| (a) The facility will provide a detailed description of the neonatal services provided that includes a comprehensive explanation of the scope of services available to all neonatal and obstetrical patients that is consistent with accepted professional standards of practice and clinical care; defines the neonatal population served; and supports the health, safety, and optimal care of all patients. 1. The comprehensive description of neonatal services will include, at a minimum: i. identification of the resources used to develop the facility’s neonatal policies and procedures for the neonatal services it provides; ii. description of the review and revision schedule for all neonatal medical practice guidelines, neonatal nursing policies, and ancillary care team policies that does not exceed 3 years; iii. written guidelines for consultation, triage, stabilization, and transfer of newborns and/or pregnant or antepartum persons who receive care at the facility; iv. provisions to facilitate continuity of care for high-risk neonatal patients from delivery to discharge; v. delineation of roles, responsibilities, and authority of the medical, nursing, and ancillary patient care directors; vi. physician, advanced practice nurse, and/or other medical care provider staffing plan for neonatal coverage; vii. plan for nurse staffing including provisions for flexibility and change in census and acuity; viii. completion of an annual educational needs assessment to evaluate the ongoing educational needs of all staff participating in the care of newborns; ix. annual educational plan for all staff participating in the care of newborns that includes didactic education, simulation, competency, and skills validation; x. appropriate allocations for family-centered care including providing parents with reasonable access to their infants and encouraging advocacy, shared decision-making, and participation in their child’s care; xi. assurance of equitable care for all neonatal patients and families and provisions for promoting an environment of cultural humility; xii. capability of neonatal care team members to have the knowledge and skills to provide lactation support; xiii. a process to assess and establish appropriate on-going care for all newborns after discharge; xiv. a description of the Neonatal Patient Safety and Quality Improvement Program (NPSQIP); and xv. established evacuation policies and procedures to guarantee that obstetrical and neonatal patients receive, or are transferred to, the appropriate level(s) of care. |
| (a) The facility will provide a detailed description of the neonatal services provided that includes a comprehensive explanation of the scope of services available to all neonatal and obstetrical patients that is consistent with accepted professional standards of practice and clinical care; defines the neonatal population served; and supports the health, safety, and optimal care of all patients. 1. The comprehensive description of neonatal services will include, at a minimum: i. identification of the resources used to develop the facility’s neonatal policies and procedures for the neonatal services it provides; ii. description of the review and revision schedule for all neonatal medical practice guidelines, neonatal nursing policies, and ancillary care team policies that does not exceed 3 years; iii. written guidelines for consultation, triage, stabilization, and transfer of newborns and/or pregnant or antepartum persons who receive care at the facility; iv. provisions to facilitate continuity of care for high-risk neonatal patients from delivery to discharge; v. delineation of roles, responsibilities, and authority of the medical, nursing, and ancillary patient care directors; vi. physician, advanced practice nurse, and/or other medical care provider staffing plan for neonatal coverage; vii. plan for nurse staffing including provisions for flexibility and change in census and acuity; viii. completion of an annual educational needs assessment to evaluate the ongoing educational needs of all staff participating in the care of newborns; ix. annual educational plan for all staff participating in the care of newborns that includes didactic education, simulation, competency, and skills validation; x. appropriate allocations for family-centered care including providing parents with reasonable access to their infants and encouraging advocacy, shared decision-making, and participation in their child’s care; xi. assurance of equitable care for all neonatal patients and families and provisions for promoting an environment of cultural humility; xii. capability of neonatal care team members to have the knowledge and skills to provide lactation support; xiii. a process to assess and establish appropriate on-going care for all newborns after discharge; xiv. a description of the Neonatal Patient Safety and Quality Improvement Program (NPSQIP); and xv. established evacuation policies and procedures to guarantee that obstetrical and neonatal patients receive, or are transferred to, the appropriate level(s) of care. |