Current through Register Vol. 42, No. 11, August 30, 2024
(1)
Patient Care. All patient care must be rendered in accordance with
all applicable federal, state, and local laws, these rules, and current
standards of care, including all professional standards of practice. As with
any surgical procedure, the physician performing the procedure is responsible
for the procedure and for ensuring that adequate follow-up care is provided. In
order to facilitate continuity of patient care, the facility physician shall
contact and communicate with any physician rendering care for complications
arising from the abortion as soon as he or she is informed of the existence of
such complications. The facility shall develop and follow a policy and
procedure for communication with outside physicians, such as emergency
department physicians, so that all facility nurses and staff cooperate with any
physician rendering care for complications arising from an abortion.
(2)
Policies and Procedures. The
facility shall develop and follow detailed written policies and procedures that
are consistent with all applicable federal, state, and local laws, these rules,
and current standards of care, including all professional standards of
practice. A comprehensive review of these policies and procedures shall be made
annually, or whenever it appears that either a comprehensive or limited review
is necessary to meet current legal requirements or standards of care. All
necessary revisions shall be made and implemented promptly.
(3)
Patients' Rights.
(a) The facility shall have written policies
and procedures to ensure the patient the rights to dignity, privacy, and
safety.
(b) The telephone number to
register complaints with the Alabama Department of Public Health, Division of
Health Care Facilities, shall be posted in a prominent location and shall be
included in the written material given to the patient upon discharge.
(4)
Admission and
Examination Procedures.
(a)
Pre-admission for Abortion. Every woman seeking to have an abortion shall be
registered by the facility and shall be seen by a physician or a qualified
staff member for a history, physical examination, and laboratory
tests.
(b) Verification of
Pregnancy. Pregnancy testing shall be available to the patient and may precede
actual registration by the facility. No abortion shall be performed unless the
examining physician verifies that the patient is pregnant. Pregnancy test
results shall be filed in the patient's medical record.
(c) History and Physical Examination. Prior
to the abortion, a medical history shall be obtained and recorded. The patient
shall be given an appropriate physical examination, as determined by the
physician, which may include testing for sexually transmitted diseases, as
indicated below. The facility shall report positive test results for sexually
transmitted diseases to the Department of Public Health. Provided that if such
results are reported within two business days after receipt to the Department
of Public Health, then the Department, and not the abortion clinic, shall be
responsible for follow-up and counseling of patients with test results which
are positive for sexually transmitted diseases.
(d) Laboratory Tests.
1. The following laboratory tests are
required prior to an abortion procedure: hematocrit or hemoglobin, Rh typing,
urinalysis as directed by the treating physician, and pregnancy test. Testing
for syphilis, gonorrhea, chlamydia, and HIV shall be performed if such tests
are properly consented to by the patient.
2. If a prophylactic course of antibiotic
medications is not administered or dispensed to a patient in connection with
the abortion procedure, then an abortion shall not be performed until the
results from the gonorrhea testing have been obtained or a waiver of such
treatment is signed by the patient. In the case of a medical emergency, as
defined in these rules, laboratory tests are not required prior to the
procedure.
3. If the above tests
are performed by the facility, the facility's laboratory personnel shall meet
any requirements which are in effect and which apply to the facility under
Rules promulgated by the Centers for Medicare and Medicaid Services under the
Clinical Laboratory Improvement Amendments of 1988. If the tests are referred,
they shall be referred to a hospital, to a pathologist certified, or deemed
Board eligible by the American Board of Pathology, who is currently licensed to
practice medicine in Alabama, or who holds an equivalent license in another
state, or to an independent clinical laboratory. If the tests are sent to an
independent clinical laboratory in Alabama, such laboratory must be licensed by
the State to perform clinical and anatomical work. If the tests are referred to
a laboratory outside the State, the laboratory must hold an interstate license
or letter or exemption under the 1988 Clinical Laboratory Improvement
Amendments (CLIA). When specimens are collected on premises, a record must be
maintained to reflect the apparent condition of the specimen, time and date
collected, and name of the patient. All personnel collecting specimens shall be
adequately and appropriately trained and, where otherwise required by law shall
be licensed, and their personnel files shall reflect such training and
licensure.
