Current through Register Vol. XLI, No. 50, December 13, 2024
Section 64-31-9 - Clinical Policies and Procedures9.1. There shall be written policies, including detailed definitions of, screening criteria for, and procedures for identifying: (a) low-risk maternal clients who shall be eligible for birthing services offered by the birthing center; and (b) individuals who shall be ineligible for birthing services at the birthing center.9.2. There shall be written policies and procedures, including detailed definitions or criteria for: (a) identification and transfer of clients who, during the course of pregnancy, are determined to be ineligible; and (b) identification and transfer of clients who, during the course of labor or recovery, are determined to be ineligible for continued care in the birthing center.9.3. There shall be written plans and procedures for consultation, backup services, transfer and transport of a newborn or maternal client to a hospital where appropriate care is available.9.4. Clinical policies and procedures shall be developed for routine and for emergency care of both the maternal and the fetus or newborn client until completion of care by the birthing center either through completion of the care program or through transfer to other levels of care.9.5. The center shall provide written evidence of the availability of emergency transport services for clients.9.6. There shall be provision for emergency admission of clients to a hospital by at least one of the following methods: (a) the attending physician or the consultant physician on call shall have admitting privileges at the hospital to be utilized for emergency transfer; or (b) there shall be a written agreement with a hospital for emergency services and admissions. A hospital policy statement concerning emergency procedures and admissions may, at the director's discretion, be accepted as satisfying this requirement.9.7. There shall be provision for the education, orientation and training of clients, family and support persons in pregnancy, childbirth and newborn care.9.8. Procedures shall be adopted and implemented for the registration of births and the examination for and the reporting of congenital physical and mental impairments in infants in accordance with state law found at Chapter 16, Article 5, Section 12a of the West Virginia Code of 1931, as amended.9.9. Prophylactic treatment of the eyes of the newborn shall be performed in accordance with Chapter 16, Article 3 of the West Virginia Code of 1931, as amended and any regulations promulgated thereunder. 9.10. The birthing center shall comply with state law relating to the testing for phenylketonuria, galactosemia and hypothyroidism as found at Chapter 16, Article 22, of the West Virginia Code of 1931, as amended, and any rules promulgated thereunder.9.11. There shall be procedures for infection control which shall include consideration of housekeeping, cleaning, sterilization, sanitization and storage of supplies and equipment, and health of personnel.9.12. Health records for personnel shall include documented evidence of a tuberculosis screening if indicated by exposure or prevalence.9.13. Employees with any communicable disease in an infectious stage shall not be on duty.9.14. The birthing center shall adopt and implement a program for documented reviews of the quality of the management of the care of clients. Such program shall include: (a) regular staff meetings and case presentations; (c) evaluation of routines for infection control, equipment maintenance and emergencies. Drills in emergency procedures shall be a component of the quality review program.9.15. Clinical policies and procedures shall be organized and indexed and shall be readily available on site for staff use and inspection at all times.