1. (1) The Designated Health Authority or physician designee, PA or APRN shall be responsible for the management of appropriate girls’ medical and age-related health care and services in addition to routine medical care and services.

2. (2) Girls’ medical care shall include all of the following conditions:

   1. (a) Gynecological and menstrual conditions, including STI testing and treatment;
   2. (b) Contraceptive management;
   3. (c) Prenatal and postnatal care for pregnant girls, including a six-week postpartum follow-up visit;
   4. (d) Lactation support for breastfeeding;
   5. (e) Childbirth education, parenting skill education, family planning, infant care education;
   6. (f) Anorexia, Bulimia, and additional specialized female adolescent complex medical conditions;
   7. (g) Specialized nutritional management;
   8. (h) Aftercare Planning;
   9. (i) Education about girls’ health, hygiene and grooming needs.
3. (3) The Designated Health Authority or physician designee shall be responsible for the early identification of pregnancy and the medical management oversight of prenatal and postnatal care.
4. (4) All female youth shall be screened for pregnancy at the time of admission into a facility. This screening shall include any history of pre-existing medical conditions, medication therapy, alcohol use or substance abuse.
5. (5) Any female youth that identifies her menstrual cycle as more than two weeks late shall have a urine or blood pregnancy test performed with consent.
6. (6) Once a youth is identified as being pregnant, the Designated Health Authority or physician designee, PA or APRN shall be immediately notified and medication held until explicit instructions are given regarding continuation of the current medication regimen.
7. (7) The Designated Health Authority shall be notified and provided with screening information within twelve hours of determining a newly admitted youth is pregnant.
8. (8) Prenatal care shall be provided by an Obstetrician and/or Perinatologist once it is determined that the youth is pregnant. The Designated Health Authority shall collaborate with the Obstetrician and/or Perinatologist in the oversight and management of the youth’s pregnancy.
9. (9) If the pregnant youth is experiencing medical complications related to her pregnancy, the Designated Health Authority shall be immediately notified and medical care provided.
10. (10) All staff working in facilities and programs which serve girls shall be provided education and training on specific health care issues of the adolescent female. A licensed nurse shall provide in-service education on girls’ health care, at a minimum, on an annual basis to all non-licensed staff.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New 3-16-14, Amended 2-5-25.