| (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
complete resuscitation and stabilization for each neonate/infant.
(15) A registered nurse with experience in neonatal
care, including neonatal intensive care, must provide supervision
and coordination of staff education.
(16) Social services, supportive spiritual care, and
counseling must be provided as appropriate to meet the needs of the
patient population served.
(17) Written and implemented policies and procedures
to ensure 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.
(18) The neonatal program ensures a certified lactation
consultant must be available at all times to assist and counsel mothers.
(19) 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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