1. (1) A birthing center shall develop and implement written policies and procedures that include, but are not limited to, the following:

   1. (a) Types of services and procedures that may be performed in the birthing center;

   2. (b) Training requirements for clinical providers, clinical staff and other personnel that include, but are not limited to:

      1. (A) Infection control measures; and

      2. (B) Emergency procedures, including but not limited to:

         1. (i) Procedures for fire and other disasters;
         2. (ii) Procedures in life threatening situations including but not limited to cardiopulmonary resuscitation and other life saving techniques; and
         3. (iii) Threats against clients or newborns.
         4. (c) System for ensuring 24-hour coverage of the birthing center, consistent with the requirements in OAR 333-077-0080;
         5. (d) Client care and services activities;
   3. (e) Admission and discharge criteria;
   4. (f) Visitor conduct and control;
   5. (g) Client grievance procedures;
   6. (h) Assessment of risk status and consultation requirements in accordance with OAR 333-077-0125;
   7. (i) Content and form of medical records and release of medical information consistent with the requirements in OAR 333-077-0130;
   8. (j) Infection control requirements in accordance with OAR 333-077-0190;
   9. (k) Equipment storage, maintenance and sterilization in accordance with OAR 333-077-0180;
   10. (l) Provision of life saving measures within the clinical provider's scope of practice and arrangements for transfer to hospital-based care for the client or newborn;
   11. (m) Prompt availability of emergency transportation for transport of the client or newborn to hospital-based care with the capacity for emergency care of persons, in all the stages of labor, and emergency care of newborns;
   12. (n) Orientation and education of clients and family members or legal representatives registering for care including the services available, required disclosures, client rights, and exclusion, transfer, and consultation requirements;
   13. (o) Performance of appropriate laboratory services including tests required pursuant to ORS 433.017 and the rules adopted thereunder;

   14. (p) Procurement, storage and administration of drugs, including:

       1. (A) Timely administration of Rh immune globulin to the client, where applicable; and
       2. (B) Timely administration of Vitamin K to a newborn and prevention of ophthalmia neonatorum in a newborn in accordance with OAR 333-077-0170. If Vitamin K or gonococcal ophthalmia neonatorum prophylaxis cannot be administered by the clinical provider delivering the newborn, methods must be described to ensure that these services are arranged by referral;
   15. (q) Appropriate and timely collection of blood from a newborn for testing by the Oregon State Public Health Laboratory for metabolic diseases in accordance with OAR 333-077-0170;
   16. (r) Performance of pulse oximetry screening on every newborn in accordance with OAR 333-077-0170;
   17. (s) Systems to ensure that appropriate vital records are filed according to ORS 432.088;
   18. (t) Procedures for notifying clients orally and in writing of any financial interest as required by ORS 441.098; and
   19. (u) Procedures for providing health care interpreter services to clients who prefer to communicate in a language other than English in accordance with ORS 413.559 and OAR 950-050-0160.
2. (2) Policies and procedures shall be evaluated annually and be amended or rewritten as needed. Documentation of the annual evaluation is required.

Statutory/Other Authority

ORS 441.025

Statutes/Other Implemented

ORS 441.025 & ORS 433.017

History

PH 23-2025, amend filed 11/03/2025, effective 11/03/2025
PH 121-2024, renumbered from 333-076-0670, filed 12/24/2024, effective 12/24/2024
PH 18-2014, f. & cert. ef. 6-17-14
PH 18-2013(Temp), f. 12-31-13, cert. ef. 1-1-14 thru 6-29-14
PH 15-2006, f. & cert. ef. 6-27-06
HD 2-1990, f. 1-8-90, cert. ef. 1-15-90, Renumbered from 333-076-0420
HD 26-1985, f. & ef. 10-28-85