4. Each abortion and
reproductive health center must develop and retain on file a written quality
assurance plan governing the performance of all laboratory procedures performed
on-premises. Facilities will be subject to unannounced inspections by the
Department of Public Health to determine that on-premises laboratory procedures
are being correctly and accurately performed.
(e) Provision for Transfusion. Blood
transfusions shall not be administered in an abortion facility.
(f) Informed consent. Except in the case of a
medical emergency, as defined in these rules, no abortion shall be performed or
induced without the voluntary and informed consent of the woman upon whom the
abortion is to be performed or induced. Except in the case of a medical
emergency, as defined in these rules, consent to an abortion is voluntary and
informed if and only if:
1. At least 48 hours
before the abortion, the physician who is to perform the abortion, the
referring physician, or a qualified person has informed and provided the woman
in person, or by return receipt certified mail restricted delivery, and if by
mail, again in person prior to the abortion, a copy of the printed materials
developed by the Department of Public Health which list agencies that offer
assistance, adoption agencies, development of the fetus, methods and risks of
abortion and childbirth, father's obligations, alternatives to abortion and
available methods of birth control. Mailing of the printed materials may be
arranged by telephone.
2. Prior to
an abortion, the physician who is to perform the abortion, the referring
physician, or a qualified counselor has informed the woman in person:
(i) The name of the physician who will
perform the abortion in writing or a business card.
(ii) The nature of the proposed abortion
method and associated risks and alternatives that a reasonable patient would
consider material to the decision of whether or not to undergo the
abortion.
(iii) The probable
gestational age of the embryo or fetus at the time the abortion is to be
performed, and the probable anatomical and physiological characteristics of the
embryo or fetus at the time the abortion is to be performed. If the fetus is
viable or has reached a gestational age, as defined in these rules, of more
than 19 weeks, that:
(I) The fetus may be
able to survive outside the womb. The person giving this information may advise
the patient fully and in good faith of his or her understanding of these terms,
and of the nature of any such survival, including that survival may be merely a
possibility or may be of extremely limited duration.
(II) The woman has the right to request the
physician to use the method of abortion that is most likely to preserve the
life of the child, provided such abortion is not otherwise prohibited by
law.
(III) If the child is born
alive, the attending physician has the legal obligation to take all reasonable
steps necessary to maintain the life and health of the child.
(IV) If at the time of the counseling an
ultrasound has been performed and it is the physician's good faith clinical
judgment that the fetus is not viable, then the physician need not inform the
woman of the information described in (I), (II), and (III).
3. The physician who is
to perform the abortion or the referring physician is required to perform an
ultrasound before the abortion. The woman has right to view the ultrasound
before an abortion. The woman shall complete a required form to acknowledge
that she either saw the ultrasound image or that she was offered the
opportunity and rejected it.
4. She
has the right to view a video program prepared by the Department of Public
Health and the ultrasound.
5. Any
need for anti-Rh immune globulin therapy, and if she is Rh negative, the likely
consequences of refusing such therapy and the cost of the therapy.
6. She cannot be forced or required by anyone
to have an abortion. She is free to withhold or withdraw her consent for an
abortion without affecting her right to future care or treatment and without
the loss of any state or federally funded benefits to which she might otherwise
be entitled.
(i) The patient shall complete
and sign the form in Appendix A to these rules.
(ii) Prior to the performance of an abortion,
the physician who is to perform the abortion or his or her agent shall receive
the signed receipt of the certified mail dated 24 hours before the abortion, if
mailed, and the signed forms that she has received the information of
subsections (1) and (2) before the abortion, had the opportunity to view the
video and the ultrasound, and provided her informed consent for an abortion.
The abortion or reproductive health center shall retain the signed receipt,
signed forms, and a printed copy of the ultrasound image in the woman's medical
file for the time required by law, but not less than four years.
7. When a physician using good
faith clinical judgment determines that some specific information required to
be given under above informed consent provisions would cause a woman severe
non-temporary psychological harm, the physician may forego providing this
specific information to the woman. This conclusion does not, however, exempt
the physician from otherwise complying with these informed consent provisions
or the 48 hour waiting period.
