Alaska Administrative Code
Title 7 - Health and Social Services
Part 1 - Administration
Chapter 12 - Facilities and Local Units
Article 9 - Free-standing Birth Centers
7 AAC 12.416 - Client management
Universal Citation: 7 AK Admin Code 12.416
Current through August 30, 2024
(a) A birth center must develop and implement written policies and procedures for client management that are approved by the governing body and that include
(1) policies
and procedures to ensure that eligibility for birth services offered by the
birth center is limited to low-risk maternal clients, as determined upon
admission and at regular intervals after admission through a physical
examination and through a risk assessment conducted in accordance with the
standards developed under
7 AAC 12.403(f);
(2) a procedure for identification and
transfer of a client who, during the course of pregnancy, labor, or recovery,
is determined to be ineligible for continued care in the birth
center;
(3) plans for consultation,
backup services, transfer, and transport of a client or newborn to a hospital
where appropriate care is available;
(4) a requirement for an informed consent
that
(A) is signed by the client before the
onset of labor; and
(B) includes
evidence that the client has received an explanation by personnel of the birth
services offered and potential risks involved;
(5) provision of education of clients,
family, and support persons in childbirth and newborn care;
(6) plans for immediate follow-up of clients
after discharge from the birth center;
(7) entering onto the client's medical record
evidence of registration of birth with the bureau of vital statistics and
completion of a birth certificate;
(8) reporting of complications and anomalies
to the department, and to the pediatric or neonatal provider identified by the
client;
(9) prophylactic care of
the newborn's eyes;
(10) procedures
for
(A) distribution of information to
clients regarding availability of resources for vitamin K, erythromycin eye
prophylaxis, newborn hearing screening tests, bloodspot screening, and other
screening tests required by law;
(B) providing a referral to each client
before discharge;
(C) following up
with each client after discharge to remind the client that the tests referred
to in (A) of this paragraph are critical to the newborn's health; and
(D) documenting that the steps set out in (A)
- (C) of this paragraph have been followed;
(11) methods to protect each client's right
to dignity, privacy, safety, and confidentiality;
(12) procedures for administering newborn
bloodspot screening in compliance with
7 AAC 27.510 -
7 AAC 27.590 (Screening of Newborn Children for
Congenital Disorders);
(13)
policies and procedures that cover medical emergencies, client teaching, and
discharge planning; in this paragraph, "client teaching" means instruction of a
client in diet, medication, exercise, and other therapeutic measures suggested
for consideration by the client after discharge; and
(14) policies and procedures for
(A) gram positive Group B
Streptococcusscreening, management, and treatment;
(B) information to be provided to the client
regarding Group B Streptococcus; and
(C) monitoring after delivery of each newborn
born to a client who tests positive for Group B
Streptococcusor to a client with unknown status.
(b) In addition to the orientation and training required under 7 AAC 12.860(4), the birth center shall provide and document orientation and in-service training for all employees in client management consistent with the policies and procedures developed under (a) of this section.
Authority:AS 47.32.010
AS 47.32.030
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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