SECTION 310:616-3-2. Organization

(a)   Policies and procedures. Each birthing center which falls within the purview of these regulations shall develop and maintain operational policy and procedures which describe the functions, staffing, services available to the patient and other basic information relating to the fulfillment of the facility's objectives.

(b)   Governing body. A birthing center shall have a governing body that assumes full legal responsibility for determining, implementing and monitoring policies governing the total operations of the center. The governing body must also ensure that all services provided are consistent with accepted standards of practice, including contract services.

(c)   Personnel requirements. Policies shall be developed concerning the following and placed in personnel records:

(1)   Job descriptions for all personnel.

(2)   A requirement for orientation of all employees.

(3)   Inservice education.

(4)   Evidence that all birth attendants are currently certified by the American Heart Association or the American Red Cross in infant and adult cardiopulmonary resuscitation.

(5)   Verification that all staff meet state licensure requirements.

(6)   Certification of the midwife by the American College of Nurse-Midwives (ACNM), and a certificate of recognition from the Oklahoma Board of Nursing permitting the use of the title of Certified Nurse-Midwife (CNM).

(d)   Food service

(1)   Birthing centers with three or fewer birth rooms which provide meals to patients shall use one of the following methods:

(A)   Food catered from a licensed food service using vendor's utensils.

(B)   Prepackaged complete meals or snacks.

(C)   For meals prepared on the premises:

(i)   Kitchen shall be equipped for sanitary preparation of food and snacks.

(ii)   There shall be a sink to wash, sanitize and air dry dishes or there shall be a mechanical dishwasher.

(iii)   Mechanical refrigeration shall be provided.

(2)   Birthing centers with four or more birth rooms which provide meals to patients shall comply with the requirements for food services in Chapter 665 of this Title.

(3)   Commercially prepared food products may be brought to the birth center by the family for patient use.

(4)   Prepackaged disposable formula units shall be used for other than breast feeding for infants.

(e)   Medical director. The medical director shall be a doctor of medicine or osteopathy licensed to practice in the state of Oklahoma, free of restrictive sanctions and shall assume overall responsibility for the medical component of the patient care program of the center.

[Source: Added at 9 Ok Reg 1715, eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff 6-11-92]