R432-550-27. Limitations of Services

(1) Birthing center policy shall establish a written risk assessment system to assess the individual risk for each maternal patient. (2) A clinical staff member shall perform and document a risk assessment for each maternal patient to ensure the patient needs: (a) fall within the scope of practice and standards of care included in the clinical staff member's professional practice act and within facility policy; and (b) meet the eligibility requirements for a low risk maternal patient. (3) Clients shall become ineligible for birthing center care upon development of: (a) a clinical need for anesthesia or analgesia other than those used in a setting where anesthesia and analgesia are limited in accordance with the facility's written protocols; or (b) any condition identified intrapartum or postpartum which will be likely to adversely affect the health of the maternal patient or infant and will require management in a general hospital.