N.J. Admin. Code § 8:43F-7.4

Current through Register Vol. 56, No. 24, December 18, 2024

Section 8:43F-7.4 - Provision of nursing services

(a) The facility shall provide nursing services to participants, directly in the facility.

(b) The registered professional nurse shall be responsible for, but not limited to, the following:

1. Interviewing the participant and caregivers in order to evaluate the participant's health status and health care needs;

2. Maintaining the standards of nursing practice including, but not limited to:

i. Monitoring of identified medical conditions;

ii. Administration and supervision of prescribed medications and treatments;

iii. Coordination of rehabilitative services;

iv. Development of a restorative nursing plan;

v. Monitoring of clinical behavior and nutritional status;

vi. Assisting with the maintenance or redevelopment of the activities of daily living skills;

vii. Monitoring growth and development;

viii. Implementing infection control procedures; and

ix. Communicating findings to the attending physician;

3. Managing medical emergencies;

4. Documenting the nursing services provided, including the initial assessment and evaluation of the participant's health care needs, development of the nursing component of the individualized plan of care, evaluation of the participant's progress in reaching established goals and defining the effectiveness of the nursing component of the individualized plan of care;

5. Overseeing the development of the initial individualized interdisciplinary plan of care;

6. Alerting others involved with the participant's care about changes in status and the need to change the individualized interdisciplinary plan of care;

7. Developing community medical referral resources and maintaining ongoing communication with those providers;

8. Linking the participant to necessary health care services outside the program;

9. Coordinating the services provided by other staff to meet the mutually identified health care and psychosocial needs of each recipient;

10. Providing in-service training to facility staff about the participant's health care needs;

11. Providing health education for a participant's family or primary caregiver; and

12. Serving as an advocate to assist the participant/caregiver to resolve problems.

(c) The facility's nursing staff shall assure that nursing services provided to participants are coordinated with health services currently received at home, as well as with existing community health agencies and services available to participants in time of need.

N.J. Admin. Code § 8:43F-7.4