Section 449.364 - Obstetrical services: Administration; staffing and equipment1. If a hospital provides obstetric services, the obstetric services must be provided through an obstetric department which is well-organized and sufficiently staffed to ensure the health and safety of the patients.2. The obstetric department must be under the direction and supervision of a qualified member of the medical staff. The director of the obstetric department is responsible for the quality of medical care provided to patients by the obstetric department and for the review of the professional practices of the medical staff within the obstetric department, including, without limitation: (a) The delineation of the privileges accorded to members of the medical staff and members of allied health professional persons in the obstetric department; and(b) The reappraisal and appointment of each such member.3. A roster of the privileges relating to the provision of obstetric services of each member of the medical staff must be kept in the files of the obstetric department. The roster must specify the privileges awarded to each member.4. A hospital shall ensure that the obstetric department has adequate staffing and equipment, including, without limitation: (a) A sufficient number of registered nurses, trained in perinatal care of a maternal patient and in newborn care, who are on duty at all times to ensure that proper care is provided to each patient;(b) Appropriate equipment maintained in good working order;(c) Drugs and oxygen necessary to provide obstetric care to a maternal patient and a newborn;(d) Appropriate clinical laboratory services available to provide safe obstetric care according to the needs of the patient and medical staff of the department; and(e) Sufficient personnel on the premises and immediately available for each delivery of a newborn who: (1) Are trained and experienced in performing cardiopulmonary resuscitation on adults and newborns; and(2) Have successfully completed the Neonatal Resuscitation Program endorsed by the American Academy of Pediatrics and the American Heart Association.5. A hospital shall ensure that the obstetric department has the capability of providing: (a) Initial evaluation of the risk-status of each patient needing obstetric services, including the appropriateness of admitting the patient; and(b) Support of patients in labor.Nev. Admin. Code § 449.364
Bd. of Health, Health Facilities Reg. Part III Ch. I § XI subsec. D pars. 1-8, eff. 10-9-69-NAC A by R050-99, 9-27-99