Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 9 - Free-standing Birth Centers › 7 AAC 12.416 - Client management

Current through May 31, 2024
(a) A birth center must develop and implement
				  written policies and procedures for client management that are approved by the
				  governing body and that include
(1) policies
				  and procedures to ensure that eligibility for birth services offered by the
				  birth center is limited to low-risk maternal clients, as determined upon
				  admission and at regular intervals after admission through a physical
				  examination and through a risk assessment conducted in accordance with the
				  standards developed under
				  7 AAC 12.403(f);
(2) a procedure for identification and
				  transfer of a client who, during the course of pregnancy, labor, or recovery,
				  is determined to be ineligible for continued care in the birth
				  center;
(3) plans for consultation,
				  backup services, transfer, and transport of a client or newborn to a hospital
				  where appropriate care is available;
(4) a requirement for an informed consent
				  that
(A) is signed by the client before the
				  onset of labor; and
(B) includes
				  evidence that the client has received an explanation by personnel of the birth
				  services offered and potential risks involved;
(5) provision of education of clients,
				  family, and support persons in childbirth and newborn care;
(6) plans for immediate follow-up of clients
				  after discharge from the birth center;
(7) entering onto the client's medical record
				  evidence of registration of birth with the bureau of vital statistics and
				  completion of a birth certificate;
(8) reporting of complications and anomalies
				  to the department, and to the pediatric or neonatal provider identified by the
				  client;
(9) prophylactic care of
				  the newborn's eyes;
(10) procedures
				  for
(A) distribution of information to
				  clients regarding availability of resources for vitamin K, erythromycin eye
				  prophylaxis, newborn hearing screening tests, bloodspot screening, and other
				  screening tests required by law;
(B) providing a referral to each client
				  before discharge;
(C) following up
				  with each client after discharge to remind the client that the tests referred
				  to in (A) of this paragraph are critical to the newborn's health; and
(D) documenting that the steps set out in (A)
				  - (C) of this paragraph have been followed;
(11) methods to protect each client's right
				  to dignity, privacy, safety, and confidentiality;
(12) procedures for administering newborn
				  bloodspot screening in compliance with
				  7 AAC 27.510 -
				  7 AAC 27.590 (Screening of Newborn Children for
				  Congenital Disorders);
(13)
				  policies and procedures that cover medical emergencies, client teaching, and
				  discharge planning; in this paragraph, "client teaching" means instruction of a
				  client in diet, medication, exercise, and other therapeutic measures suggested
				  for consideration by the client after discharge; and
(14) policies and procedures for
(A) gram positive Group B
Streptococcus
screening, management, and treatment;
(B) information to be provided to the client
				  regarding Group B
Streptococcus
; and
(C) monitoring after delivery of each newborn
				  born to a client who tests positive for Group B
Streptococcus
or to a client with unknown status.