(a)  The provision of patient care shall be guided by written policies and procedures developed by the medical and nursing staff and approved by the medical staff.

(b)  Written policies shall relate to at least the following:

(1)           a system for informing the physician or certified nurse midwife responsible for a patient of the following:

(A)          the patient's admission;

(B)          the onset of labor; and

(C)          pertinent information about progress of labor or changes in patient's condition.

(2)           emergency response protocols for patients who demonstrate evidence of maternal, fetal or neonatal distress;

(3)           a program to prevent isoimmunization of RH-negative mothers;

(4)           administration of oxytocic agents when used for induction or stimulation of labor;

(5)           the use and administration of analgesics and anesthetics;

(6)           administration of magnesium sulfate when and for the treatment preeclampsia;

(7)           the location and storage of medications, supplies, and special equipment;

(8)           the method of identification for the neonates;

(9)           assessment and care of the neonates;

(10)         provision of resuscitation, stabilization, and preparation for the transport of sick neonates at any hour; and

(11)         an infection control plan.

(c)  Accurate and complete medical records shall be provided for each obstetric patient.


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.