Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 139 - ABORTION FACILITY REPORTING AND LICENSING
Subchapter D - MINIMUM STANDARDS FOR LICENSED ABORTION FACILITIES
Section 139.57 - Discharge and Follow-Up Referrals
Universal Citation: 25 TX Admin Code ยง 139.57
Current through Reg. 49, No. 38; September 20, 2024
(a) A licensed abortion facility shall develop and implement written discharge instructions which shall include:
(1) a list
of complications (developed by the facility in conjunction with a physician who
practices in the facility) that warrant the patient contacting the facility,
which shall include, but not be limited to:
(A) pain;
(B) fever; and
(C) bleeding;
(2) a statement of the facility's plan to
respond to the patient in the event the patient experiences any of the
complications listed in the discharge instructions to include:
(A) a telephone number by which the patient
may reach the physician, or other health care personnel employed by the
physician or by the facility at which the abortion was performed or induced
with access to the woman's relevant medical records, 24 hours a day to request
assistance for any complications that arise from the performance or induction
of the abortion or ask health-related questions regarding the
abortion;
(B) the name and
telephone number of the nearest hospital to the home of the patient at which an
emergency arising from the abortion would be treated;
(C) assurance that the responding individual
shall be a physician, advanced practice registered nurse, physician assistant,
registered nurse, or licensed vocational nurse; and
(D) information that the patient may also
contact the emergency medical service or present for care at the emergency room
of a hospital in addition to contacting the facility; and
(3) information concerning the need for a
post-abortion examination.
(b) A facility shall provide a patient with a copy of the written discharge instructions described in subsection (a) of this section.
(c) The facility shall develop and implement written policies and procedures for:
(1) examination or referral of all patients
who report complications, as identified in the list required by subsection
(a)(1) of this section, to the facility after an abortion procedure. The
written policy and procedure shall require:
(A) the facility to maintain a written system
of documentation of patients who report post-abortion complications within 14
days of the procedure date;
(B)
documentation of the facility's action following a patient's reporting of
post-abortion complications to be placed in the patient's record; and
(C) the patients' records to be maintained
for adults for seven years and for minors five years past the age the patient
reaches majority; and
(2) periodic review of the record keeping
system for post-abortion complications to identify problems and potential
problems and to make changes in order to resolve the problems.
Disclaimer: These regulations may not be the most recent version. Texas 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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