N.J. Admin. Code § 10:75-3.9

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:75-3.9 - Resident monitoring

(a) Clinical staff who have been trained in the appropriate use of restraints shall be physically present in order to continually evaluate and monitor the physical and psychological well-being of the resident being restrained throughout the duration of the intervention.

(b) Clinical staff who have been trained in the appropriate use of seclusion shall be continually monitoring the resident who has been placed in seclusion. The staff persons shall be physically present in the room or immediately outside the seclusion room to ensure the safety of the resident. Video monitoring shall not meet this requirement.

(c) If the emergency safety intervention continues beyond the time limit specified in the order given by the physician/practitioner, staff who have been authorized to receive the order as indicated at N.J.A.C. 10:75-3.5 and 3.6 shall contact the physician/practitioner who initiated the order for further instructions.

(d) A physician, advance practice nurse, registered nurse, physician's assistant or other licensed practitioner trained in the use of emergency safety interventions, who are not precluded by regulation to conduct an evaluation, shall conduct a face-to-face evaluation of the physical and psychological well-being of the individual involved in the emergency safety intervention within one hour of the initiation of the intervention.

1. The one-hour assessment shall include, but shall not be limited to:

i. The resident's physical and psychological status, including the resident's behavior;

ii. The appropriateness of the intervention; and

iii. Any complications resulting from the use of the intervention.

2. Facilities may need to use more than one staff person in order to assure that both parts of the evaluation are completed. For example, a registered nurse may conduct the physical evaluation, but a licensed clinical social worker may conduct the psychological evaluation, if deemed appropriate by the facility.

(e) Out-of-state facilities that provide services to NJ Medicaid/NJ FamilyCare beneficiaries shall follow their state Medicaid requirements regarding who is authorized to perform the evaluation required in (d) above.

N.J. Admin. Code § 10:75-3.9