Policies, Procedures and Practice Guidelines

Midwives with admission privileges at Center for Birth are bound by their Agreement to adhere to the birth center policies and procedures and practice guidelines. If you have any questions about any content in the Policies & Procedures Manual and Practice Guidelines please contact Center for Birth.

As no policy or published procedure can anticipate every clinical and/or medical presentation, the policies described herein are guidelines and are not intended as a substitute for the clinician’s clinical judgment and/or experience.

Section 2: Administration

  • Orientation to Birth Center
  • Client Eligibility ~ WAC 246-329-010(18)(C)
  • Initial History Precluding Birth at Center for Birth
  • Antepartum Conditions Precluding Birth at Center for Birth
  • Transfer Criteria
  • Consultation Criteria
  • Client Admission to the Birth Center  
    • Client Process
    • Creden tialed Midwife Process
  • Anti-Discrimination: Clients
  • Care and Services at Center for Birth
  • Transfer Policies and Procedures
  • Hospital Transfers - Maps
  • Financial Policy
  • Liability Insurance
  • Client Grievance
  • Client Rights
  • Birth/Death Registration 70.58RCW
  • Definitions of Staffing ~ WAC 246-329- 010 and 246-329-095
  • Job Descriptions ~Credentialed Midwife
  • Privileges Credentialing
    • Delineation of Privileges
  • Orientation, Employee/staff
  • Anti-Discrimination (Employment)
  • Anti-Harassment
  • HIV/AIDS Education of Staff WAC 246-329-110/RCW 70.24.310
  • Performance Evaluations (WAC 246-329-110)

Section 3: Client Record

  • Prenatal Record Content Requirements
  • General Documentation Guidelines
  • Admission/Labor Intake Charting
  • Intrapartum Chart
  • Immediate Postpartum Assessment, Birthing Parent and Newborn
  • Transfer Charting Requirements
  • Data Submission for Statistics
  • More...

 

Section 4: Continuous Quality Improvement

  • Quality Assurance/Quality Improvement Processes
  • Incidents and Reporting
  • Notifiable Conditions
  • Equipment/Supplies Maintenance
  • Chart Review

 

Section 5: Antepartum

  • Antepartum Content of Care Requirements
  • Indications for Antepartum Consultation
  • Indications for Antepartum Transfer

 

Section 6: Intrapartum

  • Admission Policy
  • Arrival at CFB
  • Discharge from CFB
  • Birth Kits, Meds Kits, Suture Kits
  • Birth Suite Setup
  • Admission to Birth Center
  • Antepartum Conditions Precluding Birth at Center for Birth
  • Intrapartum Findings Requiring Discussion
  • Intrapartum Findings Requiring Transfer of Care to Hospital
  • Routine Intrapartum Care
  • Birth Care
  • Intrapartum Records/Chart
  • General Birth Center Charting Guidelines.
  • Intrapartum Emergency Transfer
  • Non-emergent Transfer

 

Section 7: Postpartum

  • Routine Postpartum Care
  • Postpartum Transfer Criteria (Maternal/Birthing Parent )
  • Postpartum Conditions Requiring Consultation
  • Initial Newborn Care Requirements
  • Newborn Transfer Criteria
  • Newborn Conditions Requiring Consultation
  • Records/Charting Requirements
  • Postpartum Emergency Transfer: Policy and Procedure
  • Non-emergent Transfer
  • Client Discharge from Center for Birth
  • Discharge Checklist
  • Midwife Checkout from Birth Center.
  • Documentation
  • Preparing Birth Suite for Terminal Cleaning
  • Instruments, Equipment Cleaning
  • Restocking Requirements

 

Section 8: Environmental Safety

  • Infection Control
  • Instrument Cleaning
  • Building Maintenance
  • Equipment and Supplies
  • Access to Facility

 

 

Section 9: Medications

  • Antibiotics for GBS Prophylaxis
  • Epinephrine 1mg/1mL preparation IM
  • Magnesium Sulfate (MGSO4) IM.
  • Methergine (Methylergonovine) IM
  • Misoprostol
  • Pitocin (Oxytocin Injection)
  • Terbutaline SQ
  • Other Medications
  • Pharmaceuticals ~ WAC 246-329-150
  • Medication Refrigerator 

Practice Guidelines

  • Abruption, Placental
  • Anaphylactic Shock
  • Anemia
  • APGAR ≤6 at 10 Minutes
  • Breech or other non-cephalic presentation
  • Cord Prolapse
  • Eclampsia
  • Fetal demise, Antepartum
  • Fetal demise, intrapartum
  • Fetal heart rate: non-reassuring
  • Fever
  • Gestational Diabetes
  • Group b streptococcus
  • Hepatitis B Positive Client
  • Herpes, Genital, at Onset of Labor
  • HIV, Testing and Infection
  • Hydrotherapy/Water-birth
  • Hypertension, Gestational
  • Hypertension, Postpartum
  • Ill or unstable newborn
  • Meconium-stained amniotic fluid
  • Multiple gestation, unexpected
  • Obesity
  • Pre-eclampsia
  • Post-Dates Pregnancy
  • Postpartum Hemorrhage
  • Pre-Labor or Prolonged Rupture of Membranes
  • Retained Placenta
  • Rh-negative
  • Shoulder Dystocia
  • Thrombocytopenia
  • Water-birth: see Hydrotherapy