Each hospital shall maintain written policies and procedures governing the maintenance of medical records for the treatment of preterm premature rupture of membranes, premature rupture of membranes, ectopic pregnancies, trophoblastic tumors, and other life-threatening conditions. The policies and procedures shall be reviewed at least annually, dated to indicate time of last review, and revised as necessary. At a minimum, the policies and procedures shall address the following:
(1) When a patient receives a diagnosis of preterm premature rupture of membranes or premature rupture of membranes, the patient shall be admitted for observation unless the treating physician determines that another course of action is more medically appropriate under the circumstances to ensure the health of the mother and the unborn baby. When the treating physician determines that another course of action is more medically appropriate, the physician shall document the reasons why the alternate course of action is more appropriate.(2) When a physician attempts to induce the live birth of an unborn baby, regardless of gestational age, to treat the preterm premature rupture of membranes or premature rupture of membranes, and the unborn baby does not survive, the incident does not constitute an abortion and shall not be reported pursuant to Rule 59A-9.034, F.A.C. The treating physician shall document the treatment in the patient's medical record.(3) The treatment of an ectopic pregnancy is not an abortion and shall not be reported pursuant to Rule 59A-9.034, F.A.C. The treating physician shall document the treatment in the patient's medical record.(4) The treatment of a trophoblastic tumor is not an abortion and shall not be reported pursuant to Rule 59A-9.034, F.A.C. The treating physician shall document the treatment in the patient's medical record. Fla. Admin. Code Ann. R. 59A-3.282
Rulemaking Authority 395.1055 FS. Law Implemented 390.0112, 395.3015 FS.
Adopted by Florida Register Volume 50, Number 217, November 5, 2024 effective 11/19/2024.