Birthing centers must have a governing
body which is legally responsible for:
The overall operation and maintenance of the facility;
(b) The provision of personnel, facilities,
equipment, supplies, and services to mothers and families;
(c) Adopting administrative policies
regarding patient care;
Appointing an administrator or director responsible for implementing the
and maintaining a written organizational plan;
(f) Appointing a clinical staff and assuring
its competence; and
all of the above.
When licensure is applicable for a particular job, a copy of the current
license must be included as a part of the personnel file. Each personnel file
shall contain accurate information as to the education, training, experience
and personnel background of the employee. Adequate medical screenings to
exclude communicable disease shall be required of each employee.
(3) Whenever the rules and regulations of
this chapter require that a licensee develop a written policy, plan, procedure,
technique, or system concerning a subject, the licensee shall develop the
required policy, maintain it and adhere to its provisions. A birthing center
which violates a required policy also violates the rule and regulation
establishing the requirement.
Policies and procedures shall be consistent with professionally recognized
standards of practice.
facility shall develop policies and procedures for testing a patient's blood
for the presence of the hepatitis B virus and the HIV virus in the event that
an employee of the facility, a student studying at the facility; or other
health care provider rendering services at the facility is exposed to a
patient's blood or other body fluid. The testing shall be performed at no
charge to the patient, and the test results shall be confidential.
(6) The facility and its employees shall
adopt and utilize standard precautions of the Centers for Disease Control (CDC)
for preventing transmission of infections, HIV, and communicable
(7) All birthing centers
shall adopt appropriate policies regarding the testing of patients and staff
for human immunodeficiency virus (HIV) and any other identified causative agent
of acquired immune deficiency syndrome.
(8) Each birthing center utilizing students
shall establish policies and procedures for their supervision.
(9) Each birthing center shall establish
policies for permitting visitors.
(10) No birthing center shall retaliate
against or, in any manner, discriminate against any person because of a
complaint made in good faith and without malice to the board, the department,
the Adult Protective Services, or the Comptroller of the State Treasury. A
birthing center shall neither retaliate nor discriminate, because of
information lawfully provided to these authorities, because of a person's
cooperation with them, or because a person is subpoenaed to testify at a
hearing involving one of these authorities.
All health care facilities licensed
pursuant to T.C.A. §§
, et seq. shall post the
following in the main public entrance:
Contact information including statewide toll-free number of the division of
adult protective services, and the number for the local district attorney's
(b) A statement that a
person of advanced age who may be the victim of abuse, neglect, or exploitation
may seek assistance or file a complaint with the division concerning abuse,
neglect and exploitation; and
statement that any person, regardless of age, who may be the victim of domestic
violence may call the nationwide domestic violence hotline, with that number
printed in boldface type, for immediate assistance and posted on a sign no
smaller than eight and one-half inches (8½") in width and eleven inches
(11") in height.
Postings of (a) and (b) shall be on a sign no smaller than
eleven inches (11") in width and seventeen inches (17") in height.
(12) "No smoking" signs
or the international "No Smoking" symbol, consisting of a pictorial
representation of a burning cigarette enclosed in a red circle with a red bar
across it, shall be clearly and conspicuously posted at every
(13) The facility shall
develop a concise statement of its charity care policies and shall post such
statement in a place accessible to the public.