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007.05.10-31. Nursery Services.

AR ADC 007.05.10-31Arkansas Administrative CodeEffective: June 20, 2022

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Effective: June 20, 2022
Ark. Admin. Code 007.05.10-31
007.05.10-31. Nursery Services.
The newborn nursery shall be under the direct supervision of a Registered Nurse with clinical skills in newborn nursing. The newborn nursery shall be located within or adjacent to the postpartum unit. The following requirements shall apply to all nurseries:
A. Nurseries shall not be used for any other purpose and shall never be left unattended when occupied.
B. Infants born outside the hospital or with proven or potential infections shall be isolated from other infants in the Nursery. Infants with infections, skin rash or diarrhea shall be immediately separated and isolated.
C. Isolettes shall not serve as a sole means of isolation. Provisions for isolation shall be provided.
D. The following equipment shall be provided in nurseries:
1. Individual approved type hospital bassinets. Wicker or woven type bassinets shall not be used;
2. Metal or approved plastic diaper and waste containers. The lids on these containers shall be operated by a foot control or equivalent device;
3. Infant scales;
4. Blankets and linen;
5. Suction equipment; and
6. Incubators suitable for the care of premature infants provided in the ratio of at least one incubator to 20 bassinets.
E. Infant emergency supplies:
1. Emergency medications approved by the Pharmacy and Therapeutics Committee;
2. Infant laryngoscope;
3. Suction catheters;
4. Endotracheal tubes;
5. Stylets; and
6. Infant airways and IV supplies.
F. Newborn testing for critical congenital heart defects shall include the performance of pulse oximetry testing all newborns before discharge Ark. Code Ann. § 20-9-103. Performance of a pulse oximetry test on a newborn is not required if the parent or legal guardian of the newborn object to the testing on medical, religious, or philosophical grounds.
G. Newborn testing for genetic illnesses shall be in accordance with Arkansas Rules Pertaining to Testing of Newborn Infants and Ark. Code Ann. § 20-15-302.
H. Newborn testing for early detection of hearing loss shall be in accordance with Arkansas Rules Pertaining to the Universal Newborn/Infant Hearing Screening, Tracking and Intervention Program and Ark. Code Ann. 20-15-1105.
I. Strict hand hygiene techniques shall be maintained by all personnel. A clean barrier shall be used by anyone handling the infant.
J. Infant clothing shall be furnished by the hospital; however, if the mother wishes to provide clothing for the infant, hospital personnel shall examine the clothing to make sure it meets hospital requirements. Diapers shall be available in necessary quantities.
K. Formula Feedings.
1. Any individually packaged, presterilized formula delivered by an outside source shall be approved by the facility.
2. There shall be an adequate supply of sterile disposable ready-to-use formula bottles available.
3. Formulas shall be stored in enclosed cabinets.
4. The expiration date shall be checked on each bottle prior to infant feeding.
5. Policies and procedures shall be developed in conjunction with the Infection Prevention and Control Committee regarding the handling, labeling and storing (separately) of breast milk.
6. Individual nipple shields and breast pumps used in infant feeding shall be cleaned according to hospital infection prevention and control policies and procedures.
7. If the facility has a breast milk bank the policies and procedures shall be submitted to and approved by the Arkansas Department of Health and hospital Infection Prevention and Control Committee.
L. Rooming-In Service. Hospitals providing a newborn nursery may provide rooming in for infants on an intermittent or 24-hour basis based on the mother's request.

Credits

Amended Jan. 1, 2016; June 20, 2022.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. § 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-31, AR ADC 007.05.10-31
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