Okla. Admin. Code § 310:600-9-6 - Examinations, tests and procedures

In addition to the provisions specified individually in each facility's operational program narrative, each abortion facility shall comply with the following:

(1) Each patient shall have a medical history and physical including pelvic examination recorded by the physician performing the abortion prior to the procedure. The physician shall determine and document the duration of gestation, identify preexisting medical or other complications, and observe any factors which may influence the choice of the procedure, anesthesia, or care provided.

(2) Not more than seventy-two (72) hours prior to the procedure, each patient shall receive clinical laboratory testing which shall include a hemoglobin and/or hematocrit, Rh type, and pregnancy test.

(3) All tissue removed during the abortion shall be examined by a physician and stored in ten (10) percent formalin for thirty (30) days or until after the follow-up examination. If the attending physician orders a pathological examination, the tissue shall be examined by a physician who is certified in anatomical pathology by the American Board of Pathology or American Osteopathic Board of Pathology or by a physician who is an active candidate for certification by these boards.

(4) After the follow-up examination or thirty (30) days, tissue not maintained for additional microscopic examination removed during the abortion shall be disposed of in an incinerator designed and approved for the disposal of pathological specimens. The abortion facility may accept a written statement from the pathologist attesting the tissue has been properly incinerated.

(5) Anti-Rh immune globulin therapy shall be given to Rh negative patients that are candidates for the therapy upon completion of the abortion procedure. If the patient refuses this therapy, the physician shall document the refusal in the medical record and if possible obtain the signature of the patient on an appropriate release.

(6) All patients recovering from an abortion shall be released from the facility by order of a physician. A physician or licensed nurse shall remain in the facility until all patients are recovered and released.

(7) Each facility shall maintain supplies and equipment for initial emergency medical care of problems that may arise in the facility (e.g. bleeding, shock, disseminated intravascular coagulations, seizures, and respiratory and cardiac arrest). The equipment and supplies shall be immediately available to the procedure and recovery room.

(8) Emergency drugs, oxygen, and intravenous fluids shall be available in the procedure and recovery room. A manual breathing bag, suction machine, and endotracheal equipment shall be located for immediate access.

(9) Each facility shall establish a written protocol for the transfer of patients requiring emergency treatment that can not be provided on-site. The protocol shall include procedures to contact the local ambulance service and expedite the transfer to the receiving hospital. Appropriate clinical patient information shall be provided to the receiving facility. If the attending physician does not have admitting privileges at a local general hospital, the physician shall attest arrangements have been made with a physician having hospital privileges to receive emergency cases.

Notes

Okla. Admin. Code § 310:600-9-6

Added at 15 Ok Reg 3172, eff 7-13-98