Kan. Admin. Regs. § 28-4-279 - Maternity care
(a) Any facility
may provide care for a pregnant resident if the requirements of this regulation
are met, and the plan is approved by the department. If the facility does not
meet the maternity care regulations or does not plan to maintain the resident
through the pregnancy, the resident's child placing agent shall be notified
within seven days of the determination of pregnancy and the resident shall be
moved within 30 days thereafter.
(b) Any facility which provides maternity
care shall meet the following additional requirements:
(1) Each resident shall receive the services
of a licensed physician on a regular and continuing basis throughout pregnancy,
delivery and post-delivery checkup.
(2) The facility shall consult with a
board-certified obstetrician who is available in case of emergency or
complication.
(3) There shall be a
written plan for all deliveries to take place in a licensed hospital or
maternity center. The plan shall state the name and location of the facility
and of an alternate hospital for use if services are unavailable at the primary
hospital or maternity center.
(4)
The facility shall be within 30 minutes of the licensed hospital or maternity
center providing maternity services.
(5) Complaints of alleged inadequate or
improper care by a physician or hospital shall be reported in writing
immediately to the Kansas department of health and environment.
(6) Ambulance service shall be readily
available for emergencies.
(7)
Special arrangements shall be available for bed and nursing care for each
resident who develops complications during pregnancy but who does not require
hospitalization.
(8) Each
resident's medical record shall include the medical consent form, the name of
her physician, a schedule of appointments, the expected date of delivery and
any special needs or problems.
(9)
The facility shall contract for the services of a registered nurse to provide
at least weekly instruction to the pregnant residents regarding childbirth
preparation, nutrition, general health and hygiene, post-partum care,
post-natal care, contraception and venereal disease, and the psychology and
physiology of pregnancy. The residents shall be given a tour of the hospital
where delivery is planned. The nurse shall also serve as a consultant to the
staff regarding the development of general health policies.
(10) Special nutrition policies for pregnant
residents shall be developed in consultation with a physician, nutritionist or
nurse. Residents shall be referred to the WIC program when appropriate and
available.
(11) Specific policies
shall be developed for support to the mother during labor and delivery and for
the care of any new mother who returns to the facility following delivery.
(12) Upon dismissal from the
facility, each resident shall be given written information regarding her
post-partum care. A referral shall be made to the appropriate community
resource for follow-up services.
(13) Casework services shall be provided by
an approved social agency in the community or the facility's own professional
staff.
(A) If the facility's professional
staff provides casework services, the following requirements shall be met:
(i) There shall be at least one social worker
for each fourteen residents.
(ii)
Casework services shall be provided to each pregnant resident immediately upon
admission to the facility.
(iii)
Casework interviews shall be regularly scheduled with reasonable frequency
based on the service plan.
(iv)
Casework service shall include help in adjustment to pregnancy, to separation
from the resident's natural environment and to group living. Casework services
shall include psychological and psychiatric help as needed to facilitate
diagnosis and treatment.
(v) The
caseworker shall be responsible for providing help in formulating a long-term
plan for the mother and baby.
(vi)
Each resident shall have the right to make the decision as to whether to keep
or relinquish her infant. This decision shall be made without undue pressure or
influence.
(vii) The caseworker,
at the request of the pregnant resident, shall arrange for referral to a
licensed child placing agency for any baby needing adoptive placement or other
foster care.
(B) If
casework services are provided by a community social agency, K.A.R.
28-4-279(b)(13)(A)(iii)(iv)(v)(vi) and (vii) requirements shall be met.
(14) The maternity care
staff, board, or any other person connected with the facility shall not
directly or indirectly place or arrange for placement of children for adoption
or foster care. Such an action shall result in immediate revocation or denial
of license.
Notes
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No prior version found.