New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58A - ADVANCED PRACTICE NURSE SERVICES
Subchapter 3 - HEALTHSTART
Section 10:58A-3.12 - Records: documentation, confidentiality and informed consent for HealthStart pediatric care providers

Universal Citation: NJ Admin Code 10:58A-3.12

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

(a) HealthStart pediatric care providers shall have policies that protect patient confidentiality, as defined at 10:49-9.7, and provide for informed consent and document comprehensive care services in accordance with this Chapter.

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

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

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

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