Section 79723 - Perinatal Service General Requirements(a) A perinatal unit shall provide or arrange for: (1) Care for the patient during pregnancy, labor, delivery, and the postpartum period. Labor, delivery, and neonatal care may be provided outside the correctional treatment center under a contractual agreement with a general acute care hospital, in which case only emergency delivery services will be provided by the correctional treatment center.(2) Care for the normal infant and the infant with abnormalities which usually do not impair function or threaten life. Newborns shall not be retained beyond 24 hours at the correctional treatment center without the approval of the medical director.(3) Care for mothers and infants needing emergency or immediate life support measures to sustain life up to 12 hours or to prevent major disability.(4) Formal arrangements for consultation and/or transfer of an infant to an intensive care newborn nursery, or a mother to a hospital with the necessary services, for problems beyond the capacity of the perinatal unit.(b) There shall be written policies and procedures developed and maintained by the person responsible for the service, in consultation with other appropriate health professionals and administration. These policies and procedures shall reflect the standards and recommendations of the 1989 American College of Obstetricians and Gynecologists "Standards for Obstetric-Gynecologic Services" and the 1988 American Academy of Pediatrics "Guidelines for Perinatal Care". These standards are hereby incorporated by reference. Policies shall be approved by the governing body. Procedures shall be approved by the patient care policy committee and medical director. Policies and procedures shall address but not be limited to:(1) Relationships to other services in the correctional treatment center.(2) Admission policies, including infants delivered prior to admission of the mother.(3) Arrangements for maternity patient overflow.(4) Consultation from an intensive care newborn nursery.(5) Prevention and treatment of neonatal hemorrhagic disease.(6) Care and transfer of the premature or low birth weight infant.(7) Resuscitation of the newborn.(8) Administering and monitoring of oxygen and respiratory therapy.(11) Rhesus (Rh) hemolytic disease identification, reporting, and prevention.(12) Management of hyperbilirubinemia.(13) Induction of labor and administration of oxytocic drugs.(14) Obstetric-pediatric-pathologic-radiologic conferences.(15) Patient identification system.(16) Care routines for the mother and infant.(17) Hand washing technique.(18) Bassinet techniques in caring for infants.(19) Treatment of the eyes of newborn, including Crede' or antibiotic treatment.(21) Formula preparation and storage.(c) The responsibility and the accountability of the perinatal service to the medical staff and administration shall be defined.(d) Laboratory testing capabilities for performing blood gas analyses, pH and microtechniques shall be available.(e) The correctional treatment center perinatal service shall have the capability for operative delivery, including caeserean section, available at all times.(f) Infants with diarrhea of the newborn as defined in Section 2564, Title 17, California Code of Regulations, as amended, or who have draining lesions shall be transferred to a general acute care hospital.(g) Infants suspected of having airborne infections shall be separated from other infants in the nursery and transferred to a general acute care hospital.(h) All persons in the delivery room shall wear clean gowns, caps and masks during a delivery.(i) Oxygen shall be administered to newborn infants only on the written order of a physician. The order shall include the concentration (volume percent) or desired arterial partial pressure of oxygen and be reviewed, modified, or discontinued after 24 hours.(j) All patients shall be attended by a physician or registered nurse when under the effect of anesthesia or regional analgesia, when in active labor, during delivery and in the immediate postpartum period.Cal. Code Regs. Tit. 22, § 79723
1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23). Note: Authority cited: Sections 208(a) and 1267.10(a), Health and Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety Code.
1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23).