Current through Bulletin 2024-06, March 15, 2024
(1) Each licensee
shall designate its capability to provide perinatal, antepartum, labor,
delivery, postpartum, and nursery care in accordance with Level I basic, Level
II specialty, or Level III sub-specialty or tertiary care.
(a) A qualified member of the hospital staff
shall provide administrative, medical and nursing direction, and oversight for
perinatal services according to each hospital's designated level of
care.
(b) The licensee shall ensure
a qualified registered nurse is immediately available 24 hours per day with
enough trained competent staff to meet the designated level.
(c) The licensee shall ensure support
personnel are available to the perinatal care service according to each
hospital's designated level of care.
(2) Each licensee shall establish and
implement security protocols for perinatal patients.
(3) The perinatal department shall include
facilities and equipment for antepartum, labor and delivery, nursery,
postpartum, and optional birthing rooms.
(4) The licensee shall ensure that perinatal
areas are located and arranged to avoid non-related traffic to and from other
areas.
(5) The licensee shall
isolate patients with infections or other communicable conditions. The licensee
may not use maternity rooms for patients other than maternity patients in
hospital policy.
(6) The licensee
shall have at least one surgical suite for operative delivery.
(7) The licensee shall maintain and make
immediately available, equipment and supplies for the mother and newborn,
including:
(a) furnishings suitable for labor,
birth, and recovery;
(b) oxygen
with flow meters and masks or equivalent;
(c) mechanical suction and bulb
suction;
(d) resuscitation
equipment;
(e) emergency
medications, intravenous fluids, and related supplies and equipment;
(f) a device to assess fetal heart
rate;
(g) equipment to monitor and
maintain the optimum body temperature of the newborn;
(h) a clock capable of showing
seconds;
(i) an adjustable
examination light; and
(j) a
newborn warming unit with temperature controls that comply with Underwriters'
Laboratories requirements. The unit shall have capability for administering
oxygen and suctioning.
(8) The licensee shall maintain a delivery
room record keeping system for cross referencing information with other
departments.
(9) If birthing rooms
are provided, the licensee shall equip them in accordance with this
section.
(10) The licensee shall
ensure that the nursery includes facilities and equipment according to its
designated level of care, including an individual bassinet for each infant,
with space between bassinets as follows:
(a)
Level I Basic: Full Term or Well Baby Nursery 24 inches between
bassinets;
(b) Level II Specialty:
Continuous Care Nursery four feet between bassinets; or
(c) Level III Sub-specialty: Newborn
Intensive Care Nursery four feet between bassinets.
(11) The licensee shall ensure the
availability of the following equipment and supplies:
(a) an individual thermometer, or one with
disposable tips, for each infant;
(b) a supply of medication immediately
available for emergencies;
(c) a
covered soiled-diaper container with removable lining;
(d) a linen hamper with removable bag for
soiled linen other than diapers;
(e) a newborn warming unit with temperature
controls that comply with Underwriters' Laboratories requirements;
(f) oxygen, oxygen equipment, and suction
equipment;
(g) an oxygen
concentration monitoring device;
(h) accurate scales; and
(i) a wall thermometer.
(12) The licensee shall maintain temperature
between 70-80 degrees Fahrenheit in the nursery area.
(13) The licensee shall make infant formula
storage space available that conforms to the manufacturer's recommendations.
Only single-use bottles may be used for newborn feeding.
(14) The licensee shall provide a furnished
suspect nursery or isolation area that has a separate hand washing facility and
equipment and supplies to be used for any infant who:
(a) has a communicable disease;
(b) is delivered of an ill mother infected
with a communicable disease;
(c) is
readmitted after discharge from a hospital; or
(d) is delivered outside the hospital.
(15) The licensee shall:
(a) not attempt to delay the imminent, normal
birth of a child;
(b) instill a
prophylactic solution in the eyes of the infant within three hours of birth in
accordance with Section
R386-702-14;
(c) perform disease screening, including
phenylketonuria (PKU), in accordance with Section
26-10-6 and Rule R398-1;
and
(d) preform a newborn hearing
screening in accordance with Rule R398-2.
