6 Colo. Code Regs. § 1011-1-22-9
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-22-9 - ADMISSIONS AND DISCHARGE9.1 Only members of the clinical staff shall admit clients to the facility.9.2 As a condition of admission all persons shall sign prior to the onset of labor a disclosure document which shall contain:(A) an explanation of the services available.(B) an explanation of the services not available, including types of anesthesia.(C) the risks, benefits and eligibility requirements for care.(D) the facility's plan for provision of emergency and non-emergency care in the event of complications with client or newborn, and a statement of the time to and location of the nearest hospital for care of the client and newborn.(E) a written statement of fees for services and responsibilities for payment.9.3 Only low risk pregnant persons for whom prenatal and intrapartum history, physical examination, and laboratory screening procedures have demonstrated a normal, uncomplicated course of pregnancy and labor shall be admitted.(A) The facility shall specify in policy and procedure the criteria used to evaluate risk status. The criteria shall be based on a current national standard of care, such as, but not limited to, indicators established by the American Association of Birth Centers. The social, medical, obstetric, fetal and/or neonatal risk factors which exclude persons from the low-risk intrapartum group shall be clearly delineated and annually reviewed and updated as appropriate.(B) The criteria used to evaluate risk status shall be applied for each client during the entire course of care delivered by the facility.(C) Prenatal care in accordance with current standards of practice shall be a prerequisite for admission.9.4 Discharge Planning (A) An individualized discharge plan shall be communicated to the client and recorded in the client's chart. The discharge plan shall include:(1) information about follow up visits. A follow up visit shall be scheduled prior to discharge.(2) referrals for continuity of care for both the client and newborn. The facility shall provide the relevant portions of the newborn records to the client. Upon request by the client or the pediatric care provider, the facility shall provide a copy of the newborn records to the pediatric care provider.(B) The facility shall provide a list of available counselors and counseling services to clients known to be considering relinquishing or terminating parental rights. The list shall also be provided to any other family or support person designated by the client.(C) The facility shall file birth certificates with the state registrar in accordance with Section 25-2-112, C.R.S.