New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 3 - HEALTHSTART-MATERNITY AND PEDIATRIC CARE SERVICES
Section 10:52-3.11 - Records; documentation, confidentiality, and informed consent requirements for HealthStart maternity care providers

Universal Citation: NJ Admin Code 10:52-3.11

Current through Register Vol. 56, No. 18, September 16, 2024

(a) HealthStart maternity care providers shall have policies which protect patient confidentiality, provide for informed consent and document prenatal, labor, delivery, and postpartum services in accordance with the Department of Health's "HealthStart Comprehensive Maternity Care Services Program Guidelines."

(b) An individual record shall be maintained for each patient throughout the pregnancy.

(c) Each record shall be confidential and shall include at least the following: history and physical examination findings assessment, a plan of care, treatment services, laboratory reports, counseling and health instructions provided and documentation of referral and follow-up services.

(d) There shall be policies and procedures for appropriate informed consent for all HealthStart services.

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