8.
Consent for Unemancipated and Emancipated Minors. Prior to performing an
abortion on a minor, whether unemancipated or emancipated, the physician or his
or her agents shall obtain and complete all legally required forms for consent
and attach supporting documentation. Forms to be utilized for these purposes
are located in Appendix C to these rules and when executed shall, with the
supporting documents, be retained as required by these rules as a part of the
patient's medical record.
(5)
Operative Procedures.
(a) Medical Services. Only physicians duly
licensed in the State of Alabama, shall order diagnostic work or medications or
perform abortions. Pelvic examinations and other medical procedures shall be
performed only by the physician performing the abortion. The governing
authority or medical director shall delineate surgical privileges for each
physician performing abortions, and shall also establish written criteria
setting forth the specific procedures permitted to be performed in the
facility, and including general and specific procedures that may not be
performed by the various non-physician staff members. Such written criteria
shall be placed on file within the facility and shall be available for
inspection by the Board of Health.
(b) Patients shall not be admitted for the
performance of abortion procedures for which the expected time for surgery and
recovery exceeds 12 hours.
(c)
Before a physician performs an abortion, the physician shall examine the fetus
by use of ultrasound and by such other techniques as to produce a reasonably
accurate method of determining the gestational age, viability of the fetus and
the intrauterine location. After such examination, the physician shall enter
into the patient's medical record the tests or examinations performed, and his
findings regarding viability and intrauterine location. If the physician
determines that the fetus is viable, the pregnancy shall not be terminated at
the abortion or reproductive health center except when an immediate abortion is
necessary to preserve the life or physical health of the mother.
(d) Anesthesia. Anesthesia shall be
administered to patients only by a Certified Registered Professional Nurse
Anesthetist or by a physician deemed qualified by the facility's medical
director. The anesthesia must be administered only under the direct physical
supervision of a licensed physician. After the administration of an anesthesia,
patients shall remain under the physical observation of a Physician, Registered
Professional Nurse, or Licensed Practical Nurse (the LPN must be directly
supervised by an RN) until the patient is sufficiently alert and able to summon
aid.
(e) Examination of Tissue
Removed. Tissue removed during an abortion shall be examined by a pathologist
certified, or deemed Board eligible, by the American Board of Pathology, in
anatomical pathology and, if sent to a physician in Alabama, currently licensed
to practice medicine and surgery in Alabama, or if sent to a physician in
another state, currently licensed to practice medicine in such state. A report
of the examination shall be placed in the patient's medical record. If the
examination reveals that no fetal tissue was removed during the abortion, the
patient shall be contacted by the facility and she shall be offered or referred
for appropriate medical treatment. All medical waste, except such tissue as is
sent to a pathologist and not returned to the facility, shall be disposed of in
accordance with procedures set forth in the Rules of the Alabama Department of
Environmental Management governing medical waste.
(f) Anti-Rh immune globulin therapy with
required laboratory procedures shall be given to all Rh negative abortion
patients within 72 hours of completion of the termination procedure when, in
the professional judgment of the physician performing the abortion, lack of
such treatment will have an adverse effect on the patient's future childbearing
potential. If the treating physician does not consider the treatment necessary,
a signed statement to this effect shall be entered in the patient's medical
record. Women seeking abortions, if Rh negative, shall be counseled about the
necessity or likely necessity of obtaining such therapy, the likely
consequences of refusing such therapy, and the cost of such therapy, prior to
undergoing the abortion procedure. If for any reason a patient refuses the
administration of such treatment when recommended by the physician, the refusal
shall be entered in the clinical record, documented and supported by the
patient's signature on an appropriate release or waiver form.
(6)
Postoperative
Procedures.
(a) Postoperative
Observation. After an abortion procedure, patients shall be observed until a
determination can be made whether any immediate postoperative complications are
present. Patients shall either be discharged within 12 hours of admission in an
ambulatory condition without need for further observation or acute care, or
shall be offered transportation to a local hospital for further treatment.
