Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 600 - Abortion Facility Regulations › Subchapter 9 - Operational Program Narrative › Section 310:600-9-6 - Examinations, tests and procedures

Current through Vol. 41, No. 20, July 1, 2024
In addition to the provisions specified individually in each
				  facility's operational program narrative, each abortion facility shall comply
				  with the following:
(1) Each patient
				shall have a medical history and physical including pelvic examination recorded
				by the physician performing the abortion prior to the procedure. The physician
				shall determine and document the duration of gestation, identify preexisting
				medical or other complications, and observe any factors which may influence the
				choice of the procedure, anesthesia, or care provided.
(2) Not more than seventy-two (72) hours
				prior to the procedure, each patient shall receive clinical laboratory testing
				which shall include a hemoglobin and/or hematocrit, Rh type, and pregnancy
				test.
(3) All tissue removed during
				the abortion shall be examined by a physician and stored in ten (10) percent
				formalin for thirty (30) days or until after the follow-up examination. If the
				attending physician orders a pathological examination, the tissue shall be
				examined by a physician who is certified in anatomical pathology by the
				American Board of Pathology or American Osteopathic Board of Pathology or by a
				physician who is an active candidate for certification by these
				boards.
(4) After the follow-up
				examination or thirty (30) days, tissue not maintained for additional
				microscopic examination removed during the abortion shall be disposed of in an
				incinerator designed and approved for the disposal of pathological specimens.
				The abortion facility may accept a written statement from the pathologist
				attesting the tissue has been properly incinerated.
(5) Anti-Rh immune globulin therapy shall be
				given to Rh negative patients that are candidates for the therapy upon
				completion of the abortion procedure. If the patient refuses this therapy, the
				physician shall document the refusal in the medical record and if possible
				obtain the signature of the patient on an appropriate release.
(6) All patients recovering from an abortion
				shall be released from the facility by order of a physician. A physician or
				licensed nurse shall remain in the facility until all patients are recovered
				and released.
(7) Each facility
				shall maintain supplies and equipment for initial emergency medical care of
				problems that may arise in the facility (e.g. bleeding, shock, disseminated
				intravascular coagulations, seizures, and respiratory and cardiac arrest). The
				equipment and supplies shall be immediately available to the procedure and
				recovery room.
(8) Emergency drugs,
				oxygen, and intravenous fluids shall be available in the procedure and recovery
				room. A manual breathing bag, suction machine, and endotracheal equipment shall
				be located for immediate access.
(9) Each facility shall establish a written
				protocol for the transfer of patients requiring emergency treatment that can
				not be provided on-site. The protocol shall include procedures to contact the
				local ambulance service and expedite the transfer to the receiving hospital.
				Appropriate clinical patient information shall be provided to the receiving
				facility. If the attending physician does not have admitting privileges at a
				local general hospital, the physician shall attest arrangements have been made
				with a physician having hospital privileges to receive emergency
				cases.
Added at 15 Ok Reg 3172,
				  eff 7-13-98