8:43H-12.1 Provision of physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology services
(a) The facility shall provide physical therapy, occupational therapy, respiratory therapy, speech-language pathology, audiology services and therapeutic recreation services directly in the facility to meet the rehabilitation needs of patients.
(b) Within 10 days of admission, the facility shall provide to each adult patient at least three hours of services per day, five days per week. Services shall include any one or any combination of the following as determined by the interdisciplinary team in collaboration with the patient and/or family:
1. Physical therapy; 2. Occupational therapy; 3. Speech-language pathology; 4. Respiratory therapy;
5. Therapeutic recreation; and/or 6. Psychology/social work.
(c) The facility shall provide to each pediatric patient the appropriate combination of rehabilitation therapy services as determined by the interdisciplinary team in collaboration with the patient and/or family. Rehabilitation therapy services may include physical therapy, occupational therapy, speech-language pathology, respiratory therapy, therapeutic recreation and any other service deemed appropriate by the interdisciplinary team.
8:43H-12.2 Appointment of physical therapist, occupational therapist, respiratory therapist, speech-language pathologist, and audiologist
(a) The facility shall appoint a physical therapist, occupational therapist, respiratory therapist, speech-language pathologist, and audiologist who shall be responsible for the direction, provision, and quality of the physical therapy, occupational therapy, respiratory therapy, speech-language pathology and audiology service, respectively. The physical therapist, occupational therapist, respiratory therapist, speech-language pathologist, and audiologist shall be responsible for, but not limited to, the following:
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published
1. Developing and maintaining written objectives, policies, a procedure manual, an organizational plan, and a quality improvement program for the physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology service, respectively;
2. Participating in planning and budgeting for the physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology service, respectively;
3. Ensuring that services are provided as specified in the physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology care plan, respectively, and are coordinated with other patient care services to provide a continuum of care for the patient;
4. Assisting in developing and maintaining written job descriptions for physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology personnel, respectively, and assigning duties based upon education, training, competencies, and job descriptions; and
5. Participating in staff education activities and providing consultation to facility personnel.
8:43H-12.3 Responsibilities of physical therapy, occupational therapy, respiratory therapy, speech-language pathology, and audiology personnel
(a) In accordance with the State of New Jersey Physical Therapy Practice Act, N.J.S.A. 45:9-37.11 et seq., for physical therapy personnel, and in accordance with the State of New JerseyAudiology and Speech-Language Pathology Practice Act, N.J.S.A. 45:3B-1 et seq., for speech-language pathology and audiology personnel, and in accordance with the State of New Jersey Occupational Therapy Practice Act, N.J.S.A. 45:9-37.51 et seq., for the occupational therapist(s), and in accordance with the State of New JerseyRespiratory Care Practitioner Practice Act, N.J.S.A. 45:14E-1 et seq., for the respiratory therapist(s), and in accordance with written jobdescriptions, each physical therapist, occupational therapist, respiratory therapist, speech-language pathologist, or audiologist shall be responsible for providing patient care, including, but not limited to, the following:
1. Assessing the physical therapy, occupational therapy, respiratory therapy, speech-language pathology, or audiology needs, respectively, of the patient, preparing the interdisciplinary care plan based on the assessment, providing services as specified in the physical therapy, occupational therapy, respiratory therapy, speech-language pathology, or audiology care plan, respectively, reassessing the patient's response to services, and revising the care plan. Each of these activities shall be documented in the patient's medical record;
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published
2. Participating as part of the interdisciplinary team in developing, implementing, reviewing, and revising the interdisciplinary care plan;
3. Writing clinical notes and progress notes; and
4. Assisting the patient in activities of daily living based upon the patient's strengths,needs, abilities and preferences.
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published SUBCHAPTER 13. COUNSELING SERVICES
8:43H-13.1 Provision of social work services and psychology services
The facility shall provide social work services and psychology services to patients directly in the facility.
