District of Columbia Administrative Code

2400 [REPEALED] SOURCE: 30 DCRR § 2.1 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2400 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2401 [REPEALED] SOURCE: 30 DCRR § 2.2 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2401 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2402 [REPEALED] SOURCE: 30 DCRR § 3.1 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2402 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2403 [REPEALED] SOURCE: 30 DCRR § 3.2 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2403 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2404 [REPEALED] SOURCE: 30 DCRR § 3.3 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2404 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2405 [REPEALED] SOURCE: 30 DCRR § 3.4 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2405 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2406 [REPEALED] SOURCE: 30 DCRR § 3.5 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2406 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2407 [REPEALED] SOURCE: 30 DCRR § 3.6 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2407 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2408 [REPEALED] SOURCE: 30 DCRR § 4.1 (1972); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2408 AUTHORITY: DC-DCMR Title XXIX of the Fiscal Year 2001 Budget Support Act…

2409 [REPEALED] SOURCE: 30 DCRR § 4.2 (1972); as amended by Final Rulemaking published at 42 DCR 4085 (August 4, 1995); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 240…

2410 [REPEALED] SOURCE: 30 DCRR § 4.3 (1972); as amended by Final Rulemaking published at 31 DCR 1885 (April 20, 1984); as amended by Final Rulemaking published at 42 DCR 4085 (August 4, 1995). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2410…

2411 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 9052 (December 30, 1988); as amended by Final Rulemaking published at 52 DCR 8922 (October 7, 2005). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 2411 AUTHORITY: DC-DCMR Title XXIX o…

2500 GENERAL PROVISIONS 2500.1 This chapter requires any health professional, and any employer of a health professional, in the District of Columbia to timely report certain actions taken by or against the health professional to the board, commission or authority (“authority”) re…

2501 REPORTING REQUIREMENTS FOR HEALTH PROFESSIONALS 2501.1 Health professionals are required to submit a report to the board, commission or authority responsible for licensing, registering or certifying the heath professional within ten (10) business days of any of the following…

2502 REPORTING REQUIREMENTS FOR EMPLOYERS 2502.1 An employer of a licensed, certified or registered health professional shall submit a report notifying the board, commission or authority within ten (10) business days after taking any of the following actions: For reasons related …

2503 REPORTS 2503.1 Health professionals and employers are required to submit a report to the appropriate board, commission, or authority within ten (10) business days of any of the occurrences specified in §§ 2501 or 2502. 2503.2 Reports shall be submitted by registered or certi…

2504 IMMUNITY 2504.1 The employer, or employee of the employer, who acting in good faith makes a report pursuant to this chapter, shall have immunity from administrative, civil, or criminal liability that might otherwise be incurred or imposed with respect to making the report. T…

2505 ENFORCEMENT 2505.1 Failure of either the employer or the health professional to submit a required report in accordance with this chapter to notify the proper authorities of actions identified in this chapter may result in the imposition of fines. 2505.2 The Director or the a…

2599 DEFINITIONS 2599.1 As used in this chapter, the following terms have the meaning ascribed: Board - the Board of Audiology and Speech-Language Pathology, the Board of Chiropractic, the Board of Dentistry, the Board of Dietetics and Nutrition, the Board of Marriage and Family …

2600 GENERAL PROVISIONS 2600.1 This chapter, and Chapter 31 of Title 22 of the D.C. Municipal Regulations, shall apply to the establishment and maintenance of maternity centers in order to protect the public interest by promoting the health, welfare, and safety of individuals in …

2601 STANDARDS OF COMPLIANCE 2601.1 The Director may formulate and publish additional standards pursuant to the D.C. Administrative Procedure Act which, if followed, shall constitute prima facie evidence of compliance with the requirements of this chapter. 2601.2 Standards formul…

2602 LICENSE REQUIREMENTS 2602.1 No person shall operate or hold himself or herself out as operating a maternity center in the District without being licensed as required by the Act, except that any person operating a maternity center within the District on the date of adoption o…

2603 CERTIFICATIONS REQUIRED 2603.1 Upon receipt of satisfactory proof from the applicant, the Director shall certify that the following services shall be provided at the maternity center by or under the supervision of a certified nurse-midwife, provided a physician, as described…

2604 ISSUANCE OF LICENSES 2604.1 The Director may issue a regular, provisional, or restricted license to operate a maternity center. 2604.2 Each maternity center license shall specify the following: (a) The name of the person or organization to whom the license is issued; (b) The…

2605 CHANGE OF NAME, LOCATION OR OWNERSHIP 2605.1 A licensed maternity center or part of a licensed maternity center shall not be relocated from the premises designated in the maternity center's license unless the licensee requests in writing approval from the Director at least t…

2606 TERMINATION OF LICENSES 2606.1 Each maternity center license, unless sooner terminated, suspended, or revoked, shall be issued only for one (1) calendar year from the date of issuance, and shall be subject to annual renewal. A provisional or restricted license shall be renew…

2607 DENIAL, SUSPENSION, REVOCATION OR CONVERSION OF LICENSE 2607.1 The denial, suspension, revocation or conversion of a maternity center license shall be governed by this section and 22 DCMR §§ 3107 and 3108. 2607.2 The Director may refuse to issue or renew, suspend, or revoke …

2608 CENTER DESIGN, CONSTRUCTION AND SAFETY 2608.1 Each maternity center's design, construction and safety shall meet the building code, zoning regulations, and regulations regarding access for the handicapped of the District of Columbia, and the fire safety requirements as state…

