Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix N - Level II with Extended Neonatal Capabilities Resource Checklist

Current through Register Vol. 48, No. 28, July 12, 2024
Level II with Extended Neonatal
				Capabilities Resource Checklist
Briefly describe institutional
				compliance:
1. The hospital shall provide documentation that the
				obstetrical activities are directed and supervised by a full-time
				board-certified obstetrician or a licensed osteopathic physician with
				equivalent training and experience and certification by the American
				Osteopathic Board of Obstetricians and Gynecologists.
RECOMMENDATIONS:
2. The hospital shall provide documentation that the neonatal
				activities are directed and supervised by a full-time pediatrician certified by
				the American Board of Pediatrics Sub-Board of Neonatal/Perinatal Medicine or a
				licensed osteopathic physician with equivalent training and experience and
				certification by the American Osteopathic Board of Pediatricians.
RECOMMENDATIONS:
3. The directors of obstetrics and neonatal services shall
				ensure back-up supervision of their services when they are unavailable.
RECOMMENDATIONS:
4. The hospital shall provide documentation that the
				obstetric-newborn nursing service is directed by a full-time nurse experienced
				in perinatal nursing, preferably with a master's degree.
RECOMMENDATIONS:
5. The hospital shall provide documentation that the
				pediatric-neonatal respiratory therapy services are directed by a full-time
				licensed respiratory care practitioner with a bachelor's degree.
RECOMMENDATIONS:
6. The hospital shall provide documentation that the
				practitioner responsible for the Special Care Nursery has at least three years
				experience in all aspects of pediatric and neonatal respiratory therapy and
				completion of the neonatal/pediatric specialty examination of the National
				Board for Respiratory Care.
RECOMMENDATIONS:
7. Preventive services shall be designed to prevent, detect,
				diagnose and refer or treat conditions known to occur in the high-risk newborn,
				such as cerebral hemorrhage, visual defects (retinopathy of prematurity) and
				hearing loss, and to provide appropriate immunization of high-risk
				newborns.
RECOMMENDATIONS:
8. The hospital shall ensure that a person is designated to
				coordinate the local health department community nursing follow-up process, to
				direct discharge planning, to make home care arrangements, to track discharged
				patients, and to collect outcome information. The community nursing referral
				process shall consist of notifying the high-risk follow-up nurse in whose
				jurisdiction the patient resides. The Illinois Department of Human Services
				will identify and update referral resources for the area served by the
				unit.
RECOMMENDATIONS:
9. The hospital shall provide documentation that the Level II
				hospital with Extended Neonatal Capabilities has developed, with the assistance
				of the Administrative Perinatal Center, a referral agreement with a neonatal
				follow-up clinic to provide neuro-developmental assessment and outcome data on
				the neonatal population. Institutional policies and procedures shall describe
				the at-risk population and referral procedure to be followed.
RECOMMENDATIONS:
10. The hospital shall ensure that if the Level II hospital
				with Extended Neonatal Capabilities transports neonatal patients, the hospital
				complies with Guidelines for Perinatal Care, American Academy of Pediatrics and
				American College of Obstetricians.
RECOMMENDATIONS:
To provide for assisted ventilation of newborn infants beyond
				immediate stabilization:
1. The hospital shall provide documentation that a pediatrician
				or advanced practice nurse, whose professional staff privileges granted by the
				hospital specifically include the management of critically ill infants and
				newborns receiving assisted ventilation, a pediatrician receiving post-graduate
				training in a neonatal-perinatal medicine fellowship program accredited by the
				Accreditation Council of Graduate Medical Education or an active candidate or
				board-certified neonatologist is present in the hospital the entire time that
				the infant is receiving assisted ventilation. If infants are receiving on-site
				assisted ventilation care from an advance practice nurse or a physician who is
				not a neonatologist, a board-certified neonatologist or active candidate
				neonatologist shall be available on call to assist in the care of those infants
				as needed.
RECOMMENDATIONS:
2. The hospital shall provide suitable backup systems and
				planning to prevent and respond appropriately to sudden power outage, oxygen
				system failure, and interruption of medical grade compressed air
				delivery.
RECOMMENDATIONS:
3. The hospital shall provide documentation that the nurses
				caring for infants who are receiving assisted ventilation have documented
				competence and experience in the care of such infants.
RECOMMENDATIONS:
4. The hospital shall provide documentation that the licensed
				respiratory care practitioner has documented competence and experience in the
				care of the infants who are receiving assisted ventilation and is also
				available to the Special Care Nursery during the entire time that the infant
				receives assisted ventilation.
RECOMMENDATIONS: