N.J. Admin. Code § 8:43B-8.1 - Policies and procedures
(a) An AFC sponsor
agency shall establish written policies and procedures governing care provided to
clients.
1. These policies and procedures shall be
reviewed on an annual basis and shall be revised, as needed.
(b) The policies and procedures governing care
shall include:
1. Criteria for initial and ongoing
placement of clients that are based on a client's needs and shall assure the ability
of the AFC caregiver and AFC sponsor agency to safely meet the needs of the
client;
2. Policies and procedures for
assessing and monitoring the needs of clients, including at least:
i. Periodic monitoring of clients;
ii. Referral of clients to health care
professionals or community agencies, as appropriate; and
iii. Maintenance of records;
3. Policies and procedures for the administration
of medications to clients within an AFC home, including at least:
i. Client self-administration in accordance with
labeled prescription containers;
ii.
Training requirements for AFC caregivers who will assist clients with the
self-administration of medications or who will administer medications. Such training
shall include, at a minimum, Module VIII of N.J.A.C. 8:43B Appendix;
iii. Circumstances in which medications may be
administered by a qualified person, such as a registered professional
nurse;
iv. A system for caregivers to
report suspected drug errors and adverse drug reactions to the sponsor agency's
registered professional nurse;
v. A
system that includes keeping all medications in their original containers and
labeled in accordance with the New Jersey Board of Pharmacy requirements at N.J.A.C.
13:39;
vi. A system in which
over-the-counter medications repackaged by a pharmacy or other licensed pharmacy
provider, manufacturer, or repackager, will be labeled with the name and strength of
the medication, date of issue, expiration date, usual dose, lot number,
manufacturer's name, and cautionary and/or accessory labels. Original manufacturers'
containers shall be marked or labeled with the client's name, and the name shall not
obstruct any of the aforementioned information;
vii. A system in which single-use and disposable
items will not be reused; and
viii.
Medications that require refrigeration shall be properly maintained;
4. A policy requiring the tuberculin
screening of all clients prior to placement pursuant to
N.J.A.C.
8:43B-6.10;
5. A policy that, if eligible, keeps all clients
up to date with influenza, pneumococcal, and COVID-19 vaccines in accordance with
recommendations of the Advisory Committee on Immunization Practices. Persons who are
not up to date shall be immunized in accordance with the minimum intervals outlined
in the catch-up schedules. Schedules are available at
http://www.cdc.gov/vaccines/schedules/hcp/index.html
and
http://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us;
6. Policies and procedures concerning advance
directives, including:
i. Requirements for an
inquiry to be made of each client regarding the existence and location of an advance
directive;
ii. Requirements for
provision to clients of a written statement of client rights regarding advance
directives, approved by the Department, prior to placement; and
iii. Requirement for documentation of the
existence and location of the client's advance directive in the client's
record;
7. Policies and
procedures for monitoring and providing oversight of client funds when requested by
the client, including:
i. Obtaining a client's
written authorization for delegation of responsibility to an AFC caregiver or other
designated individual, provided that this authorization shall be witnessed, in
writing, by a designated representative of the AFC sponsor agency and either a
member of the client's family or the client representative, if applicable;
ii. Providing a client and the client's family or
legal guardian, if applicable, a quarterly written financial record of the client's
funds if the client has delegated financial management responsibilities to an AFC
caregiver, which record shall show the amount of funds at the beginning and end of
the accounting period, including a list of all deposits and withdrawals,
substantiated by receipts given to the client or the client representative;
and
iii. Prohibiting AFC caregivers from
accepting any form of gift or bequest from a client or any designation of an AFC
caregiver as a beneficiary of a client's insurance policy, trust, will, or any other
testamentary devices;
8.
Protocols to assure that transportation to all services identified in the client
service plan is provided directly or by arrangement;
9. Protocols for transfer or discharge of the
client, including the development of a written plan that includes at least:
i. The reason for, and date of, transfer or
discharge;
ii. The condition of the
client upon transfer or discharge;
iii.
A copy of the current client service plan; and
iv. The destination of the client; and
10. Policies and procedures to conduct
an initial assessment that shall indicate whether the client requires health care
services.
(c) An AFC sponsor
agency shall assure appropriate placement of clients who are transferred or
discharged.
Notes
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