Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-223 - Perinatal Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of a hospital that provides perinatal organized services shall
				ensure that:
1. Perinatal services are
				provided in a designated area under the direction of a medical staff
				member;
2. Only medical and
				surgical procedures approved by the medical staff are performed in the
				perinatal services unit;
3. The
				perinatal services unit has the capability to initiate an emergency cesarean
				delivery within the time-frame established by the medical staff and documented
				in policies and procedures;
4. Only
				a patient in need of perinatal services or gynecological services receives
				perinatal services or gynecological services in the perinatal services
				unit;
5. A patient receiving
				gynecological services does not share a room with a patient receiving perinatal
				services;
6. A chronological log of
				perinatal services provided to patients is maintained that includes:
a. The patient's name;
b. The date, time, and mode of the patient's
				arrival;
c. The disposition of the
				patient including discharge, transfer, or admission time;
d. The following information for a delivery
				of a neonate:
i. The neonate's name or other
				identifier;
ii. The name of the
				medical staff member who delivered the neonate;
iii. The delivery time and date;
				and
iv. Complications of delivery,
				if any; and
e. If an
				abortion procedure was performed at or after 20 weeks gestational age, whether
				the fetus was delivered alive;
7. The chronological log required in
				subsection (A)(6) is maintained by the hospital in the perinatal services unit
				for at least 12 months after the date the perinatal services are provided and
				then maintained by the hospital for at least an additional 12 months;
8. The perinatal services unit provides fetal
				monitoring;
9. The perinatal
				services unit has ultrasound capability;
10. Except in an emergency, a neonate is
				identified as required by policies and procedures before moving the neonate
				from a delivery area;
11. Policies
				and procedures specify:
a. Security measures
				to prevent neonatal abduction, and
b. How the hospital determines to whom a
				neonate may be discharged;
12. A neonate is discharged only to an
				individual who:
a. Is authorized according to
				subsection (A)(11), and
b. Provides
				identification;
13. A
				neonate's medical record identifies the individual to whom the neonate is
				discharged;
14. A patient or the
				individual to whom the neonate is discharged receives perinatal education,
				discharge instructions, and a referral for follow-up care for a neonate in
				addition to the discharge planning requirements in
				R9-10-209;
15. Intensive care services for neonates
				comply with the requirements in
				R9-10-221;
16. At least one registered nurse is on duty
				in a nursery when there is a neonate in the nursery except as provided in
				subsection (A)(17);
17. A nursery
				occupied only by a neonate, who is placed in the nursery for the convenience of
				the neonate's mother and does not require treatment as established in this
				Article, is staffed by a nurse;
18.
				Equipment and supplies are available to a nursery, labor-delivery-recovery
				room, or labor-delivery-recovery-postpartum room to meet the needs of each
				neonate; and
19. In a nursery, only
				a neonate's bed or bassinet is used for changing diapers, bathing, or dressing
				the neonate.