Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix M - Level II Resource Checklist

Current through Register Vol. 48, No. 28, July 12, 2024
Level II Resource Checklist
Briefly describe institutional
				compliance:
The Level II hospital shall provide all of the services
				outlined for Level I general care.
1. The hospital shall provide continuing education for medical,
				nursing, respiratory therapy and other staff who provide general perinatal
				services, with evidence of a yearly competence assessment appropriate to the
				population served.
RECOMMENDATIONS:
2. The hospital shall provide documentation of participation in
				Continuous Quality Improvement (CQI) implemented by the Administrative
				Perinatal Center.
RECOMMENDATIONS:
3. The hospital shall provide documentation of the health care
				provider's risk assessment and consultation with a maternal-fetal medicine
				sub-specialist or neonatologist as specified in the letter of agreement and
				hospital's policies and procedures, and transfer to the appropriate level of
				care.
RECOMMENDATIONS:
4. The hospital shall provide documentation of the availability
				of trained personnel and facilities to provide competent emergency obstetric
				and newborn care.
RECOMMENDATIONS:
5. The hospital shall maintain a system of recording
				admissions, discharges, birth weight, outcome, complications and transports to
				meet the requirement to support CQI activities described in the hospital's
				letter of agreement with the Administrative Perinatal Center. The hospital
				shall comply with the reporting requirements of the State Perinatal Reporting
				System.
RECOMMENDATIONS:
6. The hospital shall provide documentation of the capability
				for continuous electronic maternal-fetal monitoring for patients identified at
				risk with staff available 24 hours a day, including physicians and nursing, who
				are knowledgeable of electronic fetal monitoring use and interpretation. Staff
				shall complete a competence assessment in electronic maternal-fetal monitoring
				every two years.
RECOMMENDATIONS:
7. The hospital shall have the capability of performing
				caesarean sections within 30 minutes of decision to incision.
RECOMMENDATIONS:
8. The hospital shall have experienced blood bank technicians
				immediately available in the hospital for blood banking procedures and
				identification of irregular antibodies. Blood component therapy shall be
				readily available.
RECOMMENDATIONS:
9. The hospital shall have general anesthesia services on call
				and available under 30 minutes to initiate C-section.
RECOMMENDATIONS:
10. The hospital shall have experienced radiology technicians
				immediately available in the hospital with professional interpretation
				available 24 hours a day. Ultrasound capability shall be available 24 hours a
				day. In addition, Level I ultrasound and staff knowledgeable in its use and
				interpretation shall be available 24 hours a day.
RECOMMENDATIONS:
11. The hospital shall have the following clinical laboratory
				resources available:
Micro-techniques for hematocrit and blood gases
				within 15 minutes; glucose, blood urea nitrogen (BUN), creatinine, blood gases,
				routine urine analysis, electrolytes and coagulation studies, complete blood
				count, routine blood chemistries, type & cross, Coombs' test, bacterial
				smear within 1 hour; and capabilities for bacterial culture and sensitivity and
				viral culture.
RECOMMENDATIONS:
12. The hospital shall designate a physician to assume primary
				responsibility for initiating, supervising and reviewing the plan for
				management of distressed infants. Policies and procedures shall assign
				responsibility for the identification and resuscitation of distressed neonates
				to individuals who have successfully completed a neonatal resuscitation program
				and are both specifically trained and immediately available in the hospital at
				all times.
RECOMMENDATIONS:
13. The hospital shall ensure that personnel skilled in
				phlebotomy and IV placement in newborns are available 24 hours a day.
RECOMMENDATIONS:
14. Social worker services shall be provided by one social
				worker, with relevant experience and responsibility for perinatal patients, and
				available through the hospital social work department.
RECOMMENDATIONS:
15. The hospital shall ensure that protocols for discharge
				planning, routine follow-up care, and developmental follow-up are
				established.
RECOMMENDATIONS:
16. The hospital shall ensure that a licensed respiratory care
				practitioner with experience in neonatal care is available 24 hours a
				day.
RECOMMENDATIONS:
17. The hospital shall ensure that a dietitian with experience
				in perinatal nutrition is available to plan diets to meet the needs of mothers
				and infants.
RECOMMENDATIONS:
18. The hospital shall ensure that staff physicians and
				consultants are aware of standards and guidelines in the letter of
				agreement.
RECOMMENDATIONS:
19. The hospital shall provide documentation of health care
				provider participation in Joint Mortality and Morbidity
				reviews.