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newborn interaction, prophylactic procedures, accommodation of the newborn to extrauterine life, and blood glucose if clinically indicated;

(9) any consultation regarding referral and transfer for any client or neonatal problem that elevates risk status under the standards developed under 7 AAC 12.403(f);

(10) evidence of screening for gram positive Group B Streptococcus by an approved laboratory, Group B Streptococcus treatment as necessary, information provided to the client regarding Group B Streptococcus, and monitoring after delivery of each newborn born to a client who tests positive for Group B Streptococcus or to a client with unknown status;

(11) ongoing physical assessment of the client and newborn during recovery;

(12) a summary of the progress of labor;

(13) a discharge summary for the client and the newborn;

(14) a plan for newborn health supervision, completion of the initial bloodspot screening, and required follow-up screening, including the provision for newborn hearing screening; and

(15) follow-up postpartum evaluation of the client, counseling for family planning, and other services. (c) The birth center shall maintain procedures to protect the information in medical records from loss, defacement, tampering, or access by unauthorized persons. (d) The birth center shall index and file records using a uniform system that allows for efficient retrieval according to a single identifying number for each client. (e) A transfer summary, signed by the midwife or collaborating physician, must accompany the client or newborn if the client or newborn is transferred to a hospital. The transfer summary must include essential information regarding the client’s or newborn’s diagnosis, condition, medications, treatments, dietary requirements, known allergies, and treatment plan. (f) The birth center shall establish and maintain a system for periodic review of the birth center’s record-keeping system and its policies and procedures for the maintenance, storage, retrieval, and retirement of client and newborn records. (g) The birth center shall appoint an individual who is a member of the clinical or support staff to be responsible for the processing, maintenance, and storage of records, and who will ensure that access to records is limited to persons authorized to review those records. (h) The birth center shall retain and preserve records that relate directly to the care and treatment of a client or newborn for at least seven years after discharge. However, the records of a client who is under 19 years of age must be kept until at least two years after the client has reached 19 years of age or until seven years after discharge, whichever is longer. The birth center shall retain and preserve records consisting of x-ray film for at least five years. (Eff. 5/14/82, Register 82; am 11/19/83, Register 88; am 9/30/2007, Register 183; am 7/1/2018, Register 226)