3701-83-38 Personnel and staffing requirements - freestanding birth centers.

(A) Each freestanding birth center shall have an administrator.

(B) Each freestanding birth center shall have a director of patient services who shall be a physician or a CNM who has contracted with a collaborating physician.

(C) Each freestanding birth center shall establish personnel files for all staff. Each center shall retain the files for two years after an individual is no longer associated with the center. Each personnel file shall be maintained in a manner to ensure confidentiality, as provided by law, and shall contain:

(1) Documentation of the qualifications of the staff to provide services;

(2) A copy of current license, registration, or certification, if applicable or the provider of the freestanding birth center shall have an established system to verify and document the possession of current Ohio licenses, registrations, or other certifications required by law. A copy of the license to practice nursing shall be made in accordance with the requirements of paragraph (E) of rule 4723-7-07 of the Administrative Code;

(3) Documentation of any malpractice insurance carrier, if applicable;

(4) Reports of malpractice claims, if applicable;

(5) The regular performance evaluations required under paragraph (G) of rule 3701-83-08 of the Administrative Code;

(6) Documentation of current certification from the American heart association in cardiac life support or current certification from the American academy of pediatrics in neonatal resuscitation, if applicable; and

(7) Documentation of compliance with paragraph (D) of rule 3701-83-08 of the Administrative Code.

(D) Each freestanding birth center shall provide staff access to reference materials and provide continuing education, orientation, and ongoing training that shall be appropriate to the tasks that each staff member will be expected to perform. Training shall be designed to ensure appropriate skill levels are maintained and that staff are informed of changes in techniques, philosophies, goals, and similar matters. Ongoing training may include attending and participating in professional meetings and seminars and may also include:

(1) Universal precautions and infection control procedures;

(2) Fire, safety and disaster procedures;

(3) Licensure requirements;

(4) The philosophy of the birth center; and

(5) Procedures for the stabilization of newborns from birth to transport.

(E) Each freestanding birth center shall provide information concerning the philosophy of the center to applicants for professional employment.

(F) Each freestanding birth center shall provide for the availability of and access to consulting specialists.

(G) Each freestanding birth center shall maintain a sufficient number of staff on duty and available to meet demands for services routinely provided and an appropriate schedule of staff time to meet the needs of patients in a timely manner. The center shall provide sufficient staff to ensure patient safety and to ensure that no mother in active labor is left unattended.

(H) Each freestanding birth center shall establish and post a schedule for staff and consulting specialists that includes coverage for periods of high demand or emergency.

(I) A staff member who is current in certification from the American heart association in cardiac life support and a second staff member who is current in certification from the American academy of pediatrics in neonatal resuscitation shall be present at each birth.

(J) A physician or CNM shall attend each birth. A physician shall be available for stabilization and care of ill newborns and mothers.

Effective: 04/24/2011
R.C. 119.032 review dates: 02/07/2011 and 02/10/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13 , 3702.30
Rule Amplifies: 3702.12 , 3702.13 , 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 9/5/02, 6/1/06