During and after an abortion procedure performed at an abortion or reproductive
health center, a physician shall remain on the premises until all patients are
discharged. The discharge order must be signed by the physician. Prior to
discharge from the facility, the patient shall be provided with the name and
telephone number of the physician who will provide care in the event of
complications, and the name of the medications given at the abortion
clinic.
(b) Responsibility for
Continuing Medical Care: The physician who performs an abortion procedure is
responsible for ensuring that all patients receive adequate follow-up care. A
physician with admitting privileges at a hospital within the same standard
metropolitan statistical area as the clinic must be available to provide care
for complications arising from an abortion twenty-four hours a day, seven days
a week. If no physician performing abortion procedures at the facility can meet
this requirement, the facility must have a valid written contract with an
outside covering physician or it must maintain strict compliance with
subsection (c) below. The contract with the outside covering physician shall
include:
1. a requirement that the outside
covering physician shall be available to treat and manage all complications
that may reasonably arise as a result of an abortion;
2. the protocol for communication between the
facility, the facility physicians, and the outside covering physician so that
at least one of the facility physicians shall be available to communicate and
consult with the outside covering physician at all times;
3. the outside covering physician's
fees;
4. a requirement that the
outside covering physician has staff privileges at a hospital within the same
standard metropolitan statistical area that permit him or her to perform
dilation and curettage, laparotomy procedures, hysterectomy, and any other
procedures necessary to treat abortion-related complications; and
5. a requirement that the outside covering
physician notify the facility not less than 72 hours in advance of any absences
during which he or she will not be available to provide care and he or she does
not have another physician who meets all the requirements of subsections (b)(1)
and (b)(4) available to cover for him or her to provide care.
(c) A facility that demonstrates
through written documentation its inability to obtain a written contract with
an outside covering physician may comply with these rules if, at a minimum, the
following criteria are met:
1. The medical
director shall ensure that all staff associated with the facility are competent
as required by these rules and professional standards of care. There must be
documentation maintained in each staff member's personnel file of specific
training related to their job description and job duties performed.
2. The training for each staff member shall
include training related to the protocol and policy for communication with
outside healthcare providers involved in treating patients with post-abortion
complications. This training shall include notification of the facility medical
director or other facility physician of instructions provided to the patient
and documented in the patient's medical record.
3. The facility shall complete the Department
approved patient consent form and maintain a copy of this form in the patient's
medical record. The purpose of the form is to inform all patients who have a
procedure at a facility without a physician who has local hospital privileges
and without an outside covering physician, that no physician associated with
the facility will provide post-abortion care in an emergency department, should
the patient require such service, and that such service will be provided by the
emergency department, and that the facility medical director or other facility
physician shall be available 24 hours a day, 7 days a week to consult with the
emergency department physician(s) and staff during said care.
4. The patient shall receive a copy of her
medical record that pertains to the current abortion procedure prior to leaving
the facility.
5. The policy for
calls requiring post-abortion complication care shall include at least the
following:
(i) In the event a patient is
instructed to present to the nearest emergency department by the facility
medical director or other facility physician, the medical director or other
facility physician will contact the emergency department and notify its staff
of the patient's pending arrival.
(ii) The medical director or other facility
physician shall be available 24 hours a day, 7 days a week to consult with the
emergency department physician(s) as necessary during the care of facility
patients.
(iii) A follow-up
appointment, with patient consent, will be made with the facility as soon as
possible following discharge from the emergency department or
hospital.
(iv) The medical director
or other facility physician shall review the complete facility record in detail
for all patients that are instructed to present, or who self-present, to a
hospital emergency department, when such visit is known to the facility, within
24 hours of notification. The purpose of this review is to determine if
clinical standards of care were followed by all staff and to identify any
information that may aid other healthcare providers in their care of the
patient. This review shall be documented in the patient medical
record.
(v) Documentation of
post-abortion related care and services provided to a patient of the facility
by any outside healthcare provider shall be included in the facility medical
record when such care is known to the facility.
(vi) The facility policy concerning calls
regarding post-abortion care must include a list of current working telephone
numbers for the medical director and all other facility physicians such that
staff are able to reach them 24 hours a day, 7 days a week. This list must be
readily available to all staff.
