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Ohio Laws and Rules
(A) This rule shall not be construed to require any maternity unit licensed on or before March 20, 1997, to alter, upgrade, or otherwise improve the structure or fixtures of the maternity unit in order to comply with this rule or rule 3701-7-05 of the Administrative Code, unless one of the following applies:
(1) The maternity unit initiates a construction, renovation, or a reconstruction project that involves a capital expenditure of at least fifty thousand dollars, not including expenditures for equipment or staffing or operational costs, and that directly involves the area in which the existing service is conducted.
(2) The maternity unit initiates a service level designation change under Chapter 3701-84 of the Administrative Code.
(3) The director determines, by clear and convincing evidence, that failure to comply would create an imminent risk to the health and welfare of any patient.
(B) Each labor-delivery-recovery or labor-delivery-recovery-postpartum area shall provide space for the provision of services and the following:
(1) Single occupancy rooms with a minimum of two hundred fifty square feet of open floor space and a minimum room width or length of thirteen feet. Each room shall provide space for the mother, newborn and support person;
(2) A private toilet and shower or tub for each room;
(3) A distinct area within the room for newborn resuscitation and stabilization. The distinct area shall be equipped with two medical gas, two medical air, and three vacuum outlets that are accessible to the mother’s delivery and newborn’s resuscitation area;
(4) A minimum of six total air changes per hour with the ability to provide fifteen air changes per hour during the performance of a caesarean section; and
(5) Immediately accessible examination lights.
(C) Maternity units that provide services to maternity patients and do not provide labor-delivery-recovery area or labor-delivery-recovery-postpartum areas shall provide a minimum of two labor beds for each caesarean section delivery room.
(D) Maternity units utilizing separate labor rooms shall provide space for the provision of services and shall provide:
(1) A minimum area of one hundred square feet per bed. Labor rooms may be private or semi-private occupancy;
(2) One medical gas, one medical air and one vacuum outlet accessible to each mother’s bed;
(3) A minimum of two total air changes per hour with the ability to provide fifteen air changes per hour during the performance of a caesarean section;
(E) Maternity units utilizing separate recovery rooms shall provide space for the provision of services and shall provide:
(1) A minimum of two recovery room beds;
(2) Space for the newborn, mother and support person; and
(3) A minimum of six total air changes per hour per recovery room.
(F) Maternity units utilizing separate postpartum areas shall provide space for the provision of services and shall provide:
(1) A minimum of one hundred square feet of clear floor space per bed in semi-private rooms and one hundred and twenty square feet of clear floor space in private rooms. Postpartum rooms existing on or before March 20,1997 shall provide at least eighty square feet of clear space per bed in semi-private rooms and one hundred square feet in private rooms; and
(2) Patient access to a bathroom with toilet and shower or tub, without entering the main corridor. One bathroom may serve no more than two postpartum beds.
(G) Each maternity unit shall provide at least one caesarean delivery room in every obstetrical area. Each caesarean delivery area shall provide space for services and shall provide:
(1) Caesarean delivery rooms with a minimum of three hundred and sixty square feet of open floor space and a minimum room width or length of sixteen feet. Any additional delivery rooms without caesarean section capability shall have a minimum open floor area of three hundred square feet;
(2) Space for newborn resuscitation that meets one of the following:
(a) A minimum of an additional forty square feet of clear floor space within the caesarean delivery room; or
(b) An area of one hundred and fifty square feet in a separate room immediately accessible to the caesarean delivery room; and
(3) A minimum of fifteen air changes per hour per caesarean delivery area.
(H) Each maternity unit shall provide the necessary equipment and supplies for the complete care of the newborn in the location where the physiologic transition period occurs. Equipment shall include:
(1) Heat source equipment;
(2) Oxygen, suction, and air outlets;
(3) Resuscitation equipment;
(4) Equipment necessary for physiologic monitoring; and
(5) Transport conveyance.
(I) Each maternity unit shall provide at least one airborne infection isolation room in or near at least one level of nursery care. The room shall be enclosed and separated from the nursery with provision for observation of the infant from adjacent nurseries or control area and shall be consistent with current infection control guidelines, issued by the United States centers for disease control and prevention.
(J) The maternity unit shall provide separate rooms or areas as necessary to support the services provided including:
(1) A consultation, demonstration, breast feeding or pump room; and
(2) A family waiting room.
Effective: 08/01/2008
R.C. 119.032 review dates: 03/26/2008 and 03/01/2013
Promulgated Under: 119.03
Statutory Authority: 3701.34, 3711.02
Rule Amplifies: 3711.05, 3711.06
Prior Effective Dates: 7/15/1976, 4/30/03