New Jersey Administrative Code
Title 5 - COMMUNITY AFFAIRS
Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES
Subchapter 6 - RESIDENT CARE POLICIES
Section 5:27A-6.1 - Resident care policies and procedures
Universal Citation: NJ Admin Code 5:27A-6.1
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Written resident care policies and procedures shall be established, implemented, and reviewed at intervals specified in the policies and procedures. Each review of the policies and procedures shall be documented. Policies and procedures shall include, but not be limited to, policies and procedures regarding the following:
1.
Resident rights;
2. The
determination of staffing levels to ensure a minimum of one hour of resident
supervision for each resident of the facility during each 24-hour period.
Supervision may be provided by on-duty employees who are engaged in the direct
supervision and care of residents, and also by those providing basic services
such as food service, housekeeping, laundry and general maintenance, who, by
reason of their availability on the premises, provide care and supervision as
needed;
3. The referral of
residents to health care providers in order to provide a continuum of resident
care;
4. Emergency medical and
dental care of residents, including notification of the resident's family,
guardian, or designated community agency, and care of residents during periods
of acute illness;
5. Obtaining
written informed consent for any medical procedures performed at the facility
which require informed consent by law, and the circumstances under which
written informed consent shall be obtained;
6. The control of smoking in the facility in
accordance with
26:3D-1 et seq. and 26:3D-7 et
seq. as follows:
i. Residents shall not be
permitted to smoke in their rooms and in other secluded areas;
ii. Restricted smoking areas shall be
designated and rules governing such smoking specified and rigidly enforced.
Nonflammable ashtrays in sufficient numbers shall be provided in permitted
smoking areas. In any area where smoking is permitted, there shall be adequate
outside ventilation, as described in (a)6iv below;
iii. A facility may continue to enforce a
smoke-free policy in effect prior to September 20, 1999 and shall set forth
this policy in its admission agreement;
iv. At the facility's option, it may
institute a smoke-free policy. Any prospective smoke-free policy shall be set
forth in the facility's admission agreement and shall only apply to residents
entering the facility on or after the policy's effective date. The facility
shall protect the rights of resident smokers by providing a designated area
with adequate outside ventilation for controlled smoking. If inside, the
designated smoking room shall be ventilated to prevent recirculation of smoke
to other areas of the facility. If outside, the designated area shall provide
reasonable protection from inclement weather;
7. Discharge, termination by the facility,
transfer, and readmission of residents, including criteria for each;
8. The care and control of pets, if the
facility permits pets in the facility or on its premises. (See recommendations
set forth in chapter Appendix C.)
9. A system to monitor residents leaving the
facility or its premises, which shall include a policy to determine those
circumstances where the resident's absence shall be investigated; and
10. Care of deceased residents, including,
but not limited to, policies and procedures regarding the following:
i. The resident's family, guardian, or
designated community agency shall be notified at the time of death. The
deceased shall not be removed from the facility until pronounced dead and the
death is documented in the resident's medical record; and
ii. Transportation of the deceased in the
facility, and removal from the facility, in a dignified manner.
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