NAC449.61158. Program for review of quality of care.

An obstetric center shall establish a program for the review of the quality of care provided by the obstetric center. The program must include, without limitation:

     1. Documentation in the medical records of the maternal patient and newborn baby of the care provided as appropriate to the condition of the maternal patient or newborn baby, and the results or outcome of that care;

     2. The time of admission and the time that the maternal patient was examined by a licensed physician or a licensed advanced practice registered nurse;

     3. A statement which describes the condition of the maternal patient at the time that the patient is discharged from the obstetric center;

     4. The instructions given to the maternal patient upon discharge and documentation of the maternal patient’s understanding of those instructions;

     5. For each maternal patient and newborn baby who is transferred to another hospital or medical facility, the reason for the transfer, the method of transfer, the time that the transfer was requested and the time that the maternal patient or newborn baby was discharged from the obstetric center;

     6. Documentation of any incident of unusual occurrence or deviation from the usual standards of practice of patient care, any error in the administration of medications, any intrapartum infection of either maternal patient or newborn baby, and any morbidity or mortality; and

     7. Documentation about the newborn babies delivered at the obstetric center, including, but not limited to:

     (a) The number of deliveries;

     (b) Any birth weight of less than 2500 grams;

     (c) Any Apgar scores of newborn babies delivered at the obstetric center which are less than 6 after 5 minutes;

     (d) Any congenital defect of a newborn baby; and

     (e) Any perinatal complication of a maternal client or newborn baby.

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