State and Federal: Regulation and Policy

Update on New Jersey Sepsis Protocol Rules for Hospitals (January 16, 2018)

I wanted to share a piece of news that applies to our members that work in the acute care hospital settings. As you may recall, APIC NNJ did submit a comment letter opposing the placement of this rule in the Infection Control subchapter of the hospital licensing standards.


On December 21 the New Jersey Health Care Administration Board approved  N.J.A.C. 8:43G-14.9, “Sepsis protocols”. The notice of proposal was published in the New Jersey Register on June 19, 2017 at 49 N.J.R. 1653(a) and the public comment period ended on August 18, 2017.   The Department received numerous comments from Hospitals and Health Care Systems, professional associations and individuals.  The comments expressed support for the rules and no changes upon adoption were made in response to the comments.


 Major components of the rule include


  • A hospital shall establish, implement, and periodically update, evidence-based protocols for the early identification and treatment of patients with sepsis and septic shock;
  • Protocols shall address:
    • The screening of patients with healthcare acquired and community-acquired sepsis and septic shock;
    • Treatment guidelines;
    • Components that are population-specific as clinically indicated in accordance with evidence-based best practices
  • Training of clinical staff in the sepsis protocols, with all existing staff being trained by July 16, 2018.


Click here to view the original proposed version of the rule: HLS Sepsis Protocols.pdf

Click here to view the adopted version of the rule and comment summary: