Identifiable risks requiring the immediate referral and transport of a patient shall include the following:

1. (a) Maternal fever of more than 100.4 degrees Fahrenheit during labor, in the absence of environmental factors;
2. (b) suggestion of fetal jeopardy, including clinically significant frank bleeding before delivery, abnormal bleeding with or without abdominal pain, evidence of placental abruption, or detection of abnormal fetal heart tones;
3. (c) current spontaneous preterm labor;
4. (d) current preterm premature rupture of membranes;
5. (e) current preeclampsia;
6. (f) current hypertensive disease of pregnancy;
7. (g) continuous uncontrolled bleeding;
8. (h) postpartum bleeding that does not subside with the administration of oxytocin or other antihemorrhagic agent;
9. (i) delivery injuries to the bladder or bowel;
10. (j) grand mal seizure;
11. (k) uncontrolled vomiting;
12. (l) coughing or vomiting blood;
13. (m) severe chest pain; and
14. (n) sudden onset of shortness of breath and labored breathing.

(Authorized by K.S.A. 65-28b07; implementing K.S.A. 65-28b02, 65-28b07; effective Jan. 10, 2020.)