N.J. Admin. Code § 8:43G-30.5

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

Section 8:43G-30.5 - Physical plant requirements for inpatient renal dialysis units

(a) The treatment area for inpatient renal dialysis services shall be an open planned area separated from administrative and service areas.

(b) The minimum dimensional requirements for each dialysis station shall be:

1. There shall be a minimum width of 10 feet along the service wall.

2. The floor area within the cubicle curtain of each dialysis station shall be at least 80 square feet and shall not include the area of the service wall.

3. There shall be 30 inches of clear space around each machine and lounge, except that one side of the machine may be installed flush against the wall.

4. There shall be a minimum of four feet between beds and/or lounges.

5. The dimensional requirements listed in (b)1 through 4 above shall apply to those facilities initially licensed March 6, 2006 or later.

6. In the case of new construction or renovation involving at least 25 percent of the physical plant, hospital-based ambulatory renal dialysis units shall be required to conform to the standards provided in (b)1 through 4 above.

(c) Cubicle curtains around each patient station shall be provided for privacy and dignity.

(d) A nurses' station shall be located within the open treatment dialysis area for a unit of four or more dialysis stations and shall provide visibility of all patients' stations. This visibility condition shall apply to those facilities licensed March 6, 2006 and thereafter. However, in the case of new construction or renovation involving at least 25 percent of the physical plant, hospital-based ambulatory renal dialysis units shall be required to conform to the standards of this section.

(e) Charting facilities for nurses and doctors shall be provided.

(f) Hand washing facilities shall be provided at a ratio of one hand sink per every four dialysis stations and shall be distributed throughout the dialysis area.

(g) The following requirements shall be met for the size and location of each treatment area utilizing two or more dialysis stations for inpatient renal dialysis services:

1. A support space, which shall be adjacent to the open treatment area;

2. Separate clean and soiled work or utility rooms shall be available within a reasonable distance. These facilities may be shared;

3. A separate janitor's closet, which may be shared, shall be provided for in the renal suite. The closet shall contain a floor receptor or service sink and storage space for housekeeping supplies and equipment;

4. If a separate employee kitchen or dining area is provided in the suite, it shall be separated from the patient area and shall not be utilized by patients;

5. A lounge, locker room and staff toilet with hand washing facilities, which shall be available for staff;

6. A medication station that includes a work counter with hand washing facilities, refrigerator, and locked storage for syringes, biologicals and drugs, and which may be either:

i. A room or area designated to store and prepare individual patients' medication for administration, located in a space that is under the nursing staff's visual control; or

ii. A room or area designated to prepare individual patients' medication for administration, in which patients' medication is self-contained in a medication-dispensing machine, such as a Pyxis system or other such system approved for use by the Department, and which may be located at the nurses' station, in a clean work room, or in another space that is under direct control of the nursing or pharmacy staff;

7. A storage room or rooms, which shall be located either within or outside of the suite, which shall house the supplies and equipment necessary to maintain the machines for the dialysis suite. At least one week of operational supplies must be available in the facility;

8. Storage space for medical waste shall be provided until it is properly disposed;

9. If patient toilet rooms are provided, they shall have doors equipped with hardware which will permit access by staff in any emergency; and

10. If home training is provided, patient education rooms or areas shall be equipped with a sink for hand washing.

(h) For hospitals using contract or outside vendors to manage inpatient dialysis services, the hospital shall assure that appropriate documentation from the vendor verifying the training competencies and health status of staff is available upon request of the Department.

N.J. Admin. Code § 8:43G-30.5