Section 325.1052. Minimum policies.

Rule 52.  The  following  minimum  policies shall be established and observed:

(a)    The hospital shall require that there be staff policies regarding the use and administration of analgesics and anesthetics, and the policies shall be posted in all delivery units.

(b)    The hospital shall require that there be staff policies concerning the use of pituitrin extracts and other oxytocics during each of the 3 stages of labor, and the policies shall be posted in all  delivery  units.

(c)    The use of analgesics, anesthetics, pressure on the fetal head, or holding the mother's legs together to prevent birth before the arrival of the doctor is prohibited.

(d)      All newborn infants born outside the hospital, infants with infection, or infants with conditions potentially harmful to others shall be admitted to the isolation nursery or private room with running water in the obstetric or pediatric department, and shall never be  transferred  to the well-baby nursery.

(i)    The state health director may designate a hospital to maintain am neonatal intensive care unit or special newborn nursery unit as part of the department's regional perinatal intensive care program.

(ii)    The unit shall be under the direction of a physician who is a board eligible or certified neonatologist, or whose experience, qualifications, and training are accepted in writing by the state health director. The unit shall be under supervision of a nurse prepared at the master's level in maternal and infant care, or whose experience, qualifications,  and training are accepted in writing by the state health director.

(iii)     The state health director may authorize the neonatologist  or physician director to transfer convalescent infants to the hospital's newborn nursery, or the newborn nursery of another hospital, pursuant to a written plan approved by the neonatologist  or  physician director, the

governing bodies of the involved hospitals, and the state health director.

(e)   A  patient   who  is  pregnant   may  be  admitted  to  the   maternity department during any stage of pregnancy, including an ectopic pregnancy, or following abortion.

(f)   Any mother with infection, fever, or diarrhea shall be isolated in a separate room which is equipped with a lavatory and a toilet.

(g)   Whenever it becomes necessary for the same nursing personnel to care for both well and infected mothers or infants or other than obstetric patients, individual isolation techniques shall be employed.

(h)   A graduate nurse registered in Michigan  shall  supervise   the  care given in the maternity department.

(i)        All personnel entering the nursery,  including  physicians  and cleaning people, shall be free from the symptoms of infection, fever, and diarrhea, and shall wear clean, fresh gowns.

History: 1954 AC; 1979 AC.