(1) Each abortion clinic that provides second trimester abortions shall formulate and adhere to written patient care policies and procedures designed to ensure professional and safe care for patients undergoing second trimester abortions and shall maintain a medical record for each such patient that records history, care and services. Any abortion clinic that performs second trimester abortions shall comply with these patient care policies and procedures for patients undergoing second trimester abortions, to include the following:
    (a) Admission criteria and procedures;
    (b) Identification in the medical record of physician(s) and nurse(s) involved in providing the services offered for patients undergoing second trimester abortions;
    (c) Specific details regarding the pre-operative procedures performed, to include:
    1. History and physical examination, to include verification of pregnancy, period of gestation, identification of any past surgeries, preexisting conditions or complications; including allergies to medications, antiseptic solutions, or latex; and a complete obstetric and gynecological history.
    2. Special examinations, lab procedures, and/or consultations required, to include ultrasonography to confirm period of gestation, and a physical examination including a bimanual examination estimating uterine size and palpation of the adnexa. The physician shall keep original prints of each ultrasound examination of a patient in the patient’s medical history file. Urine or blood tests for pregnancy shall be performed before the abortion procedure.
    (2) Laboratory Services.
    (a) Laboratory services shall be provided onsite or through contractual arrangement with a laboratory that holds the appropriate federal Clinical Laboratory Improvement Amendments (CLIA) certificate.
    (b) All laboratory services provided onsite shall be performed in compliance with federal CLIA provisions.
    (3) Laboratory Equipment and Supplies.
    (a) All equipment and supplies for the collection, storage, and testing of specimens shall meet the federal CLIA provisions, and shall be maintained according to manufacturer’s instructions and in a manner that ensures accurate test results.
    (b) Temperature controlled spaces for the storage of specimens or testing supplies shall be monitored and recorded to ensure that the proper storage temperature is maintained.
    (c) All dated supplies and materials shall not be used beyond their expiration date.
    (d) Adequate facilities and supplies for the collection, storage and transportation of laboratory specimens shall be available onsite.
    (4) Rh blood type D. Rh testing shall be performed on all patients, unless results of previous testing is available and documented in the medical record.
    (5) All laboratory test reports shall be placed in the patient’s medical record.
    (6) All laboratory test and storage areas, records and reports shall be available for inspection by the Agency.
    (7) If a person who is not a physician performs an ultrasound examination, that person shall have documented evidence that he or she has completed a course in the operation of ultrasound equipment. Such documentation shall be retained on file at the clinic.
    (8) A test for anemia shall be performed.
    (9) Each abortion clinic must be in compliance with Florida Statutes § 390.0111
Rulemaking Authority Florida Statutes § 390.012(1). Law Implemented 390.012(3)(d) FS. History-New 9-25-06, Amended 1-2-14, 4-5-17, 12-27-18.