N.J. Admin. Code § 10:161B-8.3

Current through Register Vol. 56, No. 19, October 7, 2024

Section 10:161B-8.3 - Responsibilities of licensed nursing personnel

(a) Nursing care needs of clients shall be assessed only by a registered professional nurse.

(b) All nursing services provided shall be documented in the client's clinical record, including, but not limited to:

1. The nursing portion of the client care plan, in accordance with policies and procedures;

2. Clinical notes;

3. Recording of medications administered, including:

i. The name and strength of the medication;

ii. The date and time of administration;

iii. The dosage administered;

iv. Method of administration;

v. Adverse reactions and interventions if referred; and

vi. Signature of the nurse who administered the medication or identification of the nurse by an entry code if a computerized clinical record system is used.

N.J. Admin. Code § 10:161B-8.3