(a) An abortion otherwise permitted by law shall be performed only in a hospital or by a licensed physician in a facility which conforms to the following standards and which follows the following procedures:
(1) Written verification by two physicians, one of whom may be the physician performing the abortion, of the diagnosis of pregnancy and the duration of the pregnancy, shall be made. Each physician shall be qualified to diagnose such condition and shall verify that he or she had thoroughly examined the patient at least once prior to the performance of the abortion.
(2) Recorded pre-operative history shall be examined and a physical examination shall be conducted, particularly directed to the identification of pre-existing or concurrent illnesses or drug sensitivities that may have a bearing on the operative procedures or the anesthesia.
(3) Laboratory procedures usually required for a hospital admission shall be carried out, including blood type and Rh factor determinations.
(4) There shall be a receiving facility where the patient may be prepared and receive necessary pre-operative medication and observation prior to the procedure.
(5) There shall be an operating room properly equipped to conduct safely the abortion procedure and availability on the premises of adequate blood, oxygen, anesthesia, resuscitation equipment and stand-by ambulance service to handle complications and emergency situations which could occur during the procedure.
(6) Proper anesthesia service shall be administered by a licensed physician.
(7) There shall be a recovery facility staffed with at least one registered nurse in attendance at all times, in which the patient shall be observed for a twenty-four hour post-operative period, and adequate blood transfusion facilities must be so available that an emergency transfusion can be given in such facility at any time within such twenty-four hour period.
(8) Pre-operative and post-operative psychological counseling shall be provided in such facility by an individual appropriately qualified in the field of psychology. Written verification of both the pre-operative and post-operative counseling sessions shall be submitted and shall include the patient's reasons for desiring the abortion and alternatives presented to the patient. Such report shall be kept in the permanent records.
(9) Written post-operative instructions shall be given and arrangements for a post-operative follow-up examination within one month after the abortion shall be made. Examination by a certified pathologist of all pathological specimens shall be made. The disposal of human remains shall be accomplished in a humanitarian, legal and dignified manner.
(10) Adequate permanent records, including reports to the County Health Department of the need for administration of antibiotics, blood transfusions, prolongation of a patient's stay or hospital admission and other complications, shall be made. The physician performing the abortion must deliver to the County Health Department an abortion report form for each abortion, which report shall contain a pathological diagnosis of the estimated age of gestation and the height and weight, in grams, of the fetus. This registry shall be maintained by the Health Department and shall include a record, by code numbers, of the patients who have been aborted and any complications which resulted.
(11) The usual informed consent, including the operative permit signed by the pregnant woman and her parents if she is a legal minor, must be given.
(12) The external identification and promotion of such facility shall conform to the provisions of the code of ethics of the national professional organizations of those physicians performing services within such facility.
(13) All such facilities shall permit periodic inspection by the County Health Department.
(14) The facility shall meet the standards of the Joint Commission on Accreditation of Hospitals which apply to the areas set forth in division (a)(1) through (13) of this section.
(b) Whoever violates this section is guilty of a misdemeanor of the first degree and shall be subject to the penalty provided in Section 698.02.
(Ord. 63-74. Passed 12-11-74.)