N.J. Admin. Code § 8:8-13.20

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:8-13.20 - Administration

(a) Identification of the recipient and the HPC container shall be as follows:

1. Each transplantation service shall have a written procedure for the positive identification of the recipient and the HPC container.

2. At the bedside, immediately prior to transplantation, two qualified individuals (as specified in the SOP whose qualifications are determined and verified by the medical institution or the transplantation facility in consultation with the medical director) shall simultaneously check and match all information identifying the container with the identifying information on the person of the intended recipient and the request slip. If the information does not match, the initiation of transplantation shall be suspended until the discrepancy is adequately investigated and resolved.

3. At the bedside, immediately after the identifying information in 8:8-10.2 is matched, and before the transplantation is initiated, the two qualified individuals that checked this information shall sign the transplantation form to attest that this information was checked and that it matched.

4. All identification attached to the container shall remain attached at least until the transplantation has been completed.

(b) An administration record shall be completed and shall include:

1. The recipients name and unique identifying number;

2. The date and time of the infusion;

3. The identity of the persons administering the infusion;

4. Documentation of each HPC component, including any deviations from acceptable limits;

5. Inspection of each HPC component;

6. Authorization to use each HPC component;

7. The ABO group and Rh type;

8. A unique donor identifier; and

9. The identity of the medical staff involved with the infusion

(c) The record shall indicate that the HPC component has not been irradiated or undergone leukocyte filtration.

(d) Deviation from the infusion SOP shall be approved by the medical director and the recipient's physician and the approvals shall be documented.

N.J. Admin. Code § 8:8-13.20