N.J. Admin. Code § 8:43G-19.17

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-19.17 - Intermediate nursery staff qualifications, staff time and availability

(a) Hospitals designated as a CPC-Intermediate may provide care to neonates born greater than 1,499 grams or at least 32 weeks gestation. The only exception to this criteria is if it has been documented in the medical record that the neonate was expected to meet the weight and age criteria and the neonate does not require a higher level of care than otherwise specified for a CPC-Intermediate. Service restrictions placed on CPC-Intermediate include:

1. In no case shall continuous or intermittent positive pressure ventilatory support be administered to an intubated neonate for more than 48 hours, except in cases where authorization has been received from the neonatologist on-call at the Regional Perinatal Center or the CPC-Intensive and the CPC-Intermediate has demonstrated the ability to intubate and is able to hourly monitor the partial pressure of oxygen in the neonate's blood. Authorization from the neonatologist on-call at the Regional Perinatal Center or the CPC-Intensive shall be obtained on a daily basis and shall be documented in the medical record; and

2. All neonates, regardless of birth weight, who require surgery, or other highly specialized services shall be transported to a higher level facility capable of providing the care.

(b) The physician director of newborn care in hospitals designated as a CPC-Intermediate shall be board certified in pediatrics.

(c) There shall be a nurse manager of the intermediate nursery who meets the qualifications of the nurse manager specified in 8:43G-19.16(c). This individual may also function as the nurse manager of the obstetric service.

(d) There shall be a health professional certified in neonatal resuscitation available within the unit at all times.

(e) The intermediate nursery shall be covered at all times by a board eligible or certified pediatrician with certification and/or training and experience in neonatal medicine or a certified neonatal or pediatric nurse practitioner who is either present in the hospital or available by telephone and able to arrive within 30 minutes of being summoned under normal transportation conditions. A physician who has training and experience in neonatal medicine or a certified neonatal or pediatric nurse practitioner shall be present in the hospital whenever a neonate is receiving any form of positive pressure oxygen therapy.

(f) The intermediate nursery shall have at least one registered professional nurse to every four infants requiring intermediate care services. Additional staffing assignments shall be determined by the acuity levels of the infants.

N.J. Admin. Code § 8:43G-19.17

New Rule, R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
Former N.J.A.C. 8:43G-19.17, Newborn care policies and procedures, recodified to N.J.A.C. 8:43G-19.15.