A simple thumb rule for determining the size of an obstetrical suite is 2 labour rooms and one delivery room per 20 postpartum beds. Admitting Room: In this room the patient is examined to determine whether she is in labor or not. This room should have an area of 17sqm.It should have the following facilities: Labour room should be of single occupancy with an area of 12 sqm. Each room should be designed for either one or two beds, with a minimum clear area of 120 square feet (11.15 square meters) per bed. Each labor room should contain a hand-washing station. Delivery Rooms These should have a minimum clear area of 300 square feet (27.87 square meters). Cesarean Section Rooms • • • There should be a minimum of one such room in every obstetrical unit. These should have a minimum clear floor area of 360 square feet (33.45 square meters) with a minimum dimension of 16 feet (4.88 meters) It should have all the facilities of an OT complex. A minimum clear floor area of 40 square feet (3.72 square meters) shall be provided for the infant resuscitation space in addition to the required area of each delivery or cesarean/delivery room. Infant resuscitation space provided in a separate but immediately accessible room shall have a minimum clear floor area of 150 square feet (13.94 square meters). Postpartum Unit An airborne infection isolation room is not required for the obstetrical unit. Examination and Treatment Room should have a minimum clear floor area of 120 square feet (11.15 square meters). When used as a multi-patient diagnostic testing room, a minimum clear floor area of 80 square feet (7.43 square meters) per patient should be provided. An adjoining toilet room should be provided for patient use. Nursing Station This should be ideally located within the suite. It should have table, desks, shelves, filing cabinet, bulletin board, and a couch. The ideal space is 12 sq.mt. Doctor’s Room: Formula room: A space of 12 sq.mt is a deal. It should heating arrangement and facility for preparing feed for neonate Operative Delivery Rooms Recommendations for operating rooms intended for use by NICU patients (Standard 8) shall be followed with these exceptions: A minimum clear floor area of 80 square feet (7.5 square meters) for the infant shall be provided in addition to the area required for other functions. Three oxygen, 3 air, 3 vacuum and 12 simultaneously-accessible electrical outlets shall be provided for the infant and shall comply with all specifications for these outlets described in NICU Standard 9. The infant space may not be omitted from the operative delivery room(s) when a separate infant resuscitation/stabilization room is provided. Infant Resuscitation Space Infant resuscitation should be provided within cesarean/delivery rooms and delivery rooms or in a separate but immediately accessible room. A minimum clear floor area of 40 square feet (3.72 square meters) shall be provided for the infant resuscitation space in addition to the required area of each delivery or cesarean/delivery room. ACOUSTIC ENVIRONMENT Infant rooms (including airborne infection isolation rooms), staff work areas, family areas, and staff lounge and sleeping areas and the spaces opening onto them shall be designed to produce minimal background noise and to contain and absorb much of the transient noise that arises within them. • In infant rooms and adult sleep areas, the combination of continuous background sound and operational sound shall not exceed an hourly Leq of 45 dB and an hourly L10 of 50 dB, both A-weighted slow response. Transient sounds or Lmaxshall not exceed 65 dB, Aweighted, slow response in these rooms/areas. • In staff work areas, family areas, and staff lounge areas, the combination of continuous background sound and operational sound shall not exceed an hourly Leq of 50 dB and an hourly L10 of 55 dB, both A-weighted slow response. Transient sounds or Lmax shall not exceed 70 dB, A-weighted, slow response in these areas. • To achieve the required noise levels in infant rooms and adult sleep rooms, building mechanical systems and permanent equipment in those areas shall conform to Noise Criteria (NC) -25 based on manufacturers' noise ratings with allowance for other sound sources and adjustment for room loss if less than 10 db. Areas in open communication with infant rooms and adult sleep rooms shall conform to NC-30. Building mechanical systems and permanent equipment in other areas specified in the Standard shall conform to a maximum of NC-35. Building mechanical systems include heating, ventilation, and air conditioning systems (HVAC) and other mechanical systems (e.g., plumbing, electrical, vacuum tube systems, and door mechanisms). Permanent equipment includes refrigerators, freezers, ice machines, storage/supply units, and other large non-medical equipment that is rarely replaced. Minimum Space, Clearance and Privacy Requirements for the Infant Space: Each infant space shall