Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-279 - Maternity care

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Any facility
			 may provide care for a pregnant resident if the requirements of this regulation
			 are met, and the plan is approved by the department. If the facility does not
			 meet the maternity care regulations or does not plan to maintain the resident
			 through the pregnancy, the resident's child placing agent shall be notified
			 within seven days of the determination of pregnancy and the resident shall be
			 moved within 30 days thereafter.
(b) Any facility which provides maternity
			 care shall meet the following additional requirements:
(1) Each resident shall receive the services
			 of a licensed physician on a regular and continuing basis throughout pregnancy,
			 delivery and post-delivery checkup.
(2) The facility shall consult with a
			 board-certified obstetrician who is available in case of emergency or
			 complication.
(3) There shall be a
			 written plan for all deliveries to take place in a licensed hospital or
			 maternity center. The plan shall state the name and location of the facility
			 and of an alternate hospital for use if services are unavailable at the primary
			 hospital or maternity center.
(4)
			 The facility shall be within 30 minutes of the licensed hospital or maternity
			 center providing maternity services.
(5) Complaints of alleged inadequate or
			 improper care by a physician or hospital shall be reported in writing
			 immediately to the Kansas department of health and environment.
(6) Ambulance service shall be readily
			 available for emergencies.
(7)
			 Special arrangements shall be available for bed and nursing care for each
			 resident who develops complications during pregnancy but who does not require
			 hospitalization.
(8) Each
			 resident's medical record shall include the medical consent form, the name of
			 her physician, a schedule of appointments, the expected date of delivery and
			 any special needs or problems.
(9)
			 The facility shall contract for the services of a registered nurse to provide
			 at least weekly instruction to the pregnant residents regarding childbirth
			 preparation, nutrition, general health and hygiene, post-partum care,
			 post-natal care, contraception and venereal disease, and the psychology and
			 physiology of pregnancy. The residents shall be given a tour of the hospital
			 where delivery is planned. The nurse shall also serve as a consultant to the
			 staff regarding the development of general health policies.
(10) Special nutrition policies for pregnant
			 residents shall be developed in consultation with a physician, nutritionist or
			 nurse. Residents shall be referred to the WIC program when appropriate and
			 available.
(11) Specific policies
			 shall be developed for support to the mother during labor and delivery and for
			 the care of any new mother who returns to the facility following delivery.
(12) Upon dismissal from the
			 facility, each resident shall be given written information regarding her
			 post-partum care. A referral shall be made to the appropriate community
			 resource for follow-up services.
(13) Casework services shall be provided by
			 an approved social agency in the community or the facility's own professional
			 staff.
(A) If the facility's professional
			 staff provides casework services, the following requirements shall be met:
(i) There shall be at least one social worker
			 for each fourteen residents.
(ii)
			 Casework services shall be provided to each pregnant resident immediately upon
			 admission to the facility.
(iii)
			 Casework interviews shall be regularly scheduled with reasonable frequency
			 based on the service plan.
(iv)
			 Casework service shall include help in adjustment to pregnancy, to separation
			 from the resident's natural environment and to group living. Casework services
			 shall include psychological and psychiatric help as needed to facilitate
			 diagnosis and treatment.
(v) The
			 caseworker shall be responsible for providing help in formulating a long-term
			 plan for the mother and baby.
(vi)
			 Each resident shall have the right to make the decision as to whether to keep
			 or relinquish her infant. This decision shall be made without undue pressure or
			 influence.
(vii) The caseworker,
			 at the request of the pregnant resident, shall arrange for referral to a
			 licensed child placing agency for any baby needing adoptive placement or other
			 foster care.
(B) If
			 casework services are provided by a community social agency, K.A.R.
			 28-4-279(b)(13)(A)(iii)(iv)(v)(vi) and (vii) requirements shall be met.
(14) The maternity care
			 staff, board, or any other person connected with the facility shall not
			 directly or indirectly place or arrange for placement of children for adoption
			 or foster care. Such an action shall result in immediate revocation or denial
			 of license.