The purpose of this section is to ensure the birth center provides safe and appropriate equipment and supplies necessary for the safe provision of patient care.

1. (1) The applicant or licensee must ensure the birth center has the adequate, appropriate size and type equipment and supplies maintained for the client and the newborn to include:

   1. (a) A bed suitable for labor, birth, and recovery;
   2. (b) Oxygen with flow meters and masks or equivalent;

   3. (c) If offering nitrous oxide, the nitrous oxide equipment must include the following:

      1. (i) A demand valve to stop the supply when the patient is not inhaling; and
      2. (ii) A gas waste scavenging systems to prevent secondary exposure to the exhaled/waste nitrous oxide;
   4. (d) Suction equipment for the newborn to include bulb and delee suction devices. These devices must be immediately available in the birth center;
   5. (e) Resuscitation equipment to include adult and neonatal resuscitation bags and term and preterm size face masks for assisted ventilation;
   6. (f) Suitable surfaces for resuscitation. Suitable surfaces include, but are not limited to, a firm board or floor;
   7. (g) Fetal monitoring equipment, minimally to include a fetoscope or doppler;
   8. (h) Equipment for monitoring and maintaining the optimum body temperature of the newborn. A heat source appropriate for use in warming newborns must be available;
   9. (i) A time keeping device such as a wall clock, smart phone, or computer;
   10. (j) Sterile suturing equipment and supplies;
   11. (k) Glucose meter appropriately calibrated to screen glucose level in newborns and associated test supplies;
   12. (l) Examination lighting device with a shatterproof bulb or protective shield;
   13. (m) Containers for soiled linen and waste materials which must be closed or covered.
2. (2) A telephone (land-line or cellular) or equivalent communication device must be accessible in the birthing room area.
3. (3) The applicant or licensee must provide and maintain infection control equipment and supplies for clinical staff.

[Statutory Authority: RCW 18.46.060 and 43.70.250. WSR 25-15-078, s 246-329-130, filed 7/15/25, effective 8/15/25. Statutory Authority: Chapter 18.46 RCW and RCW 43.70.040. WSR 07-07-075, § 246-329-130, filed 3/16/07, effective 4/16/07.]