contain a minimum of 120 square feet (11.2 square meters) of clear floor space, excluding hand washing stations, columns, and aisles (see Glossary). Within this space, there shall be sufficient furnishing to allow a parent to stay seated, reclining, or fully recumbent at the bedside. There shall be an aisle adjacent to each infant space with a minimum width of 4 feet (1.2 meters) in multiple bed rooms. When single infant rooms or fixed cubicle partitions are utilized in the design, there shall be an adjacent aisle of not less than 8 feet (2.4 meters) in clear and unobstructed width to permit passage of equipment and personnel. Multiple bed rooms shall have a minimum of 8 feet (2.4 meters) between infant beds. There shall be provision for visual privacy for each bed, and the design shall support speech privacy at a distance of 12 feet (3.6 meters). Unit 14 - Self Assessment Questions Assignment not submitted Instructions: Self Assessment Questions for Practice (Non-Graded) Number of Questions: 10 Attempts: Multiple 1 point What should be the size of obstretic suit for the 20 postpartum bed 2 labour rooms and 1 delivery room 2 labour rooms and 2 delivery room 3 labour rooms and 2 delivery room 3 labour rooms and 3 delivery room Yes, the answer is correct. Score: 1 Feedback: For the one obstretic suit in an hopsital there must be 2 labour rooms and one delivery room per 20 postpartum beds i.e. the rule of thumb Accepted Answers: 2 labour rooms and 1 delivery room 1 point In Sweden What should be the size of obstretic suit for the 28 postpartum bed 3-4 labour room and delivery room 5-6 labour room and delivery room 6-7 labour room and delivery room 7-8 labour room and delivery room Yes, the answer is correct. Score: 1 Feedback: For the one obstretic suit in an sweden hopsital there must be 3 labour rooms and 4 delivery room per 28 postpartum beds i.e. the rule of thumb Accepted Answers: 3-4 labour room and delivery room 1 point What should be the size of admitting room in obstretic unit for patient examination 10 sq.mt. 17 sq.mt. 5 sq.mt. 3 sq.mt. Yes, the answer is correct. Score: 1 Feedback: In admitting room the patient is examined to determine whether she is in labour or not. This room should have an area of 17sqm Accepted Answers: 17 sq.mt. 1 point The size of the labor room for the single occupancy of patient must be 12 sq.mt. 17 sq.mt. 5 sq.mt. 3 sq.mt. Yes, the answer is correct. Score: 1 Feedback: Labour room should be of single occupancy with an area of 12 sqm. It should be comfortably furnished and tastefully decorated. Accepted Answers: 12 sq.mt. 1 point What should be the area of delivery room 300 square feet 100 square feet 50 square feet 150 square feet Yes, the answer is correct. Score: 1 Feedback: The delivery room must have atleast 300 square feet for comfartble delivery. Accepted Answers: 300 square feet 1 point The obstetrical unit should be located and designed to exclude non-related passage through the unit. TRUE FALSE Yes, the answer is correct. Score: 1 Feedback: When delivery and operating rooms are in the same access and service arrangements should be such that neither staff nor patients need to travel through one area to reach the other. It should always be in the same level of the Accepted Answers: TRUE 1 point There should be a minimum clear floor area of 360 square feet (33.45 square meters) with a minimum dimension of 16 feet (4.88 meters) in the cesarian section room. TRUE FALSE Yes, the answer is correct. Score: 1 Feedback: For performing the cesarian comfartably and to provide ergonomic structure for patient,surgeon and whole operating team 360 square feet size is required. Accepted Answers: TRUE 1 point The NICU shall be in close and controlled proximity to the area of the hospital where births occur. TRUE FALSE Yes, the answer is correct. Score: 1 Feedback: The NICU shall be in close proximity at the obstretic unit which will make immediate avalibity of critical care for the new born if new born infants require, it will also reduce mortality rate among new born infants Accepted Answers: TRUE 1 point The private room in obstretic department for the patient family must not be less than--------------square feet 300 square feet 100 square feet 50 square feet 165 square feet Yes, the answer is correct. Score: 1 Feedback: The Private room in obstrectic department must have atlast 165 square feet of area for occupying one patient, newborn infant and one relative alongwith the IV Stand, drug trolly etc. Accepted Answers: 165 square feet 1 point An airborne infection isolation room shall be available for NICU infants, and shall provide a minimum of -------- of clear floor space, excluding the entry work area 150 square feet 300 square feet 100 square feet 50 square feet Yes, the answer is correct. Score: 1 Feedback: The airborne infection isolation room must avalialbe of 150square feet to have comfartable flow of traffic. Accepted Answers: 150 square feet