N.J. Admin. Code § 3A:56-7.2

Current through Register Vol. 56, No. 23, December 2, 2024

Section 3A:56-7.2 - Health care and medical treatment for children

(a) The home shall identify a physician or health care organization who will assume responsibility for routine, emergency and follow-up medical care of each child.

(b) Within 72 hours after admission, the home shall ensure that each child receives a comprehensive physical examination, as defined in (e) below, unless the child had received such an examination within 30 calendar days prior to his or her placement.

1. The home may extend the time frame up to 30 days for vision screenings and hearing screenings, as specified in (e)1iii and iv below, that are required as part of the child's comprehensive physical examination.

2. The home shall:

i. Obtain documentation of a vision and hearing screening, as specified in (e)1iii and iv below and performed within the last 11 months prior to the child's admission or within 72 hours after admission; or

ii. Obtain a vision or hearing screening as specified in (e)1iii and iv below within 72 hours after admission when there are indications that the child may have untreated vision or hearing problems.

(c) When the home suspects that a child is ill or carrying a contagious disease, the child shall be examined by a physician prior to admission.

(d) When the home suspects that a child has been abused or neglected the home shall ensure that the child is examined by a physician immediately upon admission.

(e) The home shall ensure that each child receives an annual comprehensive physical examination and maintain a copy of this physical examination in the child's record.

1. The physical shall include, but is not limited to:

i. A measurement of height and weight;

ii. A determination of blood pressure;

iii. An objective vision screening which uses a Titmus or Snellen test, or equivalent, given within one year of the previous vision test;

iv. A hearing screening using an audiometer and, if indicated, tympanometry, given within one year of the previous hearing test;

v. A hematocrit or Hemoglobin test, if indicated; and

vi. A urinalysis, if indicated.

2. The home may use vision and hearing screening tests completed at the child's school if these tests meet the requirements specified in (e)1iii and iv above.

3. The home shall ensure that eye glasses, orthopedic apparatus or other equipment is available to each child who requires them.

4. The home shall ensure that all children 13 years of age and under receive a Mantoux test unless they have had tuberculosis, and ensure follow-up with the physician if test results are positive.

5. The home shall ensure that all children are appropriately immunized.

(f) The home shall ensure that each child receives a dental examination within three months following admission and at least semi-annually thereafter.

(g) The home shall ensure that children between two and six years of age receive developmental evaluations by a physician, nurse or other appropriate health official.

(h) The home shall ensure that follow-up medical care is obtained as recommended following a comprehensive physical examination or other health examination.

(i) Where the term "physician" is referenced in this section, an advanced practice nurse (APN) may provide the indicated service, as licensed.

N.J. Admin. Code § 3A:56-7.2

Administrative Change, 49 N.J.R. 98a.

Amended by 50 N.J.R. 135(a), effective 1/2/2018