Interdisciplinary Team: The Level I OB Center has an interdisciplinary team

Interdisciplinary Team: The Level I OB Center has an interdisciplinary team that includes individuals with expertise in and/or knowledge about the specialized care, treatment and services required for perinatal care. The interdisciplinary team includes individuals and specialized services to support the care, treatment, and services provided by the program. The following individuals and services are represented on the team: 1. Obstetrics and Gynecology physician: The Obstetrics and Gynecology physician with obstetrics training and experience must be available for consultation, at all times. * 2. Qualified Physicians/Certified Nurse Midwife: Ensure that a qualified birthing professional with appropriate physician back-up is available to attend all deliveries or other obstetrical emergencies. * a. must arrive at the patient’s bedside within 30 minutes of an urgent request; and b. must complete annual continuing education, specific to the care of pregnant and postpartum patients, including complicated conditions. * A physician with privileges to perform emergency cesarean deliveries must be readily available at all times. 3. Anesthesia: Anesthesia providers, such as anesthesiologists, nurse anesthetists, or anesthesiologist assistants working with an anesthesiologist for labor analgesia and surgical anesthesia must be readily available at all times. Anesthesia personnel with training and experience must be available at all times and arrive at the patient’s bedside within thirty (30) minutes of an urgent request. 4. Nursing: Qualified labor, delivery, surgical, and recovery nursing personnel in adequate numbers to meet the needs of each patient are readily available at all times. Every birth must be attended by an appropriately trained and qualified RN with level-appropriate competencies as demonstrated by nursing competency documentation. a. Nursing leadership must have level-appropriate formal training and experience in maternal care. 5. Laboratory and Blood Bank Services: Laboratory personnel must be immediately available to obtain and process appropriate samples and report urgent/emergent results. Blood bank services must be available at all times to determine blood type and Rh type, crossmatch blood and perform antibody testing. There must also be guidelines or protocols in place for: a. initiation of massive blood component transfusion at all times with the process to obtain more blood and component therapy as needed; b. Emergency release of blood components; and c. Management of multiple blood component therapy. 6. Radiology and Ultrasound Support: Radiology and Ultrasound support services should be readily available at all times. Note: It is anticipated that the Level I center will have limited obstetric ultrasonography with interpretation capabilities readily available at all times. 7. Respiratory and Pharmacy: Respiratory care personnel and a registered pharmacist should be readily available at all times. 8. Support Staff: a. Lactation Specialists: Lactation Specialists or support staff with knowledge and skills in breastfeeding and lactation to meet the needs of maternal patients must be available at all times. b. Social services, pastoral care, or bereavement services must be provided as appropriate to meet the needs of the patient population served. c. A dietician or nutritionist should be available with the appropriate training and experience for the population served.