1. (1) The clinical director shall be responsible for implementing, coordinating and assuring the quality of patient care services.

2. (2) The clinical director shall:

   1. (a) be currently licensed to practice medicine or midwifery in Utah;
   2. (b) have training and expertise in obstetric and newborn services offered to ensure adequate supervision of patient care services; and
   3. (c) for an alongside midwifery unit, the clinical director shall be a physician as defined in Section 58-67-102 or a certified nurse midwife under Title 58, Chapter 44a, Nurse Midwife Practice Act.

3. (3) The clinical director's responsibilities shall be included in a written job description available for Department review. The clinical director shall:

   1. (a) review and update facility protocols;
   2. (b) review and evaluate clinical staff privileges and revise them as necessary;
   3. (c) recommend, to the governing body, names of qualified licensed health care practitioners to perform approved procedures and the corresponding clinical staff privileges to be granted;
   4. (d) coordinate, direct and evaluate clinical operations of the facility;
   5. (e) evaluate and recommend to the administrator the type and amount of equipment needed in the facility;
   6. (f) ensure that qualified staff are on the premises while patients are admitted to the facility;
   7. (g) ensure clinical staff documentation is recorded immediately and reflects a description of care given;

   8. (h) ensure that planned birthing center services are within the scope of privileges granted to the clinical staff; and

      1. (i) recommend to the administrator appropriate remedial action and disciplinary action, when necessary, to correct violations of clinical protocols.

KEY: health care facilities

Date of Last Change: March 10, 2021

Notice of Continuation: August 22, 2025

Authorizing, and Implemented or Interpreted Law: 26-21-5; 26-21-16