(vii) If the medical director or other
facility physician will not be available to consult with emergency department
physician(s) or other outside healthcare provider(s), the facility must be so
notified in advance and stop performing abortions no later than 72 hours before
the physician' s non-availability.
(d) Necessity of Physician Availability. A
facility may not perform abortions if a facility physician or outside covering
physician described in subsection (b) above is not available to provide care
for post-abortion complications. Alternatively, if the facility has proven an
inability to comply with subsection (b), a facility may not perform abortions
if the facility's medical director or other facility physician is not available
to provide consultation for post-abortion complications. If a facility receives
notice that no such physician will be available, it must stop performing
abortions no later than 72 hours before the physician's
non-availability.
(e) Postoperative
Policies and Procedures. A facility must develop and follow written policies
and procedures detailing the sequence of postoperative care. The facility must
have a 24-hour answering service that immediately refers all calls related to
post-abortion problems to a qualified registered nurse, nurse practitioner,
physician assistant, or physician. If a registered nurse, nurse practitioner,
or physician assistant will be the initial medical contact, clear protocols
must be developed and approved by the medical director, all facility
physicians, and any outside covering physicians to establish when a physician
will be contacted, which physician will be initially contacted, how the outside
covering physician will be contacted if immediate care is needed, and how the
patient will be contacted and receive the physician's instructions.
(f) Call Records. In addition to the
infection control record required by these rules, a facility must keep a record
of all calls taken by the registered nurse, nurse practitioner, physician
assistant, or physician. The call record should include the patient's name,
time and date of call, a brief description of the reason for the call, date of
the procedure, location of the emergency department the patient is presenting
to, if known and applicable, and any action taken in response. A full
description of any adverse conditions and the instructions or treatment given
in response must be noted in the patient's medical record.
(g) Postoperative Instructions. Written
instructions shall be issued to all patients upon discharge and shall include
at least:
1. A list of possible
complications, the signs and symptoms for each complication, and recommended
procedures to be followed in the event of such complication.
2. Activities to be avoided, and the period
of time during which the activities should be avoided.
3. A telephone number to call with questions
or concerns. If the telephone numbers during and after hours are different,
both shall be included, along with the times each will be staffed.
4. Date and time for a follow-up or return
visit, with information regarding the importance of keeping the follow-up
appointment.
5. The name and
telephone number of the physician who will provide care in the event of
complications, and the name of the medications given at the abortion
clinic.
(h) Reports to
the Center for Health Statistics. The administrator of each abortion or
reproductive health center shall report each abortion to the Center for Health
Statistics no later than 10 days after the last day of the month during which
the procedure was performed. A copy of the report shall be kept in the
patient's medical record. All reports shall be in a format prescribed by the
State Registrar. In no event shall the information reported to the Center for
Health Statistics contain the name or the address of the patient whose
pregnancy was terminated or any other information identifying the patient.
Individual reports shall not be available for public inspection and the
information shall be maintained in strict confidence by the Center for Health
Statistics. The Center for Health Statistics shall annually make available to
the public aggregate data about the number of abortions performed in clinical
settings statewide. The Director of the Center for Health Statistics may
authorize the release of other aggregate statistical data for official
government use. In no event shall the Center release the names of individual
physicians or other staff members employed by abortion or reproductive health
centers.
(7)
Pharmaceutical Services.
(a)
Safety. Drug rooms shall be provided with safeguards to prevent entrance of
unauthorized persons, including bars on accessible windows and locks on doors.
Controlled drugs and ethyl alcohol, if stocked, shall be stored under double
locks and in accordance with applicable Federal and State laws.
(b) Administering, Dispensing, and
Prescribing Drugs and Medicines. Only physicians and properly credentialed
nurse practitioners and physician assistants may prescribe or order
medications. Nurse practitioners and physician assistants may prescribe only
those medications described in their individual collaborative agreements.
Except for standing orders as permitted below, medications shall be prescribed
for patients of the facility by patient name after an appropriate medical
evaluation. Oral and telephone orders shall be received only by a physician,
nurse practitioner, physician assistant, registered professional nurse,
licensed practical nurse, or a pharmacist. Oral and telephone orders shall be
immediately documented in writing by the individual receiving the order.
