Fla. Admin. Code R. 59A-9.0225

Current through Reg. 50, No. 235-239, December 10, 2024

Section 59A-9.0225 - Clinic Supplies and Equipment Standards for Second Trimester Abortions

Each abortion clinic providing second trimester abortions shall provide essential clinic supplies and equipment as required in subsections (1) through (7) when performing second trimester abortions.

(1) The following equipment shall be maintained in functional condition:

(a) A surgical or gynecological examination table(s);

(b) A bed or recliner(s) suitable for recovery;

(c) Oxygen with flow meters and masks or equivalent;

(d) Mechanical suction;

(e) Resuscitation equipment to include resuscitation bags and oral airways;

(f) Emergency medications, intravenous fluids, and related supplies and equipment;

(g) Sterile suturing equipment and supplies;

(h) Adjustable examination light;

(i) Containers for soiled linen and waste materials with covers; and,

(j) Appropriate equipment for the administering of general anesthesia, if applicable.

(2) Emergency equipment shall be provided for immediate use, maintained in functional condition, and capable of providing the following services:

(a) Inhalation therapy;

(b) Defibrillation;

(c) Cardiac monitoring;

(d) Suctioning; and,

(e) Maintenance of patient airway.

(3) Anesthesia.

(a) The clinic shall have anesthesia equipment maintained in proper working order for the appropriate administering of general and local anesthesia, analgesia, and sedation if ordered by the physician.

(b) All reusable anesthesia equipment in direct contact with the patient shall be cleaned or sterilized as appropriate after each use and such cleaning and sterilization shall be documented.

(4) Resuscitative Medications Required.

The clinic shall have a crash cart at the location the anesthetizing is being carried out. The crash cart must include those emergency medications to support the procedures performed as determined by the medical director.

(5) Sterilization Equipment.

Sterilizing equipment of adequate capacity shall be available to properly sterilize instruments and materials. The sterilizing equipment shall have approved control and safety features.

(6) Ultrasound equipment shall be located in the clinic.

(7) Equipment Maintenance.

(a) When patient monitoring equipment is utilized, a written preventive maintenance program shall be developed and implemented. This equipment shall be checked and/or tested in accordance with manufacturer's specifications at periodic intervals, not less than annually, to insure proper operation, and a state of good repair. After repairs and/or alterations are made to any equipment, the equipment shall be thoroughly tested for proper calibration before returning it to service. Records shall be maintained on each piece of equipment to indicate its history of testing and maintenance.

(b) All anesthesia and surgical equipment shall have a written preventive maintenance program developed and implemented. Equipment shall be checked and tested in accordance with the manufacturer's specifications at designated intervals, not less than annually, to ensure proper operation and a state of good repair.

(c) All surgical instruments shall have a written preventive maintenance program developed and implemented. Surgical instruments shall be cleaned and checked for function after use to ensure proper operation and a state of good repair.

Fla. Admin. Code Ann. R. 59A-9.0225

Rulemaking Authority 390.012(1) FS. Law Implemented 390.012(3)(b) FS.

New 9-25-06, Amended by Florida Register Volume 43, Number 055, March 21, 2017 effective 4/5/2017.

New 9-25-06, Amended 4-5-17.