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identification must positively identify an infant with the name of its mother, except when the infant is being placed for adoption. (f) A hospital must have the capability for operative delivery at all times. (g) Smoking must be prohibited in delivery rooms and nurseries. (h) A general acute care hospital may obtain a waiver under 7 AAC 12.900(h) for its perinatal service only if

(1) the hospital has 25 or fewer acute care beds and 200 or fewer obstetrical deliveries per year;

(2) the hospital establishes a policy governing the use of a combined obstetrical delivery and surgical suite which ensures that a patient who presents an obstetrical emergency which requires immediate medical intervention to preserve the health and life of a mother or her infant is given first priority, and an obstetrical patient for whom delivery is imminent is given second priority, over other obstetrical and nonemergency surgical patients;

(3) the hospital’s infection control committee established under 7 AAC 12.760 defines policies and procedures designed to prevent the transmission of infection through the use of combined surgical and obstetrical delivery suite facilities, and maintains a system for discovery, reporting, and investigation of all infections occurring in surgical patients, postpartum patients and neonates;

(4) a record of reports and investigations of all infections described in (3) of this subsection is kept on file for two years;

(5) the hospital excludes from the combined obstetrical delivery surgical room

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Page 207

Official source

identification must positively identify an infant with the name of its mother, except when the infant is being placed for adoption. (f) A hospital must have the capability for operative delivery at all times. (g) Smoking must be prohibited in delivery rooms and nurseries. (h) A general acute care hospital may obtain a waiver under 7 AAC 12.900(h) for its perinatal service only if

(1) the hospital has 25 or fewer acute care beds and 200 or fewer obstetrical deliveries per year;

(2) the hospital establishes a policy governing the use of a combined obstetrical delivery and surgical suite which ensures that a patient who presents an obstetrical emergency which requires immediate medical intervention to preserve the health and life of a mother or her infant is given first priority, and an obstetrical patient for whom delivery is imminent is given second priority, over other obstetrical and nonemergency surgical patients;

(3) the hospital’s infection control committee established under 7 AAC 12.760 defines policies and procedures designed to prevent the transmission of infection through the use of combined surgical and obstetrical delivery suite facilities, and maintains a system for discovery, reporting, and investigation of all infections occurring in surgical patients, postpartum patients and neonates;

(4) a record of reports and investigations of all infections described in (3) of this subsection is kept on file for two years;

(5) the hospital excludes from the combined obstetrical delivery surgical room

(i)surgery on persons who have a known or suspected acute…#

(i) surgery on persons who have a known or suspected acute or chronic infection;

(ii)surgery on persons who are known carriers of a…#

(ii) surgery on persons who are known carriers of a communicable disease before the maximum incubation period of the disease has expired;

(iii) change or removal of a cast;

(iv) mouth, nose, or throat surgery; and

(v) intestinal, rectal, anal, or perianal surgery other than an incidental or emergency appendectomy; and

(6) the hospital establishes policies and procedures and maintains appropriate equipment and supplies for rapid conversion of a labor room to an emergency delivery room if an obstetrical delivery becomes imminent at a time when all obstetrical delivery rooms or operating rooms are in use. (i) A rural primary care hospital or a critical access hospital must meet the standards in this section if the governing body elects to offer perinatal service.