N.J. Admin. Code § 8:43A-24.7

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

Section 8:43A-24.7 - Dialysis staffing

(a) The qualified individual who serves as the director of nursing services, as defined in N.J.A.C. 8:43A-8.2, shall have that responsibility at only one facility.

(b) The director of nursing services may also function as facility administrator or alternate facility administrator.

1. However, if the director of nursing is functioning in an administrative capacity, this individual shall not assume patient care and/or charge nurse responsibilities.

2. In addition, under no circumstances shall any direct care personnel, including the charge nurse, perform any administrative responsibilities not directly related to the clinical care they are providing or directly supervising for the facility.

(c) At least one registered nurse shall be on duty for the first nine patients receiving dialysis services on the premises and an additional registered nurse shall be on duty for each additional nine patients, or any portion thereof.

(d) At least one registered nurse, licensed practical nurse, or trained patient care technician shall be on duty for every three patients receiving dialysis services.

(e) All registered nursing staff shall receive on-site training in renal dialysis techniques, as determined by the facility, before permitted to work independent of direct supervision of another registered nurse with 12 months experience in hemodialysis nursing.

(f) Only a registered nurse shall direct the home (self) care dialysis training program.

1. The registered nurse may elect to assign home (self) care training licensed practical nurses.

2. One licensed nurse shall be on duty for every two patients on the premises receiving home (self) care dialysis training.

(g) If self-care dialysis services are provided on the premises, there shall be a minimum of one licensed nurse on duty for every six patients on the premises receiving self-care dialysis, exclusive of personnel engaged in training.

N.J. Admin. Code § 8:43A-24.7