Prescribing, dispensing, and administration of medications shall meet all
standards required by law and by regulations of the State Board of Medical
Examiners and the State Board of Pharmacy. Abortifacient medications shall be
prescribed only by a physician. Only a physician may give, sell, dispense,
administer, or otherwise prescribe an abortion-inducing drug. The physician
giving, selling, dispensing, administering, or otherwise providing or
prescribing the abortion-inducing drug shall first examine the pregnant woman
in person and document, in the woman's medical chart, the gestational age and
intrauterine location of the pregnancy prior to giving, selling, dispensing,
administering, or otherwise providing or prescribing the abortion-inducing
drug.
(c) Standing Orders. When
permitted by a policy of the facility reduced to writing and approved by the
facility's current medical director, limited standing orders may be directed to
a nurse practitioner, physician assistant, registered professional nurse or
licensed practical nurse. All post-operative complications must be immediately
referred to a qualified registered nurse, nurse practitioner, physician
assistant, or physician, in accordance with the requirements for post-operative
policies and procedures specified in section (6)(d). Standing orders may not be
used to prescribe controlled substances or abortifacient medications.
Prescriptions or medication orders called or faxed to a pharmacy pursuant to a
standing order shall be immediately documented by the nurse practitioner,
physician assistant, registered professional nurse or licensed practical nurse,
in the same manner required for oral or telephone orders. All oral orders,
telephone orders, and records of prescriptions called or faxed pursuant to
standing orders shall be verified by the prescribing physician's signature
within 48 hours. Such verification may be undertaken by fax. Drugs and
medications may not be dispensed except by or under the direct supervision of a
physician or pharmacist.
(d)
Controlled Substances Permit. Each abortion clinic shall procure a controlled
drug permit from the Drug Enforcement Agency if a stock of controlled drugs is
to be maintained. The permit shall be displayed in a prominent
location.
(e) Records. Records
shall be kept of all stock controlled substances giving an account of all items
received and administered. Records shall be kept in a manner which allows
accurate reconciliation.
(f)
Poisonous Substances. All poisonous substances must be plainly labeled and kept
in a cabinet or closet separate from medicines and drugs to be prepared for
administration.
(g) Emergency Kit
or Emergency Drugs.
1. Each abortion clinic
shall maintain upon the advice and written approval of the facility's medical
director an emergency kit or stock supply of drugs and medicines for treating
the emergency needs of patients.
2.
The kit or medicine shall be stored in such a manner as to be inaccessible to
unauthorized personnel while allowing quick retrieval by authorized
personnel.
3. Each emergency kit or
stock supply of drugs shall contain a written list of its contents, approved by
the medical director, including the name and strength of each drug (with
generic equivalents, where appropriate), and amounts to be
maintained.
4. At all times when
patients are in the facility, there shall be at least one staff member on the
premises who has the knowledge, skills and abilities to operate the emergency
equipment. Protocols shall be in place to ensure ongoing training of staff in
the use of emergency equipment, the management of emergencies and the
indications for emergency transport.
5. Emergency kits and the stock supply of
drugs shall be inspected with sufficient frequency to permit the removal of all
outdated drugs. Each kit shall contain a log documenting such
inspections.
(h) Drug
Reference Sources. Each abortion clinic shall maintain reference sources for
identifying and describing drugs and medicines.
(8)
Infection Control.
(a) Infection Control Committee.
1. There shall be an infection control
committee composed of a physician and registered professional nurse who shall
be responsible for investigating, controlling, and preventing infections in the
facility.
2. There shall be
procedures to govern the use of sterile and aseptic techniques in all areas of
the facility.
3. There shall be
continuing education provided to all staff on causes, effects, transmission,
prevention, and elimination of infection at least annually.
(b) Sterilization. Definitive
written procedures governing sterilization techniques shall be developed. All
equipment must be sterilized either by pressurized steam sterilization or gas
sterilization. Procedures are to include:
1.
Technique to be used for a particular instrument or group of
instruments.
2. Length of time to
accomplish sterilization.
3.
Prohibition against re-use of one-time-use (disposable) items.
