Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart E - Birth Centers › Chapter 501 - BIRTH CENTERS › MANAGEMENT › Section 501.49 - Newborn infant care policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The newborn infant care policies, protocols and
						procedures shall include the following:
(1) Resuscitation equipment for newborn
					 infant care management of short-term assisted ventilation shall include bag and
					 mask or bag and endotracheal tube, with oxygen supply available.
(2) Medication approved by the Department in
					 §
											27.98 (relating to prophylactic
					 treatment of newborns), shall be instilled in the eyes of the newborn infant
					 according to statute. If the parent or guardian of the newborn child objects on
					 the ground that the prophylactic treatment conflicts with the parent's
					 religious beliefs or practices, prophylactic treatment will be withheld, and an
					 entry in the child's record indicating the reason for withholding treatment
					 shall be made and signed by the Physician Director of Medical Affairs and the
					 parent or guardian of the newborn infant.
(3) Before discharge from the center, the
					 newborn infant shall be examined by a midwife or a physician, and the results
					 shall be entered in the health record. An infant with identified abnormalities
					 shall be referred for appropriate follow-up, in accordance with the birth
					 center policies.
(4) The birth
					 center shall explain to the mother the purpose and nature of the screening
					 tests for diseases of the newborn, required by Chapter 28 (relating to
					 screening and follow-up for diseases of the newborn), give her an informational
					 pamphlet provided by the Department, inform her of her right to refuse the
					 tests because of religious beliefs or practices, and see that the recorded
					 written objection is entered into the medical record of the newborn child and
					 signed by the parent or guardian, if screening is refused.
(5) The birth center shall comply with the
					 requirements for specimen collection, testing and follow-up in §§
											28.21-21.28 (relating to specimen
					 collection and followup).
(6)
					 Policies and other criteria, which govern discharge of newborn infants, shall
					 be in accordance with birth center policies.
(7) The birth center shall communicate with
					 the pediatric care provider and transfer birth and newborn records to the
					 pediatric care provider.
(8) The
					 birth center shall provide a list of available counselors and counseling
					 services, compiled under
					 23 Pa.C.S. §
												2505
					 (relating to counseling), to mothers who are known to be considering
					 relinquishing or termination of parental rights under
					 23 Pa.C.S. §§
												2101-2909 (relating to the Adoption
					 Act).
The provisions of this §
													501.49 amended under section 16(a)
						  of the Disease Control and Prevention Act of 1955 (35 P. S. §
														521.16(a)); sections 2102(g)
						  and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
														532(g) and
						  541(b)); and sections 3 and 5
						  of the Newborn Child Testing Act (35 P. S. §§
														623 and
						  625).