N.J. Admin. Code § 13:37-14.3

Current through Register Vol. 56, No. 8, April 15, 2024

Section 13:37-14.3 - Duties of a homemaker-home health aide; registered professional nurse delegation and direction

(a) (Reserved)

(b) A CHHA may perform home-making activities, as requested or assigned by the patient, the patient's family, or a registered professional nurse responsible for the patient's care.

(c) When a CHHA is assigned to a patient that has already been assessed by a registered professional nurse, the registered professional nurse shall review the nursing plan of care with the CHHA. The registered professional nurse and CHHA shall meet face-to-face, if the registered professional nurse determines that the CHHA is not yet adequately prepared to perform the tasks that he or she would perform for the patient pursuant to a delegation from the registered professional nurse, so that the registered professional nurse may provide instruction to the CHHA as to the manner in which the tasks shall be performed.

(d) A CHHA shall review the plan of care with a delegating registered professional nurse after the assessment has been conducted and a plan of care developed and whenever changes have been made to the plan of care by the registered professional nurse.

(e) A CHHA shall administer medications only if:

1. A registered professional nurse delegates the administration of a specific medication to the CHHA pursuant to 13:37-6.4(c);

2. The delegating registered professional nurse documents in the nursing plan of care and in the patient record kept by the CHHA's home care services agency:

i. The specific medication whose administration has been delegated;

ii. Any specific instruction the registered professional nurse provided to the CHHA as part of that delegation;

iii. The duration of the delegation;

iv. A timeframe for the professional registered nurse to reevaluate the patient;

v. The dosage of the medication, route of administration for the medication, and frequency of the medication;

vi. Any side effects that the CHHA should watch for;

vii. Any contraindications to administering the medication;

viii. Any conditions that would require the CHHA to contact the registered professional nurse;

ix. Any instructions on positioning of the patient prior to and after the administration of the medication; and

x. The instructions for proper preparation and maintenance of the medication;

3. The CHHA shall document every time that he or she administers medications; and

4. The CHHA shall report immediately to the delegating registered professional nurse or his or her registered professional nurse designee if:

i. The medication was administered at the wrong time;

ii. The wrong dose of medication was administered;

iii. The wrong medication was administered;

iv. The medication was administered through the wrong route;

v. The medication was not administered;

vi. The patient refused to take the medication; or

vii. The patient evidences any adverse reaction or side-effects to the medication.

N.J. Admin. Code § 13:37-14.3

Adopted by 48 N.J.R. 423(a), effective 3/7/2016