N.J. Admin. Code § 8:43G-12.4

Current through Register Vol. 56, No. 9, May 6, 2024

Section 8:43G-12.4 - Additional pediatric requirements

(a) Each emergency department shall have a designated pediatric liaison physician and a designated pediatric liaison nurse, who shall be responsible for review and approval of the emergency department's pediatric activities, including:

1. Policies and procedures for pediatric care;

2. Pediatric equipment;

3. Continuous quality improvement for pediatric patients;

4. Staff training and education for pediatric care; and

5. Pediatric emergency medicine registry.

(b) Upon 60 days notice by the Department, each emergency department shall implement and maintain a pediatric emergency medicine registry for all emergency department admissions under 18 years of age who either die or are admitted to an intensive care unit or step-down unit. This registry shall include the following data items:

1. Medical record number;

2. Hospital identifier number (assigned randomly);

3. Date of service;

4. Gender;

5. Date of birth (not age);

6. Zip code;

7. Baseline medical condition;

8. Mode of arrival;

9. Pre-hospital medical and/or procedural interventions, including emergency medical services times and vital signs;

10. Nature of presenting illness;

11. Physician professional characteristics (for example, board certification or other special training);

12. Chief complaint category;

13. Initial vital signs upon presentation;

14. Emergency department medical and/or procedural interventions (treatment rendered);

15. Clinical impression;

16. Time of call for transfer;

17. Mode of transport on transfer;

18. Transport team interventions;

19. Intensive care unit number;

20. Intensive care unit physician professional characteristics (for example, board certification or other special training);

21. Medical and/or procedural interventions during first hour in intensive care unit;

22. Initial critical care score;

23. Length of stay in intensive care unit;

24. Final disposition;

25. Functional neurologic status; and

26. Functional physiologic status.

(c) Based upon recommendations from the New Jersey Emergency Medical Services for Children Advisory Council, the Department may require, through promulgation of an amendment to (b) above, the inclusion of additional data items.

(d) Registry data shall be submitted on an annual basis to the Department in a form prescribed by the Department.

(e) The hospital shall develop and implement written policies and procedures to support breastfeeding while a child is in the emergency department.

1. These policies and procedures shall require responsible staff to:

i. Determine whether a child, who presents at the emergency department for treatment, is breastfeeding;

ii. Facilitate the expression, storage, and use of the breast milk from this child's mother, as necessary;

iii. Assess the individual feeding needs of a breastfeeding child who has been referred for inpatient hospital admission;

iv. Document the findings in (e)1i, ii, and iii above in the medical record as soon as possible or before the child is released from the emergency department area; and

v. Review these policies and procedures every three years and revise at any time as necessary.

N.J. Admin. Code § 8:43G-12.4

New Rule R.2001 d.60, effective 2/20/2001.
See: 32 N.J.R. 213(a), 33 N.J.R. 658(a).
Amended by R.2014 d.025, effective 1/21/2014.
See: 45 N.J.R. 194(a), 46 N.J.R. 214(a).
Added (e).