6 Colo. Code Regs. § 1011-1-22-12

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1011-1-22-12 - EMERGENCY CARE AND TRANSFERS

12.1 Policies and procedures regarding emergency care and transfer shall address, but not be limited to, the following:

(A) transfer to a hospital, when appropriate, in a timely manner to ensure the well-being of the adult client and newborn.

(B) transfer of information required for proper care and treatment of the individual(s) transferred, including client health records.

(C) security and accountability of the personal effects of the individual(s) being transferred.

(D) communication with the receiving hospital.

12.2 Clients with the following conditions intrapartum shall be transferred to a hospital:

(A) client request for transfer from birth center care.

(B) client admitted with any conditions which preclude birth center delivery.

(C) need for pharmacologic agents for cervical ripening, induction, and augmentation of labor.

(D) failure of progressive cervical dilation or descent after trial of therapeutic steps capable of being applied at the facility.

(E) fetal monitoring beyond intermittent auscultation.

(F) fetal distress without delivery imminent.

(G) development of preeclampsia.

(H) intrapartum hemorrhage (placenta previa or abruptio placentae).

(I) prolapsed cord.

(J) change to non-vertex presentation.

(K) evidence of amnionitis.

(L) development of any other complication beyond the facility's scope of services identified by the governing board pursuant to section 4.2 (C) of these regulations.

12.3 Clients with the following conditions post-partum shall be transferred to a hospital:

(A) Adult Client

(1) hemorrhage not responding to treatment.

(2) retained placenta.

(3) need for extended observation.

(4) development of any other complication beyond the facility's scope of services identified by the governing board pursuant to section 4.2 (C) of these regulations.

(B) Newborn

(1) Apgar less than 7 at 5 minutes.

(2) need for oxygen beyond 5 minutes.

(3) signs of prematurity.

(4) signs of respiratory distress.

(5) jaundice, anemia, polycythemia, or hypoglycemia.

(6) persistent hypothermia (less than 97° F at 2 hours of life).

(7) persistent hypotonia.

(8) exaggerated tremors, seizures or irritability.

(9) any significant congenital anomaly, seen or suspected.

(10) sign of significant birth trauma.

(11) development of any other complication beyond the facility's scope of services identified by the governing board pursuant to section 4.2 (C) of these regulations.

6 CCR 1011-1-22-12