4. Temperature, time and pressure for steam
sterilization.
5. Proper methods of
preparation of items for sterilization (cleaning, wrapping and
dating).
6. Shelf storage time for
sterile items.
7. Use of sterilizer
indicators.
(c) Abortion
or reproductive health centers shall adhere to regulations of the United States
Occupational Safety and Health Administration for handling medical waste, and
regulations of the Alabama Department of Environmental Management and other
applicable federal regulations for disposal of medical waste (medical waste
includes, but is not limited to disposable gowns, soiled dressings, sponges,
surgical gloves, bacteriological cultures, blood and blood products,
excretions, secretions, other bodily fluids, catheters, needles, IV tubing with
needles attached, scalpel blades, glassware, and syringes that have been
removed from their original sterile containers).
(d) Investigation of Infections.
1. Reports of infections observed during any
follow-up or return visit of the patient shall be made and kept as a part of
the patient's medical record. Each facility shall maintain a surveillance
logbook recording all follow-up visits and telephone inquiries in which
infections or other complaints are reported or observed. This logbook shall be
reviewed at least quarterly by the facility's medical director. The facility's
medical director may specify certain patient complaints, such as mild cramps,
which, in his professional opinion and judgment, do not warrant being recorded
in the logbook. The logbook shall in all events contain documentation of the
following:
(i) Any report by a patient of
severe cramps;
(ii) Any report by a
patient of passage of a blood clot as large or larger than three centimeters,
or one and one fourth inches, in diameter (the approximate size of a fifty cent
piece);
(iii) Any report by a
patient that she has passed tissue;
(iv) Any report by a patient of foul-smelling
discharge;
(v) Any report by a
patient that she has soaked two or more sanitary pads in one hour;
(vi) Any report by a patient of a body
temperature of 100 degrees Fahrenheit or more;
(vii) Any diagnosis of perforation of the
uterus; and
(viii) Any
hospitalization of a patient for adverse conditions resulting from a procedure
performed at the facility.
2. Efforts shall be made to determine the
origin of any infection and if the abortion procedure was found to be related
to acquiring the infection, remedial action shall be taken to prevent
recurrence. In the event of sustained numbers of infections (three or more
patients in one week), the State Health Department shall be immediately
notified. Upon order of the Health Department, operation of the facility shall
be discontinued until approval for continuation of operation is granted by the
State Health Department.
3. If the
facility wishes to contest such closure, the Health Department shall provide an
opportunity for a hearing under the contested case provisions of the Alabama
Administrative Procedures Act. Such hearing shall be held not more than two
working days after notice of appeal is given to the Health Department, unless
the facility agrees otherwise. The facility shall be entitled to full rights of
appeal from any adverse decision rendered as a result of the hearing, as set
forth by law.
(e)
Environment. The abortion facility shall provide a safe and sanitary
environment, and shall be properly constructed, equipped, and maintained to
protect the health and safety of patients and staff.
(9)
Mandatory Reporting. The
abortion facility shall have in place a policy and procedure to obtain the
following information:
(a) Any minor child
under the age of 16 seeking an abortion from an abortion or reproductive health
care facility shall be asked by the physician performing the abortion or his or
her agent to state the name and age of the individual who is believed to be the
father of the unborn child. While the minor child may refuse to provide the
father's name and age, she should be encouraged to do so by the physician or
agent consistent with the physician's legal obligation to reduce the incidence
of child abuse when there is a reason to suspect that it has
occurred.
(b) In addition to any
other abuse reporting requirements that may apply to the staff of an abortion
or reproductive health center, if the reported age of the father is two or more
years greater than the age of the minor child, the facility shall report the
names of the pregnant minor child and the father to both local law enforcement
and the county Department of Human Resources. If the pregnant minor child is
less than 14 years old, the name of the minor child shall be reported to the
Department of Human Resources, regardless of whether the father is two or more
years older than the minor child. The receipt of reportable information by any
member of a facility staff shall trigger the requirement for the facility to
report such information.
Authors: Rick Harris, W.T. Geary, Jr., M.D.,
Brian Hale
Statutory Authority:
Code of Ala.
1975, 22-21-20, et seq.