R432-550-8. Clinical Director

  (1) The clinical director shall be responsible for implementing, coordinating and assuring the quality of patient care services.

  (2) The clinical director shall:

  (a) be currently licensed to practice medicine or midwifery in Utah;

  (b) have training and expertise in obstetric and newborn services offered to ensure adequate supervision of patient care services.

  (3) The clinical director's responsibilities shall be included in a written job description available for Department review. The clinical director shall:

  (a) review and update facility protocols;

  (b) review and evaluate clinical staff privileges and revise them as necessary;

  (c) recommend, to the governing body, names of qualified licensed health care practitioners to perform approved procedures and the corresponding clinical staff privileges to be granted;

  (d) coordinate, direct and evaluate clinical operations of the facility;

  (e) evaluate and recommend to the administrator the type and amount of equipment needed in the facility;

  (f) ensure that qualified staff are on the premises while patients are admitted to the facility;

  (g) ensure clinical staff documentation is recorded immediately and reflects a description of care given;

  (h) ensure that planned birthing center services are within the scope of privileges granted to the clinical staff; and

  (i) recommend to the administrator appropriate remedial action and disciplinary action, when necessary, to correct violations of clinical protocols.