1. 1. A physician who performs an abortion demonstrates to the medical director that the physician is competent to perform an abortion by:

   1. a. The submission of documentation of education and experience, and
   2. b. Observation by or interaction with the medical director;
2. 2. Surgical assistants and volunteers who provide counseling and patient advocacy receive training in these specific responsibilities and any other responsibilities assigned and that documentation of the training received is maintained in the individual’s personnel file;

3. 3. An individual who performs an ultrasound provides documentation that the individual is:

   1. a. A physician;
   2. b. A physician assistant, registered nurse practitioner, or nurse who completed a course in performing ultrasounds under the supervision of a physician; or

   3. c. An individual who:

      1. i. Completed a course in performing ultrasounds under the supervision of a physician, and
      2. ii. Is not otherwise precluded by law from performing an ultrasound;
4. 4. An individual has completed a course for the type of ultrasound the individual performs;

5. 5. If the abortion clinic performs an abortion procedure at or after 20 weeks gestational age, an individual who is available to perform neonatal resuscitation provides documentation that the individual:

   1. a. Is a:

      1. i. Physician,
      2. ii. Physician assistant,
      3. iii. Registered nurse practitioner, or
      4. iv. Nurse; and

   2. b. Has completed a course in performing neonatal resuscitation that is consistent with training provided by the American Academy of Pediatrics Neonatal Resuscitation Program and includes:

      1. i. Instruction in the use of resuscitation devices for positive-pressure ventilation, tracheal intubation, medications that may be necessary for neonatal resuscitation and their administration, and resuscitation of pre-term newborns; and
      2. ii. Assessment of the individual’s skill in applying the information provided through the instruction in subsection (5)(b)(i);

6. 6. A personnel file for each patient care staff member and each volunteer is maintained either electronically or in writing and includes:

   1. a. The individual’s name and position title;
   2. b. The first and, if applicable, the last date of employment or volunteer service;
   3. c. Verification of qualifications, training, or licensure, as applicable;
   4. d. Documentation of cardiopulmonary resuscitation certification, as applicable;
   5. e. Documentation of verification of competency, as required in subsection (1), and signed and dated by the medical director;
   6. f. Documentation of training for surgical assistants and volunteers;
   7. g. Documentation of completion of a course as required in subsection (3), for an individual performing ultrasounds; and
   8. h. Documentation of competency to perform neonatal resuscitation, as required in subsection (5), if applicable; and
7. 7. Personnel files are maintained on the premises for at least two years after the ending date of employment or volunteer service.

A licensee shall ensure that:

Historical Note

Adopted effective August 6, 1993, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1993, Ch. 163, § 3(B). Amended effective May 2, 1997, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1996, Ch. 329, § 5 (Supp. 97-2). Repealed effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). New Section adopted effective April 1, 2000, under an exemption from the provisions of the Arizona Administrative Procedure Act pursuant to Laws 1999, Chapter 311; filed with the Office of the Secretary of State December 23, 1999 at 6 A.A.R. 351 (Supp. 99-4). Amended by exempt rulemaking at 6 A.A.R. 3755, effective January 1, 2001 (Supp. 00-3). Amended by final rulemaking at 16 A.A.R. 688, effective November 1, 2010 (Supp. 10-2). Amended by exempt rulemaking at 20 A.A.R. 448, effective April 1, 2014 (Supp. 14-1). Section R9-10-1506 renumbered to R9-10-1507; new Section R9-10-1506 renumbered from R9-10-1505 and amended by final rulemaking at 24 A.A.R. 3043, effective October 2, 2018 (Supp. 18-4).