R432-550-9. Personnel

  (1) The administrator shall employ a sufficient number of qualified professional and support staff who are competent to perform their respective duties, services and functions.

  (2) The facility shall maintain written personnel policies and procedures which shall be available to personnel and shall address the following:

  (a) content of personnel records;

  (b) job descriptions, qualifications and validation of licensure or certificates of completion as appropriate for the position held;

  (c) conditions of employment; and

  (d) management of employees.

  (3) The facility shall maintain personnel records for employees and shall retain personnel records for terminated employees for a minimum of one year following termination of employment.

  (4) The facility shall establish a personnel health program through written personnel health policies and procedures which shall protect the health and safety of personnel and patients commensurate with the services offered.

  (5) An employee placement health evaluation shall include at a health inventory which shall be completed when an employee is hired. The health inventory shall obtain the employee's history of the following:

  (a) conditions that predispose the employee to acquiring or transmitting infectious diseases; and

  (b) conditions which may prevent the employee from performing certain assigned duties satisfactorily.

  (6) Employee health screening and immunization components of personnel health programs shall be developed in accordance with R386-702, Code of Communicable Disease Rules.

  (7) Employee skin testing by the Mantoux method or other FDA approved in-vitro serologic test and follow-up for tuberculosis shall be done in accordance with R388-804, Special Measures for the Control of Tuberculosis.

  (a) The licensee shall ensure that all employees are skin-tested for tuberculosis within two weeks of:

  (i) initial hiring;

  (ii) suspected exposure to a person with active tuberculosis; and

  (iii) development of symptoms of tuberculosis.

  (b) Skin testing shall be exempted for all employees with known positive reaction to skin tests.

  (8) The birthing center personnel must receive documented orientation to the facility and the job for which they are hired.

  (9) The birthing center personnel must receive documented ongoing in-service training to include:

  (a) an annual review of facility policies and procedures; and

  (b) infection control, personal hygiene and each employee's responsibility in the personnel health program.

  (10) The birthing center Personnel shall have access to the facility's policy and procedure manuals when on duty.

  (11) Personnel shall maintain current licensing, certification or registration appropriate for the work performed and as required by the Utah Department of Commerce.

  (a) Personnel shall provide evidence of current licensure, registration or certification to the Department upon request.

  (b) Failure to ensure personnel are licensed, certified or registered may result in sanctions to the facility license.