Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1525 - Policies and Procedures, Employee Training, and Best Practices Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The birth center
				shall have written policies and procedures governing all operations of the
				birth center and all services provided by the birth center.
b) The written policies and procedures shall
				be formulated by the clinical director and approved by the governing
				body.
c) The written policies shall
				be followed by the birth center and shall be reviewed at least annually, unless
				specified otherwise in this Part.
d) The policies shall comply with all of the
				requirements in this Part, and shall address, at a minimum, the following
				subjects:
1) Admission protocols defining the
				criteria to determine which pregnancies are accepted as normal, uncomplicated,
				and low-risk, incorporating both medical and social factors.
2) Protocols for local anesthesia.
3) Procedures and criteria for antepartum
				acceptance and transfer to a hospital, and intrapartum and postpartum transport
				to a referral hospital. The criteria for acceptance and transport to hospital
				at any stage shall also comply with the transfer agreement between the birth
				center and the referral hospital in the Perinatal System, pursuant to the
				requirements of Section
				264.2250.
4) Discharge procedures for the postpartum
				person and infant, in accordance with requirements of Section
				264.1950.
5) Client rights, to ensure patient dignity,
				privacy, and safety, in accordance with the Medical Patient Rights
				Act.
6) Employee health program
				that includes, at a minimum, the following: an assessment of the employee's
				health and immunization status at the time of employment; immunization
				requirements; and procedures for the periodic health assessment of all
				personnel, which specify the content of the health assessment and the interval
				between assessments in compliance with the Control of Tuberculosis
				Code.
7) Identifying potential
				dangers to the health and safety of personnel providing services in the birth
				center and procedures for protecting agency personnel from identified
				dangers.
8) Orientation program and
				procedures for new patients.
9)
				Childbirth education program for new and returning patients.
10) Prenatal care.
11) Labor and delivery personnel requirements
				and clinical care.
12) Emergency
				transfer services and procedures for the pregnant person and neonate.
13) Post-delivery care of the pregnant
				person.
14) Clinical care of the
				newborn, in accordance with the Guidelines for Perinatal Care and including the
				clinical care requirements outlined in Section
				264.1800(h).
15) Identification of the newborn as required
				in Section 264.1800(h)(2).
16) Procedures performed at the birth center
				as identified in Section
				264.1250.
17) Infection control.
18) Disposal of medical waste.
19) Emergency services.
20) Follow-up postnatal and postpartum care
				for the infant and postpartum person.
21) Laboratory and pharmacy
				services.
22) Clinical record
				requirements and retention, maintenance, and confidentiality.
23) Food services.
24) Quality Assurance and Improvement
				Program.
25) Reporting
				requirements.
26) Employee training
				policies that at a minimum:
A)
Define
				the acts and practices that are allowed or prohibited
for birth center
				employees;
B)
Establish how
				training will be conducted
; and
C)
Illustrate how initial competency
				will be established.
(Section 50 of the Act).
27) Visitors.
28) Emergency preparedness.