Section R9-10-223. Perinatal Services

A.      An administrator of a hospital that provides perinatal orga- nized services shall ensure that:

1.        Perinatal services are provided in a designated area under the direction of a medical staff member;

2.        Only medical and surgical procedures approved by the medical staff are performed in the perinatal services unit;

3.        The perinatal services unit has the capability to initiate an emergency cesarean delivery within the time-frame established by the medical staff and documented in poli- cies and procedures;

4.        Only a patient in need of perinatal services or gynecolog- ical services receives perinatal services or gynecological services in the perinatal services unit;

5.        A patient receiving gynecological services does not share a room with a patient receiving perinatal services;

6.        A chronological log of  perinatal services provided to patients is maintained that includes:

a.         The patient’s name;

b.        The date, time, and mode of the patient’s arrival;

c.         The disposition of the patient including discharge, transfer, or admission time; and

d.        The following information for a delivery of a neo- nate:

i.         The neonate’s name or other identifier;

ii.        The name of the medical staff member who delivered the neonate;

iii.      The delivery time and date; and

iv.       Complications of delivery, if any;

7.        The chronological log required in subsection (A)(6) is maintained by the hospital in the perinatal services unit for at least 12 months after the date the perinatal services are provided and then maintained by the hospital for at least an additional 12 months;

8.        The perinatal services unit provides fetal monitoring;

9.        The perinatal services unit has ultrasound capability;

10.     Except in an emergency, a neonate is identified as required by policies and procedures before moving the neonate from a delivery area;

11.     Policies and procedures specify:

a.         Security measures to prevent neonatal abduction, and

b.        How the hospital determines to whom a neonate may be discharged;

12.     A neonate is discharged only to an individual who:

a.         Is authorized according to subsection (A)(11), and

b.        Provides identification;

13.     A neonate's medical record identifies the individual to whom the neonate is discharged;

14.     A patient or the individual to whom the neonate is dis- charged receives perinatal education, discharge instruc- tions, and a referral for follow-up care for a neonate in addition to the discharge planning requirements in R9-10- 209;

15.     Intensive care services for neonates comply with the requirements in R9-10-221;

16.     At least one registered nurse is on duty in a nursery when there is a neonate in the nursery except as provided in subsection (A)(17);

17.     A nursery occupied only by a neonate, who is placed in the nursery for the convenience of the neonate's mother and does not require treatment as established in this Arti- cle, is staffed by a nurse;

18.     Equipment and supplies are available to a nursery, labor- delivery-recovery room, or labor-delivery-recovery-post- partum room to meet the needs of each neonate; and

19.     In a nursery, only a neonate's bed or bassinet is used for changing diapers, bathing, or dressing the neonate.

B.       An administrator of a hospital that does not provide perinatal organized services shall comply with the requirements in R9- 10-217(C).

Historical Note

Former Section R9-10-223 renumbered as R9-10-319 as an emergency effective February 22, 1979, new Section R9-10-223 adopted effective February 23, 1979 (Supp. 79-1). Section repealed; new Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Section R9-10-223 renumbered to R9-10- 224; new Section R9-10-223 renumbered from R9-10- 222 and amended by exempt rulemaking at 19 A.A.R.

2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp.

14-2).