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

Interdisciplinary Team: The Level II 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. * a. Based on available resources and facility determination of the most appropriate staffing, it may be acceptable for a family physician with obstetric fellowship training or equivalent training and skills in obstetrics, and with surgical skill and privileges to perform cesarean delivery to meet the criteria for being readily available at all times. 2. Obstetrics: An obstetrics provider must be readily available at all times. 3. Qualified Physicians/Certified Nurse Midwife: Ensure that a qualified physician or certified nurse midwife with appropriate physician back-up is available to attend all deliveries or other obstetrical emergencies. * a. Must arrive at the patient’s bedside within thirty (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. 4. Maternal-Fetal Medicine (MFM): A MFM specialist must be readily available at all times for consultation on-site. Availability may be through phone or telemedicine, if necessary. 5. Anesthesia: Qualified personnel with anesthesia privileges 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. 6. Internal medicine providers, family medicine providers, and general surgeons must be readily available at all times for obstetric patients. 7. 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. 8. 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. Massive blood component transfusion; b. Emergency release of blood components; and c. Management of multiple blood component therapy. 9. Radiology Support: Radiologic services with interpretation must be readily available at all times and include: a. Computed tomography scans; b. Magnetic resonance imaging; c. Non obstetric ultrasound imaging d. Standard obstetric ultrasound imaging; and e. Maternal echocardiography. 10. Respiratory and Pharmacy: Respiratory care personnel and a registered pharmacist should be readily available at all times. 11. 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.