Each hospital shall maintain written policies and procedures
governing the maintenance of medical records for the treatment of premature
rupture of membranes, ectopic pregnancies, trophoblastic tumors, and other
life-threatening conditions. The policies and procedures shall be reviewed at
least annually, dated to indicate time of last review, and revised as
necessary. At a minimum, the policies and procedures shall address the
following:
(1) When a patient receives
a diagnosis of premature rupture of membranes, the patient shall be admitted
for observation unless the treating physician determines that another course of
action is more medically appropriate under the circumstances to ensure the
health of the mother and the unborn baby. When the treating physician
determines that another course of action is more medically appropriate, the
physician shall document the reasons why the alternate course of action is more
appropriate.
(2) When a physician
attempts to induce the live birth of an unborn baby, regardless of gestational
age, to treat the premature rupture of membranes, and the unborn baby does not
survive, the incident does not constitute an abortion and shall not be reported
pursuant to Rule
59A-9.034. The treating
physician shall document the treatment in the patient's medical
record.
(3) The treatment of an
ectopic pregnancy is not an abortion and shall not be reported pursuant to Rule
59A-9.034. The treating
physician shall document the treatment in the patient's medical
record.
(4) The treatment of a
trophoblastic tumor is not an abortion and shall not be reported pursuant to
Rule
59A-9.034. The treating
physician shall document the treatment in the patient's medical
record.
Notes
Fla. Admin.
Code Ann. R. 59AER24-1
Rulemaking Authority 395.1055 FS. Law Implemented 390.0112,
395.3015 FS.
Adopted by
Florida
Register Volume 50, Number 090, May 7, 2024 effective
5/1/2024
(EMERGENCY).
