Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 93 - Hospitals
Subchapter U - Alternative Birthing Units
Section I-9565 - Medical Records Requirements
Universal Citation: LA Admin Code I-9565
Current through Register Vol. 50, No. 9, September 20, 2024
A. The medical record of the mother and newborn shall include, but not be limited to, the following documentation:
1. informed
consent signed by the patient and the CNM;
2. demographic and patient
information;
3. family, medical,
social, reproductive, nutrition and behavioral history;
4. initial maternal assessment and
examination;
5. evaluation of
maternal/fetal risk factors;
6.
written orders for maternal/fetal and newborn care;
7. laboratory and/or diagnostic test
results;
8. documentation of
maternal/fetal and newborn monitoring;
9. postpartum assessments;
10. physical assessment of newborn, e.g.,
Apgar score, weights, measurements;
11. labor and discharge summaries;
and
12. educational instructions
for postpartum and newborn home care, follow ups, and referrals.
AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2100-2115.
Disclaimer: These regulations may not be the most recent version. Louisiana 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
