Haw. Code R. § 11-93-65

Current through September, 2024
Section 11-93-65 - Patient care
(a) All patients admitted to a facility shall have been under prior care by a member of the professional staff.
(b) Patients and newborns shall remain under observation in this facility for a reasonable period of time to ensure that no immediate postpartum complications are present. In no case shall they remain longer than twenty-four hours post delivery.
(c) Arrangements shall be made for all mothers to be screened for blood type and Rh factor. Those determined to be Rh negative shall have provision for appropriate follow up studies both prenatally and at the time of delivery in order to determine the need for anti D immune globulin (human) to prevent sensitization by the postpartum mother. There should be evidence of a plan for appropriate use of Rh immune globulins.
(d) Every physician or midwife practicing midwifery shall, upon birth of a child, install or cause to be installed in each eye of each newborn one per cent silver nitrate solution contained in a wax ampule, or appropriate opthalmic preparations containing tetracycline or erythromycin. These latter are the only antibiotics of approved effectiveness in preventing development of opthalmia neonatorium. A maximum of thirty minutes shall be allowed between the time of birth and the administration of the approved prophylactic agent.
(e) At the time of discharge from the facility each patient shall be provided with a document which includes, as a minimum, the following information:
(1) The exact procedures which were performed using accepted medical terminology.
(2) The precise names, both proprietary and generic of all medications administered to the patient in the facility or given to the patient at the time of discharge from the facility.
(3) Activities to be encouraged, and activities to be avoided by the patients, as well as instructions for care of the infant.
(4) Specific telephone numbers of the attending midwife or physician, as well as the telephone number of at least one suitable backup person.
(5) The telephone number and location of the nearest hospital to be used by the patient should emergency complications arise.
(6) Date and location of the first postpartum checkup.

Haw. Code R. § 11-93-65

[Eff. MAR 3, 1986] (Auth: HRS §§ 321-9, 321-10) (Imp: HRS § 321-10)