N.J. Admin. Code § 8:35-2.4

Current through Register Vol. 56, No. 12, June 17, 2024

Section 8:35-2.4 - Requirements for bereavement checklist

(a) A facility shall develop and implement a bereavement checklist to assist the facility with obtaining information from the patient and family of a stillborn child that is needed for the facility to aid the patient and family with the grieving process.

1. The checklist shall be available to all direct care staff members and shall include at least the following information:

i. The stillborn child's name, if the child was named by the parent(s);

ii. The date and time of birth;

iii. The date the Fetal Death Certificate was prepared;

iv. The gender of the stillborn child;

v. The gestational age of the stillborn child;

vi. The number of living children the parents of the stillborn child have;

vii. The contents of the memory box;

viii. Whether the parents requested a blessing or baptism and, if so, what ceremony was performed and by whom;

ix. Whether the parents suffered a previous loss of a stillborn child;

x. The name and telephone number of the patient's primary support person;

xi. Whether the parents were offered information regarding how to obtain a certificate of birth resulting in stillbirth;

xii. Whether the patient would like to include other family members, including siblings of the stillborn and visitors of their choosing, in postmortem activities; and

xiii. Confirmation that the stillbirth information pamphlet required under N.J.A.C. 8:35-2.5 was provided to the family.

(b) A copy of the completed bereavement checklist shall be maintained as part of the patient's medical record.

N.J. Admin. Code § 8:35-2.4

Adopted by 50 N.J.R. 512(a), effective 1/16/2018