New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 3 - Hospital Operation › Part 721 - Perinatal Regionalization System › Section 721.6 - Qualifications and responsibilities of physicians and other licensed obstetrical practitioners at each designated level of care

Current through Register Vol. 46, No. 28, July 10, 2024
The qualifications and responsibilities of licensed
						obstetrical practitioners at each designated level of care shall be:
(a) Level I perinatal care. A physician or
					 licensed midwife with appropriate training and expertise shall attend all
					 deliveries. At least one person capable of initiating neonatal resuscitation
					 shall be present at every delivery. An ultrasound machine shall be readily
					 available to labor and delivery. A radiologist or obstetrician skilled in
					 interpretation of ultrasound scans shall be available within a timeframe
					 appropriate to meet the patient's needs;
(b) Level II perinatal care. A physician or
					 licensed midwife with appropriate training and expertise shall attend all
					 deliveries. At least one person capable of initiating neonatal resuscitation
					 shall be present at every delivery. An ultrasound machine shall be readily
					 available to labor and delivery. A radiologist or obstetrician skilled in
					 interpretation of ultrasound scans shall be available 24 hours a day within a
					 timeframe appropriate to meet the patient's needs. Portable,
					 neonatal-appropriate equipment and appropriately trained personnel to
					 administer the service must be available within a timeframe appropriate to meet
					 the patient's needs. Care for moderately high-risk women and neonates shall be
					 provided by appropriately qualified physicians. General pediatricians and
					 general obstetricians with the expertise to assume responsibility for acute
					 care for infants and women, shall be immediately available within 20 minutes,
					 24 hours a day to provide needed services. The chief of obstetric anesthesia
					 services shall be board-certified in anesthesia and shall have training and
					 experience in obstetric anesthesia. A neonatologist shall be available on-site
					 within 20 minutes 24 hours a day to provide needed services. The hospital staff
					 shall also include a radiologist skilled in interpretation of ultrasound scans,
					 a clinical pathologist, personnel qualified to administer specialized
					 pharmaceutical services to newborns, and a designated, in-house credentialed
					 person for neonatal resuscitation, all of whom shall be available 24 hours a
					 day. Personnel with credentials to administer obstetric anesthesia shall be
					 readily available. Specialized adult and pediatric medical and surgical
					 consultation shall be readily available; and
(c) Level III and RPC perinatal care. A
					 physician or licensed midwife with appropriate training and expertise shall
					 attend all deliveries. At least one person capable of initiating neonatal
					 resuscitation shall be present at every delivery. An ultrasound machine shall
					 be readily available to labor and delivery. A radiologist, obstetrician or
					 maternal-fetal medicine specialist skilled in interpretation of ultrasound
					 scans shall be available in-house 24 hours a day. Portable, neonatal
					 appropriate equipment and appropriately trained personnel to administer the
					 service must be available within a timeframe appropriate to meet the patient's
					 needs. Maternal-fetal medicine specialists and neonatologists who care for
					 high-risk mothers and newborns in the Level III or RPC hospital shall have
					 qualifications equivalent to those of the chief of their service as described
					 in section
					 721.5(c) and (d)
					 of this Part or at a minimum will have successfully completed a fellowship in
					 maternal fetal medicine or in neonatal medicine, whichever is appropriate. A
					 maternal-fetal medicine specialist and a neonatologist shall be available
					 on-site within 20 minutes 24 hours a day to provide needed services. Obstetric
					 and neonatal diagnostic imaging, provided by radiologists with special
					 expertise in diagnosis of maternal and neonatal disease and its complications,
					 shall be available 24 hours a day. Pediatric and adult subspecialists in
					 cardiology, neurology, hematology, genetics, nephrology, metabolism,
					 endocrinology, gastroenterology, nutrition, radiology, infectious diseases,
					 pulmonology, immunology, and pharmacology shall be available for consultation.
					 In addition, pediatric surgeons and pediatric surgical subspecialists, e.g.,
					 cardiovascular, neurological, orthopedic, ophthalmologic, urologic, and
					 otolaryngological surgeons, shall be available for consultation and care.
					 Pathologists with special competence in placental, fetal, and neonatal disease
					 shall be members of the Level III or regional perinatal center staff. A
					 clinical pathologist shall be available 24 hours a day. A board-certified
					 anesthesiologist with special training or experience in material-fetal
					 anesthesia shall be in charge of obstetric anesthesia services at a Level III
					 or regional perinatal center facility, and personnel with credentials in the
					 administration of obstetric anesthesia shall be available for all deliveries.
					 Personnel with credentials in the administration of neonatal and pediatric
					 anesthesia shall be readily available as needed. Personnel qualified to
					 prepare, dispense and administer specialized pharmaceutical services to
					 newborns shall be available 24 hours a day.