Current through Register No. 40, October 3, 2024
(a) The licensee
shall provide administrative services that include the appointment of a
full-time, on-site administrator who:
(1) Has
a bachelor's degree in business administration or health and human
services;
(2) Is a licensed
physician in the State of New Hampshire;
(3) Is a certified midwife or certified nurse
midwife (CNM) in the State of New Hampshire; or
(4) Is an APRN-CNM in the State of New
Hampshire.
(b) The
licensee shall establish a process for verifying the credentials of personnel
involved in the direct care of the client which includes written documentation
that:
(1) The individual is licensed or
certified to practice health care in New Hampshire, if required; and
(2) The individual has the requisite
education and experience to meet the requirements of the position, and required
by this section.
(c) In
addition to (b) above, the licensee shall:
(1) Document that each employee involved in
the direct care of clients has been advised of the duties that they may
perform;
(2) Establish in writing
the process for updating the scope of practice of personnel as necessary;
and
(3) Conduct an annual review of
all credentialed personnel and document the review in their file.
(d) The licensee shall provide
medical services that include the appointment of a medical director who:
(1) Is a physician licensed in the State of
New Hampshire;
(2) Is an APRN-CNM
licensed in the State of New Hampshire; or
(3) Is a doctor of naturopathic medicine with
certification in natural childbirth.
(e) The medical director shall:
(1) Participate in the development of
policies and procedures for the birthing center;
(2) Participate in the birthing center's
quality improvement program; and
(3) Provide consultation to the birthing
center's personnel.
(f)
In addition to (d) above, the licensee shall:
(1) Provide qualified personnel sufficient to
meet the needs of clients that, at a minimum, shall include:
a. A primary caregiver to attend each birth
that is:
1. An obstetrician;
2. A family practice physician;
3. A licensed APRN;
4. A certified midwife; or
5. A naturopathic doctor with certification
in natural childbirth; and
b. A second person to attend each birth that
has been verified by the birthing center as being appropriately credentialed as
specified in (b) above;
(2) Have at least 2 persons on call when
births are anticipated, one of whom is a person listed under (f) (1) a. above;
and
(3) Provide the following
services in the birthing center or at the home of the client:
a. Orientation to the birthing center, the
fees, and the services of the birthing center;
b. Education for pregnancy, labor,
breastfeeding, infant care, early discharge, parenting, and sibling
preparation;
c. Prenatal
care;
d. Intrapartum
care;
e. Postpartum care;
and
f. Follow up care for the
mother and newborn.
(g) The following services shall be
prohibited in the birthing center or at the home of the client:
(1) Regional or general anesthesia including
awake sedation;
(2) Vacuum
extraction; and
(3) Chemical
induction and augmentation.
(h) The licensee shall provide dietary
services that include light nourishment during labor and postpartum.
#8957, eff
7-27-07
