N.J. Admin. Code § 8:43A-24.21

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43A-24.21 - Chronic kidney disease counseling services

(a) If chronic kidney disease (CKD) counseling services are provided, the facility shall establish, implement and review, at least every three years, written policies and procedures which shall include at least the following:

1. Development of a patient educational program which shall include, but is not limited to, the following:

i. Prevention/treatment of complications of CKD (that is, hypertension, anemia, malnutrition, bone disease);

ii. Treatment of cardiovascular disease and diabetes;

iii. Renal replacement therapy options (that is, hemodialysis, peritoneal dialysis, transplantation);

iv. Improvement of personal health (for example, diet and exercise); and

v. Preparation for dialysis (that is, arm preservation, vascular access planning).

2. Delineation of the teaching/educational materials which shall be distributed to the patient;

3. Documentation in the medical record of the type, content and frequency of the CKD services provided; and

4. Policies and procedures for laboratory, medication administration and/or treatment services, if provided.

(b) A registered professional nurse shall direct the CKD counseling services and shall be present at the facility during the time such services are provided to patients.

(c) The facility shall ensure that evaluation and counseling services are provided by a multidisciplinary team, which shall include a nephrologist, a registered professional nurse, a dietitian, and a social worker.

(d) The multidisciplinary team shall develop an individualized plan of care for CKD counseling services and any related health care services provided.

N.J. Admin. Code § 8:43A-24.21