Section 449.61174 - Transfer of patient to hospital or medical facility licensed to provide high-risk perinatal care1. Except as otherwise provided in subsection 2, an obstetric center must have a written agreement with at least: (a) One licensed hospital that is capable of providing a higher level of obstetrical and neonatal care than the obstetric center; and(b) One transportation service which can provide a vehicle with equipment appropriate to the needs of a maternal patient or newborn baby during a transfer for the obstetric center, that assures the expedient transfer of a maternal patient or newborn baby in accordance to established written protocols of the obstetric center when a maternal patient or newborn baby requires care beyond the capability of the obstetric center or a maternal patient is deemed to have a condition or the potential for such a condition that would result in an abnormal or complicated delivery.
2. An obstetric center that does not have a written agreement with a licensed hospital pursuant to subsection 1 shall send a certified letter requesting such an agreement to at least one licensed hospital that provides a higher level of obstetrical and neonatal care than the obstetric center. If the hospital refuses to enter into such an agreement or does not respond to the certified letter within 30 days after the letter is mailed, the obstetric center is not required to have such an agreement. If an obstetric center does not have such an agreement, the obstetric center shall notify each maternal patient in writing that it does not have such an agreement.3. An obstetric center must be located within 30 minutes of normal driving time from a licensed hospital that provides obstetrical care.4. An obstetric center shall develop and implement policies and procedures: (a) That require a physician with whom the obstetric center has entered into an agreement pursuant to subsection 4 of NAC 449.61152 or a designee of the physician to be available during labor and delivery. The policies and procedures must describe the manner in which the physician or his or her designee will be available.(b) For the emergency transfer of a patient to a licensed hospital5. The director of the obstetric center shall:(a) Determine the criteria and conditions under which a maternal patient or newborn baby should be considered for transfer. The criteria and conditions must be included in the written policy and procedures for the obstetric center.(b) Annually review those criteria and conditions.6. An obstetric center shall establish written procedures to determine the level of care and the mode of transportation required to ensure that the maternal patient and newborn baby receive expeditious and safe care appropriate to the needs of the maternal patient or newborn baby during the transfer.Nev. Admin. Code § 449.61174
Added to NAC by Bd. of Health, eff. 7-19-96; A by R059-16A, eff. 12/21/2016