77 Ill. Adm. Code 640.APPENDIX H
H Written Protocol for Consultation/Transfer/Transport
Section 640
Section 640.APPENDIX H Â Â Written
Protocol for Consultation/Transfer/Transport
Section 640.EXHIBIT C
Level I:Â Maternal and
neonatal patients to be cared for at ________________ hospital (Level III
hospital or Administrative Perinatal Center)
1)Â Â Â Â Â Â Â Â Maternal
The maternal patient with an uncomplicated current pregnancy.
2)Â Â Â Â Â Â Â Â Neonatal
The neonatal patient greater than
34 weeks gestation or greater than 2000 grams without risk factors and infants
with physiologic jaundice.