Association of periOperative Registered Nurses

New Jersey  Government Affairs

State Coordinator

Dianna McCorkle
(732) 690-1099

Regional Coordinator

Carmen Sierra

RN Circulator Laws and Language

Hospital: NEW JERSEY ADMINISTRATIVE CODE TITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 43G. HOSPITAL LICENSING STANDARDS SUBCHAPTER 32. SAME-DAY STAY; SUBCHAPTER 34. SURGERY; SUBCHAPTER 7. CARDIAC; 8:43G-32.3 Same-day surgery services policies and procedures (c) A registered professional nurse shall be assigned to circulating nurse duties in each room where same-day surgery is being performed. 8:43G-34.5 Surgery staff time and availability (a) A registered professional nurse shall be assigned to circulating nurse duties in each room where surgery is being performed. 8:43G-7.16 Cardiac catheterization staff time and availability (a) The following staff shall be present for all cardiac catheterization procedures: 2. A registered professional nurse, trained and experienced in assisting in cardiac catheterization procedures, who acts as the circulating nurse; and 8:43G-7.30 PTCA staff time and availability (a) The following staff shall be present for all PTCA procedures: 2. A registered professional nurse certified in basic cardiac life support, and trained and experienced in cardiac catheterization and PTCA who acts as the circulating nurse; and
ASC: NEW JERSEY ADMINISTRATIVE CODE ITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 43A. MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES SUBCHAPTER 12. SURGICAL AND ANESTHESIA SERVICES 8:43A-12.6 Surgical policies and procedures (a) The facility shall develop and implement written bylaws, rules, regulations, policies, and procedures for surgical and anesthesia services, in accordance with the governing authority and medical staff bylaws. The policies and procedures shall be reviewed at least every three years and revised as needed, and shall include at least the following: 6. A registered professional nurse shall be assigned to circulating nurse duties in each room where surgery is being performed;

Registered Nurse First Assistants (RNFAs)

Reimbursement:  None
Definition:  New Jersey Administrative Code - TITLE 13. LAW AND PUBLIC SAFETY. CHAPTER 35. BOARD OF MEDICAL EXAMINERS. SUBCHAPTER 4. SURGERY. 13:35-4.1 Major surgery; qualified first assistant. (b) A major surgical procedure shall be performed by a duly qualified surgeon with a duly qualified assisting physician who may be a duly qualified resident in or rotating through a training program approved by the Accreditation Council on Graduate Medical Education or the American Osteopathic Association. (c) In addition to those individuals listed in (b) above who may act as qualified first assistants, in a health care facility licensed by the Department of Health and Senior Services, a duly qualified registered nurse first assistant (RNFA), a duly qualified physician assistant or a licensed podiatric physician may so act.
Scope:  New Jersey Administrative Code, Title 13- Law and Public Safety, Chapter 45 – Board of Medical Examiners, Subchapter 4 – Surgery. 13:35-4.1 Major surgery; qualified first assistant (b) A major surgical procedure shall be performed by a duly qualified surgeon with a duly qualified assisting physician who may be a duly qualified resident in or rotating through a training program approved by the Accreditation Council on Graduate Medical Education or the American Osteopathic Association. (c) In addition to those individuals listed in (b) above who may act as qualified first assistants, in a health care facility licensed by the Department of Health and Senior Services, a duly qualified registered nurse first assistant (RNFA), a duly qualified physician assistant or a licensed podiatric physician may so act. A duly qualified certified nurse midwife (CNM) may also act as a qualified first assistant in the performance of cesarean sections. For purposes of this subsection, a licensed CNM shall be deemed to be "duly qualified" provided that the CNM has taken and passed a 30-hour didactic training course that includes anatomy, physiology, surgical technique (including wound closure), and direct observation of cesarean sections. Following the completion of the course, a CNM shall serve and be supervised as a second assistant on 10 cesarean sections and complete a supervised preceptorship as a first assistant in 20 cesarean sections. (d) A duly qualified surgeon, duly qualified assistant physician, duly qualified resident, duly qualified registered nurse first assistant, duly qualified physician assistant, or duly qualified certified nurse midwife (CNM) shall be determined by the hospital credentials committee in conjunction with the chairman or chief of the appropriate committee in conjunction with the chairman or chief of the appropriate department or division consistent with the requirements of law or applicable rule.

Legislative Tracking

NJ S 1179 — 2014 Nursing School Grants
Supplemental appropriations to nursing schools to address nursing faculty shortage
Comments
http://www.njleg.state.nj.us/2014/Bills/A1000/909_I1.HTM 
Sponsor(s):
Vitale 
General Topic:
Education Funding 
Status:
01/30/2014: To Senate committee on Health, Human Services and Senior Citizens 
NJ A 794 — 2014 Grants for Nursing Schools
Supplemental appropriations to nursing schools to address nursing faculty shortage
Comments
http://www.njleg.state.nj.us/2014/Bills/A1000/794_I1.HTM 
Sponsor(s):
Coughlin 
General Topic:
Education Funding 
Status:
01/16/2014: To Assembly committee on Higher Education 
NJ A 909 — 2014 Board of Nursing
Would add two nurse educators to the NJ Board of Nursing
Comments
http://www.njleg.state.nj.us/2014/Bills/A1000/909_I1.HTM 
Sponsor(s):
Munoz, N 
General Topic:
Misc. 
Status:
01/16/2014: To Assembly committee on Regulated Professions 
NJ A 647 — 2014 Minimum Registered Professional Nurse Staff
Would set minimum nurse-to-patient staffing ratios in hospitals and ASCs
Comments
http://www.njleg.state.nj.us/2014/Bills/A1000/647_I1.HTM 
Sponsor(s):
Moriarty 
General Topic:
Nurse Staffing 
Status:
01/16/2014: To Assembly committee on Health and Senior Services 
NJ S 1182 — 2014 Nurses - BSN in 10
Would require newly licensed RNs to attain baccalaureate degree in nursing within 10 years of initial licensure
Comments
http://www.njleg.state.nj.us/2014/Bills/S1500/1182_I1.HTM 
Sponsor(s):
Vitale 
General Topic:
BSN 
Status:
01/30/2014: To Senate committee on Health, Human Services and Senior Citizens 
NJ S 1183 — 2014 Professional Nurse Staffing Standards
Would set minimum nurse-to-patient staffing ratios in hospitals and ASCs
Comments
http://www.njleg.state.nj.us/2014/Bills/S1500/1183_I1.HTM 
Sponsor(s):
Vitale 
General Topic:
Nurse Staffing 
Status:
01/30/2014: to Senate committee on Health, Humas Services and Senior Citizens 
NJ A 3073 — 2014 Staffing Ratios
Requires the Department of Health to establish minimum nurse to patient staffing ratios for hospitals
Comments
http://www.njleg.state.nj.us/bills/BillView.asp As of 4/8 there is not a PDF available of the introduced bill 
Sponsor(s):
Garcia (D) 
General Topic:
Nurse Staffing 
Status:
5/8/2014: To Assembly on Health and Senior Services 
NJ A 3501 — 2014 BSN in 10
Requires newly licensed registered professional nurse to attain baccalaureate degree in nursing within 10 years of initial licensure as a condition of renewal of the license.
Comments
http://www.njleg.state.nj.us/bills/BillView.asp 
Sponsor(s):
Munoz N (R) 
General Topic:
BSN 
Status:
7/11/14: To ASSEMBLY Committee on REGULATED PROFESSIONS.  

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