N.J. Admin. Code § 8:43G-19.6

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

Section 8:43G-19.6 - Maternal-fetal transport and neonatal transport

(a) Maternal-fetal transports for maternal management shall only be accepted by a hospital designated as a Regional Perinatal Center. Maternal-fetal transports, when the expected birth weight or gestational age falls below the facility's certified capability for neonatal care, shall be made in accordance with the facility's letter of agreement to utilize the regional transport system within the consortium region.

(b) Each Community Perinatal Center shall establish and implement interhospital transport agreements for patients who require a higher level of care for maternal-fetal management or delivery than the hospital is designated to provide. Such agreements shall be facilitated by the maternal and child health consortium, documented in the facility's letter of agreement with the Regional Perinatal Center and shall be in accordance with the consortium's regional transport system.

(c) Facilities designated as a CPC-Intermediate, CPC-Intensive, or a Regional Perinatal Center shall establish criteria and implement transport agreements with birth centers within their region for patients who require a higher level of care for maternal management delivery, or neonatal management than the birth center is designated to provide. Such agreements shall be facilitated by the maternal and child health consortium and be in accordance with the consortium's regional transport system.

(d) The maternal and child health consortium, in association with the Regional Perinatal Center shall develop transport criteria and implement policies and procedures that establish a regional maternal-fetal transport system which includes, at a minimum, a transport team staffed by health professionals with special training in maternal and fetal care in accordance with hospital policy. This transport system shall be in accordance with the regional perinatal plan.

(e) Each Community Perinatal Center shall establish and implement interhospital transport agreements for neonates who require a higher level of care than the hospital is designated to provide. Such agreements shall be facilitated by the maternal and child health consortium, documented in the facility's letter of agreement with hospitals designated as CPC-Intensive and/or Regional Perinatal Center, and shall be in accordance with the consortium's regional transport system. The transport agreement shall also include provisions for return of the neonate to the sending hospital when the problems that required transport have been resolved.

(f) All Regional Perinatal Centers and CPC-Intensives which have executed letters of agreement to accept neonatal transports shall have, at a minimum:

1. A transport team staffed by health professionals with special training in neonatology;

2. Board eligible or certified anesthesiologists available with special training in the care of neonates;

3. Formal consultative relationship with physicians in the following pediatric subspecialties: anesthesiology, cardiology, hematology/oncology, infectious diseases, nephrology, neurology, pulmonary, radiology, and surgery; and

4. Written policies and procedures specific to the required 30 minute arrival time for the physicians with pediatric subspecialties identified in (f) 3 above.

N.J. Admin. Code § 8:43G-19.6

New Rule, R.1992 d.347, effective 9/8/1992.
See: 24 New Jersey Register 2045(a), 24 New Jersey Register 3165(a).
Amended by R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
Rewrote the section.