Healthcare (Healthcare Workforce)

This bill (S 3019) expands the duties of licensed practical nurses (LPNs) and patient care technicians (PCTs) working in New Jersey dialysis centers. Specifically, it allows LPNs to perform pre- and post-dialysis focal assessments (if no RN judgment/intervention is needed), and permits PCTs to administer saline and heparin - tasks currently restricted under state rules. All such activities must be conducted under a registered nurse’s direct supervision, with abnormalities immediately reported to the RN. The bill directly affects dialysis center staff and patients receiving dialysis services, requiring the Commissioner of Health to create implementing rules within 180 days of enactment.

This bill requires that medication in group homes, supervised apartments, and day programs serving people with developmental disabilities must be given only by nurses or certified medication aides working under a nurse's direct supervision. It mandates that parents or legal guardians must provide detailed medication instructions to facility nurses whenever a resident's medication or dosage changes. The bill defines key terms like "community-based residential program" (including group homes and supervised apartments) and "day program" to clarify which facilities it covers. It applies directly to residential facilities licensed by New Jersey's Department of Human Services and their staff, as well as families managing their loved ones' care. The policy aims to standardize medication safety without creating new programs or funding.