<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.05.02.14" title_num="10" subtitle_num="05" chapter_num="02" heading="Equipment.">
  <paragraph num="A.">
    <text>Equipment and furnishings shall be constructed of materials that are easily cleaned and maintained and shall include, at a minimum:</text>
    <paragraph num="(1)">
      <text>A heat source for infant examination or resuscitation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A transfer isolette or demonstrated capability of ready access to a transfer isolette;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A sterilizer or demonstration of sterilizing capability;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Blood pressure equipment, thermometers, and fetoscope or doptone;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Intravenous equipment;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Adult and neonatal resuscitation equipment including, but not limited to, oxygen equipment for patient and newborn that is stored in accordance with Standards for Health Care Facilities, NFPA 99; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Instruments for delivery, episiotomy, and repair.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Laundry.</text>
    <paragraph num="(1)">
      <text>A freestanding birthing center shall provide for the sanitary handling of soiled linens in accordance with 29 CFR §1910.1030, which is incorporated by reference.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A freestanding birthing center may have on-site laundry facilities or use a laundry service that is experienced in handling linens for health care facilities.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>When a freestanding birthing center uses on-site laundry facilities, the center shall disinfect soiled linens by using one of the following methods:</text>
      <paragraph num="(a)">
        <text>Hot water at 160°F; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A low-temperature wash formula which specifies time, temperature, concentration, and pH control in conjunction with chlorine bleach as recommended by the detergent manufacturer for use in a health care setting.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A freestanding birthing center shall maintain an adequate linen supply.</text>
    </paragraph>
  </paragraph>
</regulation>