2609 FACILITIES AND EQUIPMENT 2609.1 Each maternity center shall be configured to have, at a minimum, a reception and waiting area, a kitchen, bath facilities, birth rooms, examination rooms, a secure record storage area, and utility and laundry facilities. Each maternity center …

2610 VARIANCES 2610.1 A maternity center required to perform an act by the provisions of this chapter shall be granted a variance under this section by the Director excusing the performance, either in whole or in part, upon a finding by the Director that the full performance of t…

2611 NONCONFORMING FIXTURES, APPURTENANCES, MATERIAL, AND METHODS 2611.1 Any person desiring to install or use a fixture, appurtenance, material, or method of a type not conforming with the requirements of, nor expressly prohibited by this chapter shall, prior to the installation…

2612 ENVIRONMENTAL SERVICES AND INFECTION CONTROL 2612.1 In order to prevent against and provide for the control of infection, each maternity center shall be equipped with the following: (a) Handwashing sinks in or adjacent to the birth rooms; (b) Separate toilet facilities for p…

2613 OWNERSHIP AND RESPONSIBILITY 2613.1 Each maternity center, whether organized as for profit or nonprofit, as a sole proprietorship, partnership, or corporation, shall identify the individuals or entity with authority and responsibility for overall policy and fiscal management…

2614 OPERATING PROCEDURES 2614.1 Every maternity center, regardless of size, shall have written Practice Guidelines establishing procedures for both normal and emergency care. These guidelines shall be consistent with the Practice Guidelines of the American College of Nurse-Midwi…

2615 PERSONNEL 2615.1 An individual personnel record shall be maintained for each person employed by the maternity center and shall include, but not be limited to, the following: (a) A current job description for each person which is reviewed and revised as needed; (b) Evidence o…

2616 PATIENT RIGHTS AND RESPONSIBILITIES 2616.1 Each maternity center shall admit for labor and delivery only low risk individuals. A low risk individual is one who: (a) Has been determined to be in general good health; (b) Meets the reasonable and generally accepted criteria of …

2617 PATIENT EVALUATION AND PREPARATION 2617.1 Every patient admitted to the maternity center in labor shall undergo an evaluation consisting of an updated history, updated physical examination, and laboratory testing. This may be performed by a certified nurse-midwife, physician…

2618 MATERNITY SERVICES 2618.1 Each maternity center shall provide antepartum and postpartum care to women eligible for labor and delivery in the center if a plan of care is developed. 2618.2 Every patient admitted for labor and delivery shall have received a well-designed progra…

2619 DISCHARGE PLANNING AND POSTPARTUM CARE 2619.1 Each patient shall receive counseling, including but not limited to, normal newborn infant behavior, normal newborn care, and accident prevention prior to discharge from the maternity center. 2619.2 Discharge will be in accordanc…

2620 ADMINISTRATION OF MEDICATIONS 2620.1 Each maternity center shall develop a written plan for pain control that utilizes primarily close human support, psychological analgesia, hydrotherapy and adequate preparation for the birth experience. 2620.2 If a professional determinati…

2621 MEDICAL RECORDS AND REPORTING 2621.1 Each maternity center shall maintain a medical record system and Practice Guidelines that a provide for identification, security, confidentiality, control, retrieval and preservation of patient care data and information. 2621.2 Each mater…

2622 HEARINGS AND APPEALS 2622.1 Whenever these rules grant a hearing to an applicant or licensee adversely affected by an initial determination under this chapter, the hearing shall be conducted in accordance with 22 DCMR §§ 3110 through 3112. 2622.2 Whenever these rules grant t…

2699 DEFINITIONS 2699.1 When used in this chapter, the following terms and phrases shall have the meanings ascribed: Act - The Health-Care and Community Residence Facility, Hospice and Home Care Licensure Act of 1983, D.C. Code, 2001 Ed. §§44-501 to 44-554. Center - A maternity c…

2700 GENERAL PROVISIONS 2700.1 The Director, Department of Health, shall designate Level I and Level II hospitals for adult trauma care facilities as the inclusive trauma system in the District of Columbia, provided a facility complies with the provisions of this chapter. 2700.2 …

2701 INJURY PREVENTION AND CONTROL 2701.1 Each adult trauma care facility shall implement injury prevention and control programs to accomplish injury prevention. 2701.2 Institutional involvement in injury prevention programs shall be based upon the resources of staff, time, and f…

2702 HOSPITAL ORGANIZATION - TRAUMA SERVICES 2702.1 The staff credentialing committee of an adult trauma care facility shall specifically delineate all privileges of members of the staff providing trauma services. 2702.2 Each trauma team shall be organized and directed by a gener…

2703 TRAUMA COORDINATOR 2703.1 Each adult trauma care facility shall have a trauma coordinator who is fundamental to the institution's trauma program development, implementation, and evaluation. Working in conjunction with the Trauma Service Director, the trauma coordinator shall…

2704 HOSPITAL DEPARTMENTS, DIVISIONS, SERVICES, SECTIONS 2704.1 Each adult trauma care facility shall have departments, divisions, services, or sections with designated chiefs and shall be staffed by qualified specialists in the following areas: (a) General Surgery; (b) Neurologi…

2705 CLINICAL CAPABILITIES (HOSPITAL PERSONNEL) 2705.1 Each adult trauma care facility shall have the following specialties available in-house twenty-four (24) hours per day: (a) General Surgery; (b) Emergency Medicine; and (c) Anesthesiology. 2705.2 The patient evaluation and tr…

2706 FACILITY RESOURCES AND CAPABILITIES 2706.1 Emergency department personnel in each adult trauma care facility shall consist of at least the following: (a) A designated physician director of the emergency department; (b) Physicians with special competence in the care of the cr…