R432-550-8. Clinical Director

(1) The clinical director shall be responsible for implementing, coordinating and assuring the quality of patient care services. (2) The clinical director shall: (a) be currently licensed to practice medicine or midwifery in Utah; (b) have training and expertise in obstetric and newborn services offered to ensure adequate supervision of patient care services; and (c) for an alongside midwifery unit, the clinical director shall be a physician as defined in Section 58-67-102 or a certified nurse midwife under Title 58, Chapter 44a, Nurse Midwife Practice Act. (3) The clinical director's responsibilities shall be included in a written job description available for Department review. The clinical director shall: (a) review and update facility protocols; (b) review and evaluate clinical staff privileges and revise them as necessary; (c) recommend, to the governing body, names of qualified licensed health care practitioners to perform approved procedures and the corresponding clinical staff privileges to be granted; (d) coordinate, direct and evaluate clinical operations of the facility; (e) evaluate and recommend to the administrator the type and amount of equipment needed in the facility; (f) ensure that qualified staff are on the premises while patients are admitted to the facility; (g) ensure clinical staff documentation is recorded immediately and reflects a description of care given; (h) ensure that planned birthing center services are within the scope of privileges granted to the clinical staff; and (i) recommend to the administrator appropriate remedial action and disciplinary action, when necessary, to correct violations of clinical protocols.