NAC442.380. Level I basic care facilities: General requirements.

     1. A level I basic care facility must be able to provide:

     (a) A newborn nursery for the routine care of apparently normal neonates who have demonstrated successful adaptation to extrauterine life.

     (b) Resuscitation and stabilization of all neonates born in the hospital.

     (c) Evaluation and continuing care of healthy neonates.

     (d) Identification, stabilization and preparation of neonates for transport to a level II specialty care facility or level III subspecialty care facility, as appropriate.

     (e) A policy that clearly delineates when consultation with a level II specialty care facility or level III subspecialty care facility is required to prevent rapid or further deterioration of a neonate and prevent delay in treatment at a higher level of care.

     (f) Visitation between the neonate and the parents and siblings of the neonate.

     (g) Collection and retrieval of data as required pursuant to the Guidelines for Perinatal Care adopted by reference pursuant to NAC 442.370.

     2. The hospital providing care as a level I basic care facility must have a written agreement with each level III subspecialty care facility to which it refers neonates. The agreement must include provisions for the level III subspecialty care facility to provide:

     (a) Education in perinatal care, including neonatal resuscitation, for the staff of the level I basic care facility; and

     (b) Technical assistance in the development of a program of quality assurance for the care provided to neonates by the level I basic care facility.

     3. A level I basic care facility that is unable to secure the agreements required by subsection 2 shall document the efforts it made to secure the agreements and develop a plan to provide level I basic care services in the absence of such agreements.

     (Added to NAC by Bd. of Health, 7-16-85, eff. 8-1-85; A 9-1-89; 9-16-92; R064-04, 8-4-2004)