Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES
Subchapter 1 - BROAD SERVICE HOSPITALS
Section 11-93-20 - Maternity and obstetrical services

Universal Citation: HI Admin Rules 11-93-20

Current through February, 2024

(a) If maternity and obstetrical services are provided by the hospital, maternity patient bedrooms, labor rooms, and delivery rooms shall be physically separated from all other sections of the hospital.

(b) Maternity facilities shall not be used for any other purpose other than maternity-related functions except as follows: in the interest of proper bed utilization these facilities may be used for clean surgery or clean gynecology in the event of an emergency.

(c) Maternity suites shall be located to prevent through traffic, except for emergency exit.

(d) Delivery rooms shall have a minimum of two hundred fifty square feet.

(e) Scrub sinks shall be provided for each delivery room on the basis of two sinks for the first delivery room, and one additional sink for each delivery room over one. Scrub sinks shall be located outside of delivery rooms.

(f) Each delivery area shall provide a separate clean-up room separated from the sterilizing facilities.

(g) Well-ventilated or air conditioned labor rooms shall be provided in conjunction with the delivery rooms.

(h) Birthing rooms:

(1) There shall be specific written guidelines available for the use of birthing rooms. The guidelines shall at a minimum include statements about the following:
(A) Prerequisites for use of the birthing room.

(B) Screening of children and other participants in the birthing room.

(C) Handling of the newborn infant by participants.

(D) Special dress requirements.

(E) Availability of equipment for medical emergencies.

(F) Infection control measures.

(2) Each room shall be equipped with a lavatory for handwashing (handwashing sink with wrist blades is acceptable for scrubbing).

(3) Each birthing room (labor delivery recovery or labor delivery recovery postpartum) shall be for single occupancy and have access to adjoining toilet. A shower or tub shall be accessible postpartum.

(4) Each birthing room (labor delivery recovery or labor delivery recovery postpartum) shall have a minimum of one hundred eighty square feet.

(i) Newborn facilities.

(1) The newborn room or rooms, referred to in this chapter as "nurseries", shall be physically separated from all other sections of the hospital and shall not be used for any purpose other than for the care of the newborn.

(2) The nurseries shall be designed and equipped to maintain infants' optimum body temperature.

(3) Provision shall be made in each nursery for resuscitation, administration of oxygen, prevention of infection, and prevention of accidents.

(4) Each nursery shall be provided with means for the viewing of the newborns.

(5) No person shall enter the nursery except those immediately concerned with the care of the newborn.

(6) Nurseries shall provide a minimum of twenty-four square feet of floor area per bassinet and shall be arranged so as to maintain at least two feet between bassinets and with bassinets placed no closer than six inches from the wall. The maximum capacity of each normal newborn nursery shall be sixteen bassinets.

(7) In addition to the nursery or nurseries, each unit shall provide for handwashing facilities, space for charting, examination space (unless a separate examination room is provided), and space for gowning.

(8) Facilities for storage and preparation of formula shall be provided.

(j) Hospitals providing a rooming-in program shall have policies and procedures relating to the nursing care of the newborn.

Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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