SECTION .4300 - MATERNAL - NEONATAL SERVICES
10A NCAC 13B .4301 ORGANIZATION MATERNAL SERVICES
(a) The governing body shall approve the scope of obstetric services offered based upon the level of patient need, qualifications of the credentialed staff, and resources of the facility.
(b) The following capabilities and minimum services shall be made available when obstetric services are provided:
(1) identification of high-risk mothers and fetuses;
(2) continuous electronic fetal monitoring;
(3) cesarean delivery capability within 30 minutes of decision;
(4) blood or fresh frozen plasma for transfusion;
(5) anesthesia on a 24-hour or on-call basis;
(6) radiology and ultrasound examination;
(7) stabilization of unexpectedly small or sick neonates before transfer;
(8) neonatal resuscitation;
(9) laboratory services on a 24-hour or on-call basis;
(10) consultation and transfer agreements;
(11) assessment and care for the neonates; and
(12) nursery or other appropriate space for care of the neonates.
(c) In a facility without intensive care nursery services, the facility management shall establish and maintain a plan for the stabilization and transportation of sick newborns to a regional neonatal unit.
History Note: Authority G.S. 131E-79;
Eff. January 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 22, 2017.