When my kids were born there was an office worker who came around and had my sign the birth certificate form. She also asked me if I wanted a social security card and the birth to be announced in the paper.
Nurses don’t have time to do that. There is an administrator at hospitals who do that stuff, just like there are administrators who do the check-in and check-out paperwork.
The local registrar on the birth certificate of “Alan”, born at Army Tripler Hospital, is a military officer. One of the Kapiolani birth certificates posted online has a hand-written note by the “local registrar” saying “Deputy”. And the DOH rules allow for deputy registrars to be appointed at the approval of the state registrar. I doubt that the state registrar would approve every nurse at every hospital as a deputy registrar.
The certificate number was given at the state registrar’s office.
I’m not saying every nurse would be an authorized registrar. It’s like that one nurse, the head nurse, or at most two head nurses for different shifts. Certainly the head nurse would deal with parents signatures. It is more than likely, in fact, highly likely, though that a head nurse/registrar must be available to witness a doctor’s signature. Otherwise, her signature is meaningless because she attest to the information she’s supposed to.
Yes, I’m certain the certificate number was assigned and stamped by the state’s office. My contention is that it’s possible the file/accepted by date was stamped by the local registrar/nurse.