N.H. Admin. Code § He-P 810.15

Current through Register No. 45, November 7, 2024

Section He-P 810.15 - Required Services

(a) The licensee shall provide administrative services that include the appointment of a full-time, on-site administrator who:

(1) Has a bachelor's degree in business administration or health and human services;

(2) Is a licensed physician in the State of New Hampshire;

(3) Is a certified midwife or certified nurse midwife (CNM) in the State of New Hampshire; or

(4) Is an APRN-CNM in the State of New Hampshire.

(b) The licensee shall establish a process for verifying the credentials of personnel involved in the direct care of the client which includes written documentation that:

(1) The individual is licensed or certified to practice health care in New Hampshire, if required; and

(2) The individual has the requisite education and experience to meet the requirements of the position, and required by this section.

(c) In addition to (b) above, the licensee shall:

(1) Document that each employee involved in the direct care of clients has been advised of the duties that they may perform;

(2) Establish in writing the process for updating the scope of practice of personnel as necessary; and

(3) Conduct an annual review of all credentialed personnel and document the review in their file.

(d) The licensee shall provide medical services that include the appointment of a medical director who:

(1) Is a physician licensed in the State of New Hampshire;

(2) Is an APRN-CNM licensed in the State of New Hampshire; or

(3) Is a doctor of naturopathic medicine with certification in natural childbirth.

(e) The medical director shall:

(1) Participate in the development of policies and procedures for the birthing center;

(2) Participate in the birthing center's quality improvement program; and

(3) Provide consultation to the birthing center's personnel.

(f) In addition to (d) above, the licensee shall:

(1) Provide qualified personnel sufficient to meet the needs of clients that, at a minimum, shall include:

a. A primary caregiver to attend each birth that is:

1. An obstetrician;

2. A family practice physician;

3. A licensed APRN;

4. A certified midwife; or

5. A naturopathic doctor with certification in natural childbirth; and

b. A second person to attend each birth that has been verified by the birthing center as being appropriately credentialed as specified in (b) above;

(2) Have at least 2 persons on call when births are anticipated, one of whom is a person listed under (f) (1) a. above; and

(3) Provide the following services in the birthing center or at the home of the client:

a. Orientation to the birthing center, the fees, and the services of the birthing center;

b. Education for pregnancy, labor, breastfeeding, infant care, early discharge, parenting, and sibling preparation;

c. Prenatal care;

d. Intrapartum care;

e. Postpartum care; and

f. Follow up care for the mother and newborn.

(g) The following services shall be prohibited in the birthing center or at the home of the client:

(1) Regional or general anesthesia including awake sedation;

(2) Vacuum extraction; and

(3) Chemical induction and augmentation.

(h) The licensee shall provide dietary services that include light nourishment during labor and postpartum.

N.H. Admin. Code § He-P 810.15

#8957, eff 7-27-07

Amended by Volume XXXVI Number 36, Filed September 8, 2016, Proposed by #11161, Effective 8/20/2016, Expires 8/20/2026.