In all cases where termination of a pregnancy is performed by an abortion service during the first trimester of the woman's pregnancy, the following standards, facilities and procedures must be met, provided and adhered to:
(a) Abortions may only be performed by a physician licensed to practice medicine by the State of Ohio.
(b) There must be written verification by the attending physician of the diagnosis and duration of the pregnancy, indicating the method or methods used to determine the diagnosis and the duration of the pregnancy.
(c) Pre-operative instructions and counseling by a counselor or attending physician must be available.
(d) There must be a recorded pre-operative history and physical examination, particularly directed to identification of pre-existing illnesses or drug sensitivities that may have a bearing on the operative procedures or the anesthesia. Permanent post-operative records shall also be maintained by the physician.
(e) Laboratory procedures, including blood type and RH factor, and those procedures usually required as a prerequisite for the performance of surgery, must be followed.
(f) Procedures for the prevention of RH sensitization, if indicated by blood test, must be available.
(g) There must be a receiving facility where the patient may be prepared and receive necessary pre-operative medication and observation prior to the procedure.
(h) Adequate oxygen, parenteral fluids and anesthesia and resuscitation equipment must be available on the premises. There shall also be a written procedure to deal with emergency situations, including transportation to a hospital.
(i) There must be a recovery facility in which the patient can be observed until she has sufficiently recovered from the procedure and anesthesia and can be safely discharged by the physician.
(j) There must be post-operative instructions and available post-operative counseling.
(k) Examinations by a pathologist of all pathological specimens shall be made.
(l) The usual informed consent, including the operative permit signed by the pregnant woman indicating her understanding of the availability of pre-operative and post-operative counseling, must be given.
(Ord. 3214. Passed 10-6-81.)