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An abortion otherwise permitted by law shall be performed only in a hospital or by a licensed physician in a facility which provides the following standards and procedures which must be met and adhered to:
(a) Written verification by two physicians, one of whom may be the physician performing the abortion, of the diagnosis and duration of pregnancy.
(b) Recorded pre-operative history and physical examihation particularly directed to identification of pre-existing or concurrent Illnesses or drug sensitivities that may have a bearing on the operative procedures or the anesthesia.
(c) Laboratory procedures as usually required for a hospital admission, including blood type and Rh factor.
(d) A receiving facility where the patient may be prepared and receive necessary pre-operative medication and observation prior to the procedure.
(e) 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.
(f) Proper anesthesia service administered by a licensed physician.
(g) A recovery facility staffed with at least one Registered Nurse in attendance at all times, in which the patient can be observed until she has sufficiently recovered from the procedure and the anesthetic and can be safely discharged by the physician. Adequate blood transfusion facilities must be so available that an emergency transfusion can be given in this facility within thirty minutes.
(h) Such facility shall provide pre-operative and post-operative psychological counseling by an individual appropriately qualified in the field of psychology.
(i) Written post-operative instructions and arrangements for post-operative follow-up examination within one month after the abortion; examination by a certified pathologist of all pathological specimens; and the disposal of human remains in a humanitarian, legal and dignified manner.
(j) Adequate permanent records, including reports for the County Board of Health and to the City for the need and administration of antibiotics, blood transfusion, prolongation of patient's stay or hospital admission and other complications. The physician performing the abortion must report to the City an abortion report form for each abortion containing a pathological diagnosis of estimated age of gestation and height and weight, in grams, of the fetus. This registry shall be maintained and available for inspection by the City and would include recording, by code numbers, the patients who have been aborted and any complications which resulted.
(k) The usual informed consent, including the operative permit signed by the pregnant woman and her parents if she is a legal minor.
(l) 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.
(m) All such facilities shall permit periodic inspection by the City.
(n) The facility shall meet the standards of the Joint Commission on Accreditation of Hospitals which apply to the areas set forth in subsections (a) through (m) hereof.
(Ord. 57-73. Passed 5-29-74.)