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within the scope of his competence and restrictions of the nursing <br />practice act. <br />(d) Ancillary personnel participating in patient care who are <br />adequately trained and working under appropriate direction or <br />supervision may be employed to assist within the areas of their <br />competence in the conduct of the work of the facility. <br />503.24 MEDICAL SUPERVISION AND ADMINISTRATIVE <br />MANAGEMENT; MEDICAL REVIEWS. <br />(a) The medical care provided in a facility shall be under the <br />direction of a qualified licensed physician. <br />(b) There shall be a designated responsible person in overall <br />administrative charge of a facility who may be the owner, a co -owner or <br />person employed by the owner to fulfill this responsibility. If qualified, <br />the person may also be the medical director who shall be responsible for <br />the medical direction of the facility as well as for the nonprofessional <br />administrative activities, or a suitably qualified nonmedical <br />administrator may be employed to assume nonprofessional <br />administrative and business management responsibility. <br />(c) The conduct of the work of a facility shall be regularly and <br />frequently reviewed by the appropriate medical staff committee (tissue, <br />medical audit or utilization, medical records) in a hospital operated <br />facility to assure maintenance of high standards and quality of care. In <br />other facilities, comparable arrangements acceptable to the Director for <br />impartial medical surveillance and review of the quality of care provided <br />shall be made. <br />503.25 COUNSELING AND REFERRALS FOR SUBSEQUENT <br />CARE. <br />(a) When procedures having present or firture social implications for <br />a patient are performed, such as human sterilizations or pregnancy <br />terminations, or when indicated in other situations, a facility shall <br />provide counseling, interpretation and referral for subsequent indicated <br />care. To accomplish this, a facility shall: <br />(1) Provide through physicians, qualified nurses, social workers or <br />specially trained and qualified counselors for appropriate assistance and <br />counseling as needed. <br />(2) Maintain liaison with and make indicated referrals to community <br />counseling, family planning or other social and health service agencies <br />to help assure appropriate and adequate subsequent care of the patient. <br />(3) Provide such counseling or assistance without coercion. In cases <br />where the attending physician certifies that the counseling provisions of <br />this section would be detrimental to the health of the patient, authority to <br />dispense with the provisions of this section shall first be obtained from a <br />court of appropriate jurisdiction. <br />(4) Provide counseling in cases of pregnancy termination, which <br />shall be approved by the Director and which shall include factual <br />information and scientifically accurate photographs or reproductions <br />thereof depicting the biological development of the unborn child and <br />M <br />