(b) Area and Equipment.
1. Outpatient Area.
a. The outpatient area shall have available a
waiting room of adequate size. Each patient shall be afforded privacy during
the examination and there shall be available a dressing area which assures the
patient privacy. Toilet facilities shall be located near the examining rooms.
An area for displaying patient education materials shall be
available.
b. Equipment necessary
for pre or postnatal examinations shall be available in the clinic
area.
c. An emergency cart with the
necessary medications and equipment for maternal and infant resuscitation and
an emergency delivery set shall be available in the clinic
area.
2. Labor and
Delivery Area - The labor and delivery area shall have, as a minimum:
a. An observation area available for patients
who are not in active labor, but who are being observed for labor and a room
available and equipped for patients requiring obstetrical intensive
care.
b. One fetal monitor per five
hundred deliveries per year or two fetal monitors for less than one thousand
five hundred deliveries per year for continuous direct and indirect electronic
fetal monitoring.
c. Equipment for
continuous electronic cardiac monitoring.
d. EKG equipment with printout
capability.
e. Intravenous
solutions and infusion pumps.
f.
Equipment for obtaining fetal scalp blood samples.
g. An emergency cart with the necessary
medications and equipment for maternal and infant resuscitation and an
emergency delivery set.
h. Each
labor room shall have, as a minimum:
(I) A
labor bed with adjustable side rails and a foot stool.
(II) A sphygmomanometer and stethoscopes,
both regular and fetal.
(III)
Oxygen and suction equipment.
i. Each delivery room shall have, as a
minimum:
(I) A delivery table that will allow
variation in position for delivery.
(II) A sphygmomanometer and stethoscopes,
both regular and fetal.
(III)
Equipment for inhalation and regional anesthesia, including equipment for
emergency resuscitation.
(IV)
Oxygen and suction for mother and infant.
(V) Instruments and equipment for normal or
operative delivery.
(VI) Necessary
medications for mother and infant.
(VII) Heated infant examination and
resuscitation unit, including laryngoscopes, endotracheal tubes, drugs, and
suction catheters, and the necessary equipment for the adequate identification
of the infant.
(VIII) Wall clock
with second hand.
3. OB Recovery Room
a. A separate recovery room shall be
available for patients following deliver and shall be located in close
proximity to the delivery room.
b.
The recovery room shall have as a minimum:
(I)
Oxygen and suction equipment at each patient station.
(II) Sphygmomanometers and
stethoscopes.
(III) Emergency drugs
and resuscitation equipment.
(IV)
EKG equipment.
4. Antepartum and Postpartum Area
a. A separate bed area shall be available for
undelivered patients who are designated as "high risk."
b. The antepartum and postpartum unit shall
have, as a minimum:
(I) Sphygmomanometers and
stethoscopes.
(II) Fetoscopes or
external fetal monitoring equipment.
(III) Sterile amniocentesis tray, available
at all times.
(IV) Oxygen and
suction at each patient station.
(V) I.V. solutions and supplies.
(VI) Emergency drugs and resuscitation
equipment.
(VII) An emergency
delivery set.