Current through Register Vol. 35, No. 18, September 24, 2024
Each facility shall include and provide sufficient space for
the following areas:
A. Public areas:
The facility shall provide in the public areas:
(1) sufficient parking space(s) for the
public, each birthing room and each employee present on any single
shift;
(2) a reception and
information counter or desk;
(3) a
waiting area for visitors;
(4)
convenient and accessible wheelchair storage;
(5) convenient and accessible drinking
fountain or bottled water.
B. Administrative and work areas: The
facility shall provide administration and work areas including:
(1) general or individual office(s) for
business transactions, records, administrative and professional
staff;
(2) storage for staff
personal effects which can be locked in drawers or cabinets.
C. Toilets, lavatories and bathing
facilities: All fixtures and plumbing in the facility shall be installed in
compliance with applicable state and local building codes and shall include:
(1) a toilet and sink in each birth room, and
a tub or shower available for use by the laboring mother within the
facility;
(2) a separate toilet and
sink for staff use;
(3) at least
one public and visitor restroom conveniently located and accessible to the
handicapped which includes a toilet and sink;
(4) a hand washing sink in all toilet rooms
which shall be kept supplied with single use or individual use towels for hand
drying or provided with mechanical blower;
(5) automatic hand sanitizer units may be
used instead of a sink.
D. Nourishment station: A facility
nourishment center shall be provided and include the following:
(1) work counter;
(2) sink;
(3) refrigerator;
(4) storage cabinets; and
(5) equipment for hot and cold nourishment;
the nourishment area may be available for staff use, and may within space
limited facilities also function as the staff lounge.
E. Examination rooms: If prenatal or other
health care is provided at the facility, exam rooms shall be separated from the
dedicated birth room(s) and shall have:
(1)
sufficient size to accommodate the necessary equipment and personnel consistent
with the purpose of the room;
(2)
all walls in an exam room shall be a minimum of eight feet long; and
(3) a hand washing sink shall be located in
each exam room or immediately adjacent to the exam room.
F. Birth rooms: The facility shall have one
birth room available for each client in active labor which is and includes:
(1) sufficient size to accommodate necessary
equipment and personnel consistent with the purpose of the room;
(2) all walls constructed to a minimum length
of 10 feet long;
(3) birth rooms
and bathrooms located to provide for complete privacy during use;
(4) clear floor space to permit unimpeded
egress and access for emergency transportation equipment;
(5) located to provide unimpeded rapid access
to a facility exit which accommodates emergency transportation vehicles and
equipment; and
(6) furniture
arrangement in the birth room that permits a minimum clear dimension of 36
inches on at least one side for the full length of the bed where birthing can
occur.
G. Equipment and
supplies:
(1) Equipment: The facility shall be
equipped with all necessary items and equipment needed to provide low-risk
maternity delivery and care, as well as all equipment available and ready to
provide emergency medical services, including emergency carts or emergency
trays, in life threatening events to mother and baby including, but not limited
to,:
(a) cardiopulmonary resuscitation (CPR)
equipment, oxygen, positive pressure mask, suction, intravenous (IV) equipment,
equipment for maintaining infant temperature and ventilation, blood expanders,
and medications identified in professional staff protocols to meet emergency
needs of mother and baby at the facility and during transport to an acute care
setting;
(b) equipment for
performing standard screening, laboratory tests, and for sterilizing
instruments and other materials, including programs for regular inspection and
training in the use of resuscitation and other equipment as outlined in the
policies and procedures manual which shall be available on site at all times;
and
(c) maintenance of all
equipment in accordance with manufacturer's specifications.
(2) Supplies: The facility's
supply inventory shall be sufficient to care for the number of childbearing
women and families registered for care at any one time.
H. Housekeeping and support areas: The
facility shall provide housekeeping and support areas, including:
(1) general storage facilities for supplies
and equipment;
(2) drug storage and
administration areas which comply with New Mexico board of pharmacy
regulations;
(3) clean storage
consisting of a separate room, space or closet for storing clean and sterile
supplies;
(4) soiled holding with
separate collection, storage and disposal for all soiled materials used and
stored at the facility.
I. Laundry services: The facility shall
provide laundry services for both facility use and client care, on the premises
or through laundry and linen services:
(1)
on-site laundry facilities shall be provided with necessary washing and drying
equipment;
(2) soiled laundry shall
be kept in a separate storage area from the clean laundry storage
area;
(3) soiled laundry shall not
be stored in the nourishment, kitchen or dining areas;
(4) in facilities with four or more birthing
rooms, washers shall be located in separate rooms from the dryers and shall
have negative air pressure from the other rooms in the facility.
