Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 67 - Free-Standing Birth Centers › Subchapter A - General Provisions › Section I-6703 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Active Labor
-rapid cervical dilation
						beginning at six centimeters dilation.
Administrator
-the person responsible for
						the on-site, daily implementation and supervision of the overall freestanding
						birth center's operation commensurate with the authority conferred by the
						governing body.
Apgar Score
-an accepted and convenient
						method for reporting the status of the newborn immediately after birth and the
						response to resuscitation if it is needed.
Board
-the Louisiana State Board of
						Medical Examiners (LSMBE).
Certified Nurse Midwife
(
CNM
)-an advanced practice registered nurse as defined by
						R.S.
						37:913, or current law.
Cessation of Business-
center is
						non-operational and/or has stopped offering or providing services to the
						community.
Change of Ownership
(
CHOW
)
-
the addition, substitution, or
						removal, whether by sale, transfer, lease, gift, or otherwise, of a licensed
						healthcare provider subject to this rule by a person, corporation, or other
						entity, which results in a change of controlling interest of assets or other
						equity interests of the licensed entity may constitute a CHOW of the licensed
						entity.
Client
-an individual who is receiving
						services from a licensed free-standing birth center.
Department
-the Louisiana Department of
						Health (LDH) or any of its sections, bureaus, offices or its contracted
						designee.
Division of Administrative Law
(
DAL
)-the agency authorized to conduct fair hearings and take
						actions on appeals of departmental decisions as provided for in the
						Administrative Procedure Act, or its successor.
Employed
-performance of a job or task
						for compensation, such as wages or a salary. An employed person may be one who
						is contracted or one who is hired for a staff position.
Emergent-
a medical condition that, if
						not stabilized, could reasonably be expected to result in the loss of the
						person's life, serious permanent disfigurement, or loss or impairment of the
						function of a bodily member or organ.
Family
-individuals selected by the
						pregnant woman to be present and/or in attendance during her admission to the
						free-standing birth center.
Free-Standing Birth Center
(
FSBC
)-a facility, place, center, agency, person, institution,
						corporation, partnership, unincorporated association, group, or other legal
						entity which provides FSBC services and at which a person is anticipated to
						have an uncomplicated vaginal delivery following a low-risk pregnancy. An FSBC
						does not include a hospital licensed pursuant to
						R.S.
						40:2100 et seq., nor does it include the
						place of residence of the person giving birth.
Free-Standing Birth Center
						Services
-peripartum care, including prenatal, labor, delivery, and
						postpartum, and services for people with low-risk pregnancies provided at
						free-standing birth centers. This includes any ancillary ambulatory service
						provided to a person at low risk for pregnancy complications, if such services
						are within the scope of practice of the individual providing the
						service.
Governing Body
-the individual or group
						of individuals who are legally responsible for the operation of the FSBC,
						including management, control, conduct and functioning of the FSBC, also known
						as the governing authority.
Health Standards Section
						(HSS)
-Department of Health, Office of the Secretary, Health Standards
						Section.
Intrapartum
-the period beginning with
						active labor to the expulsion of the placenta.
Licensed Midwife
-a licensed healthcare
						practitioner who is acting within the scope of practice of his/her respective
						licensing board(s) and/or certifications.
Licensed Healthcare Practitioner
-a
						licensed physician or CNM, or a licensed midwife.
Line of Credit-
a credit arrangement with
						a federally insured, licensed lending institution which is established to
						assure that the provider has available funds as needed to continue the
						operations of the agency and the provision of services to clients. The line of
						credit shall be issued to the licensed entity and shall be specific to the
						geographic location shown on the license. For purposes of FSBC licensure, the
						line of credit shall not be a loan, credit card or a bank balance.
Lochia
-the normal discharge from the
						uterus after childbirth occurring three to ten days after delivery.
Low-Risk Pregnancy
-a normal,
						uncomplicated, singleton pregnancy that has vertex presentation and is at low
						risk for development of complications during labor and birth, as determined
						from an evaluation and examination conducted by a physician or other
						practitioner or individual acting within the scope of his or her
						practice.
Miscarried Child
-the fetal remains
						resulting from a spontaneous fetal death that does not require compulsory
						registration pursuant to the provisions of
						R.S.
						40:47.
National Standards
-national standards
						for birth centers published or established by the American Association of Birth
						Centers, as well as requirements for accreditation published by the Commission
						for Accreditation of Birth Centers.
Non-Operational
-when the FSBC is not
						open for business operations on designated days and hours as stated on the
						licensing application.
Office of the State Fire Marshal
						(OSFM)
-an agency of the Department of Public Safety responsible for
						architectural and licensing plan review and inspections for life safety
						codes.
Perineal Laceration
-a tear of the skin
						and other soft tissue structures which, in women, separate the vagina from the
						anus. Perineal tears manly occur in women as a result of vaginal childbirth and
						vary in severity.
Physician
-a licensed healthcare
						practitioner who is acting within the scope of practice of his/her respective
						licensing board(s) and/or certifications.
Physician Evaluation and
						Examination
-physician evaluation and examination as provided in
						R.S.
						37:3244 to determine whether, at the time of
						such evaluation and examination, the individual is at low or normal risk of
						developing complications during pregnancy and childbirth.
Postmature
-gestational age of greater
						than 42 weeks.
Postpartum
-the period beginning
						immediately after childbirth in accordance with current standards of
						practice.
Practice of Midwifery
-holding oneself
						out to the public as being engaged in the business of attending, assisting, or
						advising a woman during the various phases of the interconceptional and
						childbearing periods.
Prenatal Care
(
Antepartum
						Care
)-occurring or existing before birth. The prenatal period (also
						known as antenatal care) refers to the regular care recommended for women
						during pregnancy. Prenatal care is preventative care with the goal of providing
						regular check-ups that allow licensed healthcare practitioners to treat and
						prevent potential health problems throughout the course of pregnancy.
Preterm
-prior to the thirty-seventh week
						of gestation.
Qualified Personnel
-means that the
						individual is trained and competent in the services which he or she provides
						and is licensed or certified when required by statute or professional
						standard.
Scope of Practice
-services that a
						licensed healthcare practitioner is deemed competent to perform and permitted
						to undertake, in keeping with the terms of their professional license.
Secretary
-the secretary of LDH, or
						designee.
Standards
-policies, procedures, rules,
						guidelines, and standards of current practice contained in this Part in
						addition to those rules and standards promulgated by LDH for the licensing and
						operation of free-standing birth centers.
Term
-gestational age of greater or equal
						to 37 weeks but less than 42 weeks.
Transfer Agreement
-a written agreement
						made with at least one receiving hospital in the community for the timely
						transport of emergency clients to a licensed hospital that will provide
						obstetric/newborn acute care should an emergency arise which would necessitate
						hospital care and services.
Uterine Atony
-a loss of tone in the
						uterine musculature.
AUTHORITY
						NOTE: Promulgated in accordance with
						R.S.
						36:254,
						R.S.
						40:2180.21-2180.28,
						R.S.
						37:1270 and
						R.S.
						37:32413259.