| (B) obstetrical hemorrhage, including promoting the
identification of patients at risk, early diagnosis, and therapy to
reduce morbidity and mortality;
(C) placenta accreta spectrum disorder, including team
education, risk factor screening, evaluation, diagnosis, fostering
telemedicine medical services and referral as appropriate, treatment
and multidisciplinary management of both anticipated and unanticipated
placenta accreta spectrum disorder cases, including postpartum care;
(D) hypertensive disorders in pregnancy, including
eclampsia and the postpartum patient to promote early diagnosis and
treatment to reduce morbidity and mortality;
(E) sepsis or systemic infection in the pregnant or
postpartum patient;
(F) venous thromboembolism in the pregnant and postpartum
patient, including assessment of risk factors, prevention, early diagnosis
and treatment;
(G) shoulder dystocia, including assessment of risk
factors, counseling of patient, and multidisciplinary management;
and
(H) behavioral health disorders, including depression,
substance abuse and addiction that includes screening, education,
consultation with appropriate personnel and referral.
(17) The facility must have nursing leadership and
staff with training and experience in the provision of maternal nursing
care who must coordinate with respective neonatal services.
(18) Perinatal Education. A registered nurse with experience
in maternal care, including moderately complex and ill obstetric patients,
must provide the supervision and coordination of staff education.
Perinatal education for high risk events must be provided at frequent
intervals to prepare medical, nursing, and ancillary staff for these
emergencies.
(19) Support personnel with knowledge and skills in
breastfeeding and lactation to meet the needs of maternal patients
must be available at all times.
(20) Social services, pastoral care and bereavement
services must be provided as appropriate to meet the needs of the
patient population served.
(21) Dietician or nutritionist available with appropriate
training and experience for population served in compliance with the
requirements in §133.41 of this title.
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