Current through Reg. 50, No. 187; September 24, 2024
Each abortion clinic providing second trimester abortions
shall provide essential clinic supplies and equipment as required in
subsections (1) through (7) when performing second trimester abortions.
(1) The following equipment shall be
maintained in functional condition:
(a) A
surgical or gynecological examination table(s);
(b) A bed or recliner(s) suitable for
recovery;
(c) Oxygen with flow
meters and masks or equivalent;
(d)
Mechanical suction;
(e)
Resuscitation equipment to include resuscitation bags and oral
airways;
(f) Emergency medications,
intravenous fluids, and related supplies and equipment;
(g) Sterile suturing equipment and
supplies;
(h) Adjustable
examination light;
(i) Containers
for soiled linen and waste materials with covers; and,
(j) Appropriate equipment for the
administering of general anesthesia, if applicable.
(2) Emergency equipment shall be provided for
immediate use, maintained in functional condition, and capable of providing the
following services:
(a) Inhalation
therapy;
(b)
Defibrillation;
(c) Cardiac
monitoring;
(d) Suctioning; and,
(e) Maintenance of patient
airway.
(3) Anesthesia.
(a) The clinic shall have anesthesia
equipment maintained in proper working order for the appropriate administering
of general and local anesthesia, analgesia, and sedation if ordered by the
physician.
(b) All reusable
anesthesia equipment in direct contact with the patient shall be cleaned or
sterilized as appropriate after each use and such cleaning and sterilization
shall be documented.
(4)
Resuscitative Medications Required.
The clinic shall have a crash cart at the location the
anesthetizing is being carried out. The crash cart must include those emergency
medications to support the procedures performed as determined by the medical
director.
(5) Sterilization
Equipment.
Sterilizing equipment of adequate capacity shall be available
to properly sterilize instruments and materials. The sterilizing equipment
shall have approved control and safety features.
(6) Ultrasound equipment shall be located in
the clinic.
(7) Equipment
Maintenance.
(a) When patient monitoring
equipment is utilized, a written preventive maintenance program shall be
developed and implemented. This equipment shall be checked and/or tested in
accordance with manufacturer's specifications at periodic intervals, not less
than annually, to insure proper operation, and a state of good repair. After
repairs and/or alterations are made to any equipment, the equipment shall be
thoroughly tested for proper calibration before returning it to service.
Records shall be maintained on each piece of equipment to indicate its history
of testing and maintenance.
(b) All
anesthesia and surgical equipment shall have a written preventive maintenance
program developed and implemented. Equipment shall be checked and tested in
accordance with the manufacturer's specifications at designated intervals, not
less than annually, to ensure proper operation and a state of good
repair.
(c) All surgical
instruments shall have a written preventive maintenance program developed and
implemented. Surgical instruments shall be cleaned and checked for function
after use to ensure proper operation and a state of good
repair.
Rulemaking Authority 390.012(1) FS. Law Implemented
390.012(3)(b) FS.
New 9-25-06, Amended
4-5-17.
