410 Ind. Admin. Code 26-10-1 : INDIANA DEPARTMENT OF HEALTH — ABORTION CLINICS —10 - Patient Care and Nursing Services —10-1 - Patient care

Authority: IC 16-21-1-7; IC 16-21-2-2.5

Affected: IC 16-21-1; IC 16-21-2

Sec. 1.

(a) All patient care services must:
(1) meet the needs of the patient, within the scope of the service offered, in accordance with acceptable standards of practice;
(2) be under the direction of a qualified person or persons; and
(3) require that:
(A) patient care services rendered are:
(i) reviewed and analyzed at regular meetings of patient care personnel; and
(ii) used as a basis for evaluating the quality of services provided; and
(B) personnel with appropriate training are available at all times to handle possible emergencies involving patients of the clinic.
(b) Written patient care policies and procedures must be available to personnel and must include, but not be limited to, the following:
(1) A provision that a reliable method of patient identification must be used.
(2) A provision for instruction or instructions to be given to the patient or the patient's legal representative regarding follow-up care and transportation needed by the patient on discharge following a surgical abortion to include at least the following:
(A) Signs and symptoms of possible complications.
(B) Activities allowed and to be avoided.
(C) Hygienic and other postdischarge procedures to be followed.
(D) Clinic emergency phone numbers available on a twenty-four (24) hour basis for the patient to contact the clinic for a complication and be triaged for care and either:
(i) be seen the same day by a practitioner; or
(ii) be referred to an appropriate site of care.
(E) Follow-up appointment, if indicated.
(F) Counseling regarding Rh typing.
(G) Administration of Rh immune globulin, if indicated, unless:
(i) the patient signs a waiver refusing the administration; or
(ii) other arrangements for administration are documented.
(3) A provision to maintain a written system of documentation of patients who report post-procedure complications and the clinic's interventions. The interventions must be documented in the medical record.
(4) A provision that facilities, reusable equipment, and supplies must be thoroughly cleaned or sterilized following use according to clinic policies and procedures.
(5) A provision that all patients must be observed during the recovery period by qualified personnel.

410 IAC 26-10-1

Indiana State Department of Health; 410 IAC 26-10-1; filed May 11, 2006, 9:36 a.m.: 29 IR 3365; readopted filed Jul 12, 2012, 12:08 p.m.: 20120808-IR-410120196RFA
Readopted filed 9/26/2018, 2:48 p.m.: 20181024-IR-410180328RFA
Filed 9/6/2019, 3:25 p.m.: 20191002-IR-410190164FRA