Regulation .05 Pediatric Emergency Department (PED).
Regulation .05 Pediatric Emergency Department (PED).LinkCopy Citation
The hospital shall have an ED dedicated to pediatric care, including:
A.
A designated and dedicated ED physician director and nurse manager;
B.
A sufficient number of registered nurses and other clinicians who:
(1)
Have the necessary knowledge and skills to provide care during trauma resuscitation;
(2)
Are present to manage projected caseloads; and
(3)
Immediately reinforce the number of staff upon notice of multiple admissions;
C.
Defined and agreed upon roles and responsibilities approved by the TMD to ensure availability of ED resources;
D.
Verification of functioning life-safety emergency equipment and supplies organized for trauma resuscitation present and immediately available 24 hours a day;
E.
An identified pediatric trauma resuscitation room with dedicated staff, equipment, and supplies 24 hours a day;
F.
Designation by MIEMSS as a pediatric base station;
G.
Policies and protocols for trauma team response and roles in ED trauma resuscitation in accordance with Regulation .20 of this chapter; and
H.
Equipment for resuscitation of patients of all ages, including:
(1)
Airway management equipment and supplies including a “difficult airway cart”;
(2)
Emergency equipment located in the resuscitation area/ED for:
(a)
Thoracotomy;
(b)
Vascular access;
(c)
Thoracostomy or chest decompression;
(d)
Bedside ultrasound;
(e)
Extremity hemorrhage control devices/tourniquet; and
(f)
Rapid infuser and warmer;
(3)
Medications necessary for the resuscitation and emergency care of children with immediate capability for appropriate pediatric dosages based on weight in kilograms;
(4)
Printed pre-calculated pediatric drug dosage reference materials, including, but not limited to, charts, wall posters, and length-based dosage tapes;
(5)
The following monitoring devices:
(a)
ECG monitor/defibrillator capable of providing a hard copy rhythm strip, and with internal and external pediatric paddles capable of delivering from 0 to 360 joules;
(b)
Pulse oximeter with adult and pediatric probes;
(c)
Blood pressure cuffs in infant, child, adult, and thigh sizes;
(d)
Thermometer probe capable of reading from 28 to 42 degrees centigrade;
(e)
Otoscope;
(f)
Ophthalmoscope;
(g)
Transport monitor with pediatric capabilities;
(h)
Doppler and noninvasive blood pressure monitoring devices for infant, child, and adult;
(i)
End-tidal carbon dioxide monitor; and
(j)
Pressure monitor for central venous pressure and arterial line pressure;
(6)
Standard intravenous fluids and administration devices, including large-bore intravenous catheters;
(7)
Newborn resuscitation supplies;
(8)
Compartmental pressure measuring devices immediately available; and
(9)
Cervical and skeletal traction devices immediately available.