California
Advanced PedRCs.
22 CCR 100160.04
Source text
51 segments
22 CCR 100160.04
22 CCR 100160.04
ยง 100160.04. Advanced PedRCs.
(a)
Eligibility. A licensed general acute care hospital (GACH) meeting the requirements of this section may be designated by the local EMS agency (LEMSA) as an advanced PedRC.
(b)
Requirements. In addition to the requirements set forth in Section 100160.01 of this article, the GACH shall meet, at a minimum, the following:
(1)
Licensing. All designated advanced PedRCs shall be licensed in the following manner by the California Department of Public Health (CDPH) Licensing and Certification Division pursuant to Title 22, California Code of Regulations, Division 5, Chapter 1:
(A)
As a GACH pursuant to Article 1, sections 70003 and 70005;
(B)
For pediatric service pursuant to Article 6, section 70535 et seq;
(C)
For basic or comprehensive emergency department pursuant to Article 6, section 70411, et seq, and Article 6, section 70451, et seq;
(D)
For social services pursuant to Article 6, section 70629 et seq;
(E)
As a Community Neonatal Intensive Care Unit (NICU) or as an Intermediate NICU, if it meets the following requirements, as per:
(i)
Article 6, Section 70545 et seq., for the provision of perinatal services and licensed by CDPH, Licensing and Certification Division as a perinatal service;
(ii)
Article 6, Section 70481 et seq., for the provision of neonatal intensive care services and licensed by CDPH, Licensing and Certification Division as an Intensive Care Newborn Nursery (ICNN).
(F)
If the GACH has a PICU, it shall be licensed by CDPH, Licensing and Certification Division for intensive care services, and meet the requirements for the provision of intensive care services pursuant to Title 22, California Code of Regulations, Division 5, Chapter 1, Article 6, Section 70491 et seq.
(2)
Capabilities.
(A)
Initial Stabilization. The emergency department in the GACH shall be able to stabilize critically ill or injured infants, children, and adolescents prior to admission to the PICU or transfer to a comprehensive PedRC facility.
(B)
Equipment. The pediatric equipment, supplies, and medications in all advanced PedRCs for pediatric patients shall include:
(i)
All general PedRC equipment, and
(ii)
Crash carts with pediatric resuscitation equipment that shall be standardized and available on all units where pediatric patients receive care, including but not limited to, the emergency department, radiology suite, and inpatient pediatric service.
(C)
In House Service Capability. All advanced PedRCs shall meet the following service and personnel requirements twenty-four (24) hours a day, seven (7) days a week, 365 days a year:
(i)
Respiratory care service in the pediatric service department and emergency department provided by respiratory care practitioners (RCPs) who are licensed in the state of California and who have completed formal training in pediatric respiratory care which includes clinical experience in the care of children;
(ii)
Social work services provided by a medical social worker (MSW) holding a master's degree in social work who has expertise in the psychosocial issues affecting the families of seriously ill infants, children, and adolescents;
(iii)
Behavioral health specialists with pediatric experience to include, but not be limited to, psychiatrists, psychologists, and nurses;
(D)
Consulting Service Capability.
(i)
The following specialties shall be on-call, and available for consultation to the ED, NICU, or PICU, if applicable, within thirty (30) minutes by telephone. Specialists must be able to arrive in-person within sixty (60) minutes when clinically necessary.
(I)
Neonatologist;
(II)
General surgeon with pediatric experience;
(III)
Anesthesiologist or nurse anesthetist with pediatric experience.
(ii)
The following specialties shall be on-call, and available to the ED, NICU, or PICU either in-person, by phone, or by telehealth, within 30 minutes:
(I)
Radiologist with pediatric experience;
(II)
Otolaryngologist with pediatric experience;
(III)
Mental health professional with pediatric experience;
(IV)
Orthopedist with pediatric experience;
(V)
Pediatric cardiologist.
(iii)
The following qualified specialists shall be available twenty-four (24) hours a day, seven (7) days a week, three hundred sixty-five (365) days a year for consultation which may be met through a transfer agreement or telehealth:
(I)
Pediatric Gastroenterologist;
(II)
Pediatric Hematologist/Oncologist;
(III)
Pediatric Infectious Disease physician;
(IV)
Pediatric Nephrologist;
(V)
Pediatric Neurologist;
(VI)
Pediatric Surgeon;
(VII)
Cardiac Surgeon with pediatric experience;
(VIII)
Neurosurgeon with pediatric experience;
(IX)
Obstetrics/Gynecologist with pediatric experience;
(X)
Pulmonologist with pediatric experience;
(I)
Pediatric Endocrinologist.
(3)
Agreements with Higher Level PedRCs.
(A)
Establish agreements with a minimum of one comprehensive PedRC as approved by the LEMSA, for consultation;
(B)
Establish transfer agreements with a comprehensive PedRC to transfer pediatric patients for stabilization, ensuring the highest level of care;
(C)
Establish transfer agreements for pediatric patients needing specialized care, if the specialized care is not available at a comprehensive, advanced or general PedRC, such as trauma, burn, spinal cord injury, and rehabilitation, and behavioral health.
(4)
Continuing Education. Participate with a comprehensive PedRC for pediatric emergency education for emergency care providers consistent with the LEMSA plan for ongoing pediatric education;
(5)
Program Staffing. Advanced PedRCs shall have a physician and nurse Pediatric Emergency Care Coordinator (PECC).
(6)
Additional Requirements. Additional requirements for designation may be stipulated by the LEMSA Medical Director.
Source outline
50 anchors in this source