Section 449.61148 - Governing body of obstetric center; duties1. Except as otherwise provided in NAC 449.6115, each obstetric center must have a governing body that is chaired by a principal in the organization which is operating the obstetric center or the licensee with legal authority for the operation of the obstetric center.2. The governing body shall ensure that: (a) Each maternal patient of the obstetric center receives care from: (1) A licensed physician currently practicing in obstetrics or a licensed advanced practice registered nurse currently practicing in obstetrics; and(2) A registered nurse licensed pursuant to chapter 632 of NRS whom the director of the obstetric center has deemed as clinically competent to provide pre- and postdelivery care;(b) At least one licensed physician or licensed advanced practice registered nurse, who is currently practicing in obstetrics and approved by the director of the obstetric center to provide care at the obstetric center, is present at the time of delivery;(c) At least one registered nurse licensed pursuant to chapter 632 of NRS whom the director of the obstetric center has deemed as clinically competent to provide pre- and postdelivery care is on the premises during the time such care is provided;(d) An annual operating budget and a plan for capital expenditures for the obstetric center are established;(e) The obstetric center is adequately staffed and equipped;(f) There is documentation in the files of the obstetric center of the qualifications of each consultant under contract with and each member of the staff employed by the obstetric center;(g) The obstetric center adopts, enforces and annually reviews written policies and procedures, which must be approved by the governing board, relating to the operation of and the provisions of care by the obstetric center;(h) The obstetric center's protocols for treatment, assessments for risk status and criteria for the transfer of a maternal patient or a newborn baby are approved by the director of the obstetric center;(i) A licensed physician who is currently certified by the American Board of Obstetrics and Gynecology is readily available as a consultant, in person or by telephone, during all hours of operation of the obstetric center; and(j) The obstetric center files the appropriate records of births and deaths.3. The governing body shall establish a policy for authentication that: (a) Authorizes the use of rubber stamps, except on records documenting the medical care provided to a maternal patient and newborn baby, and prohibits the use of any stamp by any person other than the person whose signature the stamp represents;(b) Approves a method for identifying the person making an entry in any record or chart; and(c) Requires that the entry include the professional title of the person making the entry and the date and time that entry is made.4. The governing body shall appoint a person to administer the obstetric center who is responsible for: (a) The daily operation of the obstetric center;(b) Reporting the pertinent activities concerning the obstetric center to the governing body at regular intervals;(c) Appointing a person responsible for the obstetric center in the absence of the person appointed by the governing board; and(d) Planning for the services provided by the obstetric center and the operation of the obstetric center.5. The governing body shall ensure that the obstetric center maintains insurance for:(a) Nonmedical liability in an amount of $50,000 or more; and(b) Medical liability in an amount of $1,000,000 or more.6. The governing body shall require each licensed physician or licensed advanced practice registered nurse who practices in the obstetric center to carry liability insurance in an amount of $1,000,000 or more.Nev. Admin. Code § 449.61148
Added to NAC by Bd. of Health, eff. 7-19-96; A by R059-16A, eff. 12/21/2016