Section 410 IAC 39-4-2 - Obstetric Level II facility requirementsAuthority: IC 16-21-13-5
Affected: IC 16-21-13
Sec. 2.
(a) An Obstetric Level II facility is an Obstetric Level I facility plus care of appropriate high-risk antepartum, intrapartum, or postpartum conditions, both directly admitted and transferred from another facility. In addition to the requirements of an Obstetric Level I facility, an Obstetric Level II facility shall meet the requirements set forth in this section.(b) An Obstetric Level II facility shall demonstrate as follows its capability of providing uncomplicated and complicated obstetrical care through written standards, protocols, guidelines, and training, including (Obstetric Level I plus the following): (1) Each Obstetric Level II facility shall have all of the following facility capabilities: (A) A policy in place for consultation referrals for genetic diagnostic and counseling services.(B) Accept risk-appropriate maternal-fetal transports.(2) Each Obstetric Level II facility shall obtain and maintain current equipment and technology, including, but not limited to, the following: (A) Computed tomography (CT) scan.(B) Magnetic resonance imaging (MRI).(3) The medication requirements for Obstetric Level II are the same as Obstetric Level I.(4) The policy and procedure requirements for Obstetric Level II are the same as Obstetric Level I, set forth in section 1 of this rule.(c) Each Obstetric Level II facility shall ensure the following staffing requirements are met (Obstetric Level I plus the following): (1) Physician services, as follows: (A) An obstetrician-gynecologist (OB-GYN) or maternal-fetal medicine (MFM) specialist readily available at all times.(B) An MFM specialist available at all times for consultation.(C) Director of obstetric service is a board certified OB-GYN.(D) Board certified anesthesiologist available at all times for consultation.(E) Medical and surgical consultants available at all times for consultation.(2) Nursing services, as follows: (A) Nursing leadership and staff with formal training and experience in the provision of perinatal nursing care who are responsible for coordinating with respective neonatal care services.(B) Adequate numbers of registered nurses with competence in Level II care criteria and ability to stabilize and make preparations to transfer high-risk women who exceed Level II care criteria, readily available at all times.(3) Appropriately qualified medical staff to perform and interpret CT scans and MRI for maternal assessment.(4) Blood bank technicians who are immediately available at all times.Indiana State Department of Health; 410 IAC 39-4-2; filed 8/14/2019, 3:32 p.m.: 20190911-IR-410180416FRA