22 CCR 100159.01
California
General Acute Care Hospitals Not Designated as a PedRC.
22 CCR 100159.01
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22 CCR 100159.01
22 CCR 100159.01
§ 100159.01. General Acute Care Hospitals Not Designated as a PedRC.
(a)
A general acute care hospital (GACH) within a local EMS system that has implemented an EMSC program, but which has not been designated as a PedRC, shall meet the requirements under this section regarding pediatric IFTs.
(1)
Non-designated GACHs shall adhere to the LEMSA's policy regarding the IFT of pediatric patients. In addition:
(A)
Pediatric IFT Requirements. GACHs shall develop and implement IFT policies, protocols, and guidelines for the transfer of pediatric patients that shall include the following:
(i)
Identification of pediatric patients eligible for interfacility transfer;
(ii)
Process for selecting the appropriate partner PedRC(s);
(iii)
Clinical criteria for automatic acceptance of qualifying patients at the appropriate partner PedRC center;
(iv)
Specific processes for IFTs that ensure continuous twenty-four (24) hours per day, seven (7) days per week, 365 days a year access to partner PedRC physician(s) for timely notification and coordination of incoming IFT patient referrals;
(v)
Standardized communication language to be used between the referring GACH and the receiving partner PedRC to facilitate rapid transfer of the patient, including the minimum required patient information to be exchanged to facilitate rapid transfer;
(vi)
Guidance for selecting the appropriate transport service to match each patient's needs. Considerations shall include transport personnel scope of practice and the identification of patients for whom more rapid departure to the destination PedRC (such as via emergency ambulance through the 911 response system) outweighs the benefit of delaying transport to await providers with broader scope of practice, such as a critical care transport registered nurse;
(vii)
Process for the transfer of patient consent forms, emergency department medical record, initial electronic patient care record (ePCR) and personal belongings for the IFT patient;
(viii)
Process for providing information relating to the receiving PedRC, including location and/or directions, to the IFT patient's family, care givers, or legal guardian.
(B)
Pediatric IFT Agreements. To optimize patient safety and the potential for improved outcome, requirements set forth in subparagraph (A) of this section may be met by establishing IFT agreements in advance, supported by LEMSA policies. Agreements should address special considerations, including patient selection and destination for pediatric patients.
(b)
Non-designated GACHs are subject to all applicable requirements under Article 6 of this subchapter.
(c)
A LEMSA medical director may establish requirements for non-designated GACHs, in addition to that which is required under this section.
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