New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES
Subchapter 8 - NURSING SERVICES
Section 10:161B-8.3 - Responsibilities of licensed nursing personnel
Universal Citation: NJ Admin Code 10:161B-8.3
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Nursing care needs of clients shall be assessed only by a registered professional nurse.
(b) All nursing services provided shall be documented in the client's clinical record, including, but not limited to:
1. The nursing portion of the client care plan, in accordance with policies and procedures;
2. Clinical notes;
3. Recording of medications administered, including:
i. The name and strength of the medication;
ii. The date and time of administration;
iii. The dosage administered;
iv. Method of administration;
v. Adverse reactions and interventions if referred; and
vi. Signature of the nurse who administered the medication or identification of the nurse by an entry code if a computerized clinical record system is used.
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