accessible to all staff.

(h) Other than first aid, no medication or treatment shall be administered by employees of the facility except on written order of a licensed physician or advanced practice nurse.

N.J. Admin. Code § 10:47-6.1

Amended by R.2007 d.72, effective 3/5/2007.
See: 38 N.J.R. 4352(a), 39 N.J.R. 777(a).
In (a) and (h), inserted "or advanced practice nurse".