Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 2 - FREESTANDING BIRTHING FACILITIES › Section 11-93-51 - Definitions

Current through June, 2024
As used in this subchapter:
"Administrator" means the person to whom it is delegated
					 the responsibility for interpretation and implementation of the policies and
					 program established by the governing body. This may be the same person as the
					 medical director or midwife.
"Birthing room" means a room designed, equipped and
					 arranged to provide for the care of a woman and her newborn child and to
					 accommodate her support persons during the process of vaginal birth.
"Broad service hospital" means a medical facility which is
					 staffed and equipped to provide definitive inpatient medical, surgical and
					 obstetrical care for a twenty-four hour period or longer.
"Cardiopulmonary resuscitation" or "CPR" means an
					 emergency first aid procedure that consists of opening and maintaining a
					 patient's airway, providing artificial ventilation by means of rescue
					 breathing, and providing artificial circulation by means of external cardiac
					 compression.
"Chest x-ray" means a full sized 11" x 14" film taken by
					 standard x-ray techniques.
"Department" means the department of health, State of
					 Hawaii.
"Dietitian" means a person who:
(1) Is registered by the American Dietetic Association
					 under its requirements in effect on the day of publication of this provision;
					 or
(2) Is eligible for examination to become a registered
					 dietitian.
"Director" means the director of health of the State of
					 Hawaii.
"Freestanding birthing facility" means a public or private
					 facility whose only purpose is the reception of maternity patients and the
					 providing of care during pregnancy, delivery, and the immediate postpartum
					 period. The service is limited to the low risk maternity mother and her
					 newborns. It shall not have direct financial or administrative connections with
					 a broad service hospital.
"Governing body" means an individual or group which is
					 legally responsible for the operation and maintenance of the birthing
					 facility.
"Immediate postpartum period" means that period of time
					 starting at birth and ending with the discharge of the patient from the
					 birthing facility.
"Licensee" means the governing body to whom the license is
					 issued.
"Licensed practical nurse" means a nurse licensed as such
					 by the State of Hawaii, pursuant to chapter 457, HRS.
"Low risk mother" means a person who does not exhibit any
					 evidence of:
(1) Severe anemia or blood disease which will adversely
					 affect the mother or infant during pregnancy or at birth.
(2) Diabetes mellitus.
(3) Symptomatic heart disease.
(4) Hypertension or preeclampsia.
(5) Renal disease.
(6) Thrombophlebitis.
(7) Multiple fetuses.
(8) Active herpes genitalia, gonorrhea, or syphilis within
					 four weeks of expected date of confinement.
(9) Viral infections during pregnancy which may adversely
					 affect the infant at birth.
(10) Placental abnormalities such as placenta previa or
					 placenta abruptio.
(11) Premature labor, less than thirty-seven weeks, or
					 post-maturity, more than forty-two weeks.
(12) Prolonged rupture of membranes.
(13) Potential or realized need for anesthesia or, if in
					 labor, for anesthesia other than a pudendal or local nerve block.
(14) Intrauterine growth retardation.
(15) Fetal distress which will adversely affect the infant
					 or at birth.
(16) Previous caesarean delivery.
(17) A desire on the part of the mother for transfer from
					 the birth facility.
(18) Anticipated macrosomia which will adversely affect
					 mother or baby in labor or at birth.
(19) Breech or other abnormal presentation.
(20) Five or more (non-miscarriage or non-abortion)
					 pregnancies.
(21) Toxemia, hydromnios or chorioamnionitis.
(22) Malformed fetus.
(23) Alcoholism or drug dependency.
(24) Decision of the midwife or physician attendant not to
					 accept the patient any longer.
(25) Problem of a previous pregnancy or a repetitive
					 nature.
(26) Any other condition or need which will adversely
					 affect the health of the mother or infant during pregnancy, labor, birth, or
					 the immediate postpartum period.
"Medical director" means a suitably qualified physician
					 who is appointed by the governing body to carry out section
					 11-93-61.
"Midwife" means a person licensed by the State of Hawaii
					 as a midwife.
"Pathologist" means a person certified or eligible to be
					 certified by the American Board of Pathology.
"Pharmacist" means a person having a valid license to
					 practice as a "registered pharmacist" issued by the State of Hawaii, under
					 chapter
					 461, HRS.
"Physician" is a person licensed by the State of Hawaii to
					 practice medicine and surgery or osteopathy within the State.
"Registered professional nurse" means a person who is
					 licensed as a registered nurse in the State of Hawaii, under chapter 457,
					 HRS.
"Suitably qualified physician" means those physicians who
					 are licensed by the State of Hawaii to practice medicine; is qualified for
					 certification by the American Board of Obstetrics and Gynecology, or have a
					 formal consultive arrangement with an obstetrician.
"Support person" means the individuals selected or chosen
					 by the mother to provide emotional support and to assist her during the process
					 of labor and childbirth.
"Tuberculin skin test" means an interdermal injection of
					 .0001 mg (5 tuberculin units) of purified protein derivative in 0.1 cc of
					 sterile diluent. If the size of any resulting palpable induration at
					 forty-eight hours to seventy-two hours after injection is 10 mm or greater in
					 its transverse diameter, the reaction to the skin test shall be considered
					 significant.