8:43H-13.2 Appointment of social worker and psychologist
(a) The facility shall appoint a social worker who has a master's degree in social work and is licensed by the State Board of Social Work, and a psychologist. The social worker and the psychologist shall be responsible for the direction, provision, and quality of the social work service and psychology service, respectively. The social worker and the psychologist shall be responsible for, but not limited to, the following:
1. Developing and implementing written objectives, policies, a procedure manual, an organizational plan, and participating in the facility's quality improvement program for the social work service and psychology service, respectively;
2. Participating in planning and budgeting for the social work service and psychology service, respectively;
3. Ensuring that services are provided as specified in the social work care plan and psychology care plan, respectively, and are coordinated with other patient care services to provide a continuum of care for the patient;
4. Assisting in developing and maintaining written job descriptions for social work service personnel and psychology service personnel, respectively, and assigning duties based upon education, training, competencies, and job descriptions; and
5. Participating in staff education activities and providing consultation to facility personnel.
8:43H-13.3 Responsibilities of social worker and psychology staff
(a) In accordance with written job descriptions, each social worker or psychology staff member shall be responsible for providing patient care, including, but not limited to, the following:
1. When indicated, assessing the social work needs or psychological needs, respectively, of the patient, preparing the interdisciplinary care plan based on the assessment, providing services as specified in the interdisciplinary care plan, reassessing the patient's response to services, and revising the interdisciplinary care plan. Each of these activities shall be documented in the patient's medical record;
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published
2. Participating as part of the interdisciplinary team in developing, implementing, reviewing, and revising the interdisciplinary care plan; and
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published SUBCHAPTER 14. THERAPEUTIC RECREATION SERVICES
8:43H-14.1 Provision of therapeutic recreation services
(a) When medically necessary and ordered by a physician the facility shall provide therapeutic recreation treatment services designed to restore, remediate or rehabilitate functional capabilities, as well as to reduce or eliminate the effect of illness or disability.
(b) The facility shall provide a planned, diversified program of recreational activities for patients, including daytime, evening, individual, group, and/or independent activities, on at least six days of the week, directly in the facility.
(c) Indoor and outdoor recreation shall be provided.
8:43H-14.2 Appointment of the individual overseeing therapeutic recreation
(a) The facility shall appoint an individual to oversee therapeutic recreation who shall be responsible for the direction, provision, and quality of the recreation therapeutic service. The individual overseeing therapeutic recreation shall be responsible for, but not limited to, the following:
1. Developing and implementing written objectives, policies, a procedure manual, and an organizational plan; and participating in the facility's quality improvement program;
2. Participating in planning and budgeting for the recreational therapy service; 3. Ensuring that services are provided as specified in the interdisciplinary care plan and are coordinated with other patient care services to provide a continuum of care for the patient;
4. Assisting in developing and maintaining written job descriptions for recreational therapy personnel, and assigning duties based upon education, training, competencies, and job descriptions;
5. Participating in staff education activities and providing consultation to facility personnel; and
6. Posting a current monthly recreational therapy activity calendar where it can be read by patients, staff, and visitors, and maintaining a record of such schedules for one year.
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published
(a) In accordance with written job descriptions, each recreation therapist shall be responsible for providing patient care, including, but not limited to, the following:
1. Assessing the recreational therapy needs of the patient, preparing the therapeutic recreational component of the interdisciplinary care plan based on the assessment, providing recreational therapy services as specified in the interdisciplinary care plan, reassessing the patient's response to services, and revising the interdisciplinary care plan;
2. Participating as part of the interdisciplinary team in developing, implementing, reviewing, and revising the therapeutic recreational component of the interdisciplinary care plan;
3. Writing clinical notes and progress notes; and
4. Assisting the patient in activities of daily living based upon the patient's strengths, needs, abilities, and preferences.
The official version of any departmental rulemaking activity (notices of proposals or adoption) are published SUBCHAPTER 15. ORTHOTIC AND PROSTHETIC SERVICES, VOCATIONAL
TESTING, DRIVER TRAINING SERVICES, DENTAL SERVICES,