Haw. Code R. § 11-93-51
As used in this subchapter:
"Administrator" means the person to whom it is delegated the responsibility for interpretation and implementation of the policies and program established by the governing body. This may be the same person as the medical director or midwife.
"Birthing room" means a room designed, equipped and arranged to provide for the care of a woman and her newborn child and to accommodate her support persons during the process of vaginal birth.
"Broad service hospital" means a medical facility which is staffed and equipped to provide definitive inpatient medical, surgical and obstetrical care for a twenty-four hour period or longer.
"Cardiopulmonary resuscitation" or "CPR" means an emergency first aid procedure that consists of opening and maintaining a patient's airway, providing artificial ventilation by means of rescue breathing, and providing artificial circulation by means of external cardiac compression.
"Chest x-ray" means a full sized 11" x 14" film taken by standard x-ray techniques.
"Department" means the department of health, State of Hawaii.
"Dietitian" means a person who:
(1) Is registered by the American Dietetic Association under its requirements in effect on the day of publication of this provision; or
(2) Is eligible for examination to become a registered dietitian.
"Director" means the director of health of the State of Hawaii.
"Freestanding birthing facility" means a public or private facility whose only purpose is the reception of maternity patients and the providing of care during pregnancy, delivery, and the immediate postpartum period. The service is limited to the low risk maternity mother and her newborns. It shall not have direct financial or administrative connections with a broad service hospital.
"Governing body" means an individual or group which is legally responsible for the operation and maintenance of the birthing facility.
"Immediate postpartum period" means that period of time starting at birth and ending with the discharge of the patient from the birthing facility.
"Licensee" means the governing body to whom the license is issued.
"Licensed practical nurse" means a nurse licensed as such by the State of Hawaii, pursuant to chapter 457, HRS.
"Low risk mother" means a person who does not exhibit any evidence of:
(1) Severe anemia or blood disease which will adversely affect the mother or infant during pregnancy or at birth.
(2) Diabetes mellitus.
(3) Symptomatic heart disease.
(4) Hypertension or preeclampsia.
(5) Renal disease.
(6) Thrombophlebitis.
(7) Multiple fetuses.
(8) Active herpes genitalia, gonorrhea, or syphilis within four weeks of expected date of confinement.
(9) Viral infections during pregnancy which may adversely affect the infant at birth.
(10) Placental abnormalities such as placenta previa or placenta abruptio.
(11) Premature labor, less than thirty-seven weeks, or post-maturity, more than forty-two weeks.
(12) Prolonged rupture of membranes.
(13) Potential or realized need for anesthesia or, if in labor, for anesthesia other than a pudendal or local nerve block.
(14) Intrauterine growth retardation.
(15) Fetal distress which will adversely affect the infant or at birth.
(16) Previous caesarean delivery.
(17) A desire on the part of the mother for transfer from the birth facility.
(18) Anticipated macrosomia which will adversely affect mother or baby in labor or at birth.
(19) Breech or other abnormal presentation.
(20) Five or more (non-miscarriage or non-abortion) pregnancies.
(21) Toxemia, hydromnios or chorioamnionitis.
(22) Malformed fetus.
(23) Alcoholism or drug dependency.
(24) Decision of the midwife or physician attendant not to accept the patient any longer.
(25) Problem of a previous pregnancy or a repetitive nature.
(26) Any other condition or need which will adversely affect the health of the mother or infant during pregnancy, labor, birth, or the immediate postpartum period.
"Medical director" means a suitably qualified physician who is appointed by the governing body to carry out section 11-93-61.
"Midwife" means a person licensed by the State of Hawaii as a midwife.
"Pathologist" means a person certified or eligible to be certified by the American Board of Pathology.
"Pharmacist" means a person having a valid license to practice as a "registered pharmacist" issued by the State of Hawaii, under chapter 461, HRS.
"Physician" is a person licensed by the State of Hawaii to practice medicine and surgery or osteopathy within the State.
"Registered professional nurse" means a person who is licensed as a registered nurse in the State of Hawaii, under chapter 457, HRS.
"Suitably qualified physician" means those physicians who are licensed by the State of Hawaii to practice medicine; is qualified for certification by the American Board of Obstetrics and Gynecology, or have a formal consultive arrangement with an obstetrician.
"Support person" means the individuals selected or chosen by the mother to provide emotional support and to assist her during the process of labor and childbirth.
"Tuberculin skin test" means an interdermal injection of .0001 mg (5 tuberculin units) of purified protein derivative in 0.1 cc of sterile diluent. If the size of any resulting palpable induration at forty-eight hours to seventy-two hours after injection is 10 mm or greater in its transverse diameter, the reaction to the skin test shall be considered significant.
Haw. Code R. § 11-93-51