| (A) Each birth must be attended by at least one person
who maintains a current status of successful completion of the NRP
or a department-approved equivalent course, whose primary focus is
management of the neonate and initiating resuscitation.
(B) At least one person must be immediately available
on-site with the skills to perform a complete neonatal resuscitation
including endotracheal intubation, establishment of vascular access,
and administration of medications.
(C) Additional personnel who maintain a current status
of successful completion of the NRP or a department-approved equivalent
course must be on-site and immediately available upon request for
the following:
(i) multiple birth deliveries, to care for each neonate;
(ii) deliveries with unanticipated maternal-fetal problems
that occur during labor and delivery; and
(iii) deliveries determined or suspected to be high-risk
for the pregnant patient or neonate.
(D) Variances from these standards are monitored through
the neonatal QAPI Plan and process and reported at the Neonatal Program
Oversight.
(E) Neonatal resuscitative equipment, supplies, and
medications must be immediately available for trained staff to perform
resuscitation and stabilization on any neonate/infant.
(14) A registered nurse with experience in neonatal
care, including special care, or perinatal care must provide supervision
and coordination of staff education.
(15) Social services, supportive spiritual care, and
counseling must be provided as appropriate to meet the needs of the
patient population served.
(16) Written and implemented policies and procedures
to ensure the timely evaluation of retinopathy of prematurity, documented
referral for treatment, and follow-up of an at-risk infant, which
must be monitored through the neonatal QAPI Plan.
(17) The neonatal program ensures the availability
of support personnel with knowledge and expertise in breastfeeding
and lactation to assist and counsel mothers.
(18) The neonatal program ensures provisions for follow-through
care at discharge for infants at high risk for neurodevelopmental,
medical, or psychosocial complications.
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