Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-9 - ABORTION CLINICS › Section 59A-9.027 - Recovery Room Standards for Second Trimester Abortions

Current through Reg. 50, No. 138; July 16, 2024
Each abortion clinic which is providing second trimester
				  abortions shall comply with the following recovery room standards when
				  providing second trimester abortions.
(1) Following the procedure, post-procedure
				recovery rooms will be supervised and staffed to meet the patient's needs. A
				physician or physician assistant, a licensed registered nurse, a licensed
				practical nurse or an advanced practice registered nurse who is trained in the
				management of the recovery area shall be available to monitor the patient in
				the recovery room until the patient is discharged. The individual must be
				certified in basic cardiopulmonary resuscitation. A patient in the
				post-operative or recovery room shall be observed for as long as the patient's
				condition warrants.
(2) The clinic
				shall arrange hospitalization if any complication beyond the medical capability
				of the staff occurs or is suspected. The clinic shall ensure that equipment and
				services are readily accessible to provide appropriate emergency resuscitative
				and life support procedures pending the transfer of the patient or a viable
				fetus to the hospital. A physician shall sign the discharge order and be
				readily accessible and available until the last patient is discharged to
				facilitate the transfer of emergency cases if hospitalization of the patient or
				viable fetus is necessary. The clinic medical records documenting care provided
				shall accompany the patient. These records will include the contact information
				for the physician who performed the procedure at the clinic.
(3) A physician shall discuss Rho (D) immune
				globulin with each patient for whom it is indicated and will ensure that it is
				offered to the patient in the immediate post-operative period or that it will
				be available to the patient within 72 hours following completion of the
				abortion procedure. If the patient refuses the Rho (D) immune globulin, refusal
				shall be documented on Refusal to Permit Administration of Rho (D) Immune
				Globulin, AHCA Form 3130-1002, July 2016, which is incorporated by reference.
				The form can be obtained at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07598
,
				and from the Agency for Health Care Administration, Hospital and Outpatient
				Services Unit, Mail Stop #31, 2727 Mahan Drive, Tallahassee, Florida 32308, or
				on the Agency website at: http://ahca.myflorida.com/HQAlicensureforms. The form
				shall be signed by the patient, physician, and a witness, and shall be included
				in the patient's medical record.
(4) Written instructions with regard to
				post-abortion coitus, signs of possible medical complications, and general
				aftercare shall be given to each patient. Each patient shall have specific
				written instructions regarding access to medical care for complications,
				including a telephone number to call for medical emergencies. The physician
				will ensure that either a registered nurse, licensed practical nurse, advanced
				practice registered nurse, or physician assistant from the abortion clinic
				makes a good faith effort to contact the patient by telephone, with the
				patient's consent, within 24 hours after surgery to assess the patient's
				recovery. A contact for post-operative care from the facility shall be
				available to the patient on a 24-hour basis.
(5) Clinic procedures must specify the
				minimum length of time for recovery as warranted by the procedure type and
				period of gestation.
Rulemaking Authority 390.012(1) FS. Law Implemented
					 390.012(3)(f) FS.
New 9-25-06, Amended
					 4-5-17.