NAC449.61142. Required facilities and services.

     1. An obstetric center shall provide:

     (a) Services for labor, delivery, newborn and recovery care for not more than 24 hours after delivery.

     (b) Areas for labor, delivery, newborn and recovery which are in a safe and clean environment in accordance with all applicable local, state and federal laws.

     (c) Areas for:

          (1) Maintenance and documentation of medical records of each maternal patient by physicians and nurses;

          (2) Patient and family education;

          (3) Treatment and examination of a maternal patient and newborn baby;

          (4) Cleaning and storage of instruments and equipment which are located separately from the other areas of the obstetric center;

          (5) Secure storage of drugs; and

          (6) Family visitation.

     (d) Simple nourishment for the maternal patient by providing:

          (1) A separate area for appropriate storage of food which may be provided to the maternal patient by her family; or

          (2) Food prepared by the obstetric center. If food is prepared by the obstetric center, the obstetric center must comply with all applicable local, state and federal laws relating to the preparation of food by a medical facility.

     2. An obstetric center must be equipped with those items needed to provide low-risk obstetrical care without general anesthesia and initial emergency procedures for life-threatening events to a maternal patient and newborn baby, including, but not limited to:

     (a) Sterile supplies for delivering and caring for a newborn baby;

     (b) Equipment for performing pelvic examinations;

     (c) Sphygmomanometers and stethoscopes, in adult and infant sizes;

     (d) Fetoscopes, doppler and electronic fetal monitors;

     (e) Supplies for measuring sugar and protein in urine;

     (f) Needles and syringes;

     (g) Solutions and supplies for parenteral administration of fluids;

     (h) Emergency drugs and equipment for the resuscitation of an adult and a newborn baby;

     (i) Equipment for suctioning an airway, in appropriate sizes for adults and newborn babies;

     (j) Protective gear for personnel of the obstetric center who may be exposed to body fluids of the maternal patient and the newborn baby;

     (k) Equipment or other approved methods for warming solutions and blankets; and

     (l) Oxygen and apparatus for administering oxygen, in appropriate sizes for adults and newborn babies.

     (Added to NAC by Bd. of Health, eff. 7-19-96)