South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries
Sec2 61-16.1300 - PERINATAL SERVICES
Section 61-16.1307 - Personnel
Universal Citation: SC Code Regs 61-16.1307
Current through Register Vol. 48, No. 9, September 27, 2024
A. Detailed components of support services and medical, nursing and ancillary staffing for each level shall meet the recommendations outlined in the most recent edition of the Guidelines for Perinatal Care.
B. The following medical specialists and subspecialists shall have medical staff credentials and/or written consultative agreements as follows:
1. Level I shall
include:
a. Membership: Physician designated
as physician-in-charge of obstetric services, physician designated for
supervision of newborn care, anesthesia personnel with credentials to
administer obstetric anesthesia available within 30 minutes, 24-hours a day,
one person capable of initiating neonatal resuscitation available at every
delivery.
b. Consultation:
Obstetrician, pediatrician, general surgeon.
2. Level II, in addition to Level I
requirements, shall include:
a. Membership:
General surgeon, pathologist, radiologist, obstetrician, pediatrician, and
anesthesiologist;
b. Consultation:
Maternal-fetal medicine specialist, neonatologist, and pediatric
surgeon.
3. Level III and
RPC, in addition to Level II requirements, shall include:
a. Membership: Maternal-fetal medicine
specialist or effective consultation with Maternal- Fetal medicine specialist,
(available 24 hours a day, 7 days a week) via telemedicine, obstetrician or
radiologist with special interest and competence in maternal disease and its
complications, pediatric radiologist, anesthesiologist with perinatal training
and/or experience; pathologists with special competence in placental, fetal,
and neonatal disease, and pediatric surgeon.
b. Urgent Consultation: Pediatric
subspecialists including cardiology, neurology, hematology, genetics,
endocrinology, nephrology, gastroenterology-nutrition, infectious diseases,
pulmonology, immunology, pathology, metabolism and pharmacology. Pediatric
surgical subspecialists, to include cardiovascular, neurosurgery, orthopedics,
ophthalmology, urology and otolaryngology.
c. For Level III hospitals: Pediatric medical
subspecialists, pediatric anesthesiologists, pediatric surgeons, and pediatric
ophthalmologists may be at the site or at a closely related institution by
prearranged consultative agreement. Prearranged consultative agreements can be
performed using, for example, telemedicine technology, or telephone
consultation, or both from a distant location.
4. Level IV, in addition to Level III
requirements, shall include: Membership and on-site: Maternal-fetal medicine
specialist, obstetrician or radiologist with special interest and competence in
maternal disease and its complications, pediatric radiologist, anesthesiologist
with perinatal training and/or experience; pathologists with special competence
in placental, fetal, and neonatal disease, and pediatric surgeon.
Disclaimer: These regulations may not be the most recent version. South Carolina 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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