NAC449.61152. Designation and responsibilities of medical director; privileges of members of medical staff; provision of consultation services with specialists.

     1. An obstetric center shall designate a licensed physician who is currently certified by the American Board of Obstetrics and Gynecology, or an equivalent organization, and practicing obstetrics including the delivery of newborn babies and providing care to maternal clients, to serve as the medical director of the obstetric center. The medical director is responsible for:

     (a) The development and implementation of policies related to the care of a maternal patient;

     (b) The coordination of medical care at the obstetric center; and

     (c) The development of, the maintenance of and the assurance of compliance with a written plan to provide medical care in a licensed medical facility that can provide a higher level of care to each maternal patient and newborn baby under the care of the obstetric center when the needs of the maternal patient or newborn baby exceed the capability of the obstetric center.

     2. The medical director is responsible for the quality of medical care provided to each maternal patient and newborn baby under the care of the obstetric center and for the review of the ethical and professional practices of the medical staff, including, but not limited to:

     (a) The selection of members of the medical staff;

     (b) The delineation of the privileges accorded by the obstetric center to members of the medical staff and members of allied health professions who provide services at the obstetric center;

     (c) The reappraisal and appointment of each member of the staff; and

     (d) The procedure to appeal the withdrawal or denial of any privilege of a member of the staff.

     3. A roster of the privileges of each member of the medical staff of the obstetric center must be kept in the files of the obstetric center specifying the privileges awarded to that member.

     4. The obstetric center shall maintain and document each agreement to provide consultation services which the obstetric center enters into with a:

     (a) Physician certified by the American Board of Obstetrics and Gynecology, or an equivalent organization; or

     (b) Physician certified by the American Board of Pediatrics, or an equivalent organization,

Ê who has admitting privileges in his or her specialty at an appropriate licensed medical facility that can provide a higher level of care to a maternal patient or newborn baby than the obstetric center can provide.

     5. Each member of the medical staff of the obstetric center must agree to abide by the rules of the obstetric center and NAC 449.6113 to 449.61178, inclusive.

     (Added to NAC by Bd. of Health, eff. 7-19-96)