Regulation .08 Pediatric Intensive Care Unit (PICU).

The hospital shall have a separate PICU with the capability to care for all significantly injured children.

The PICU shall:

(1)

Have appropriately trained registered nurse staff to care for the critically injured child to include:

(a)

Brain injury;

(b)

Spinal cord injury;

(c)

Solid organ injury;

(d)

Chest injury;

(e)

Complex musculoskeletal injury;

(f)

Burns;

(g)

Eye injury;

(h)

Hand and upper extremity injury; and

(i)

Lower extremity injury;

(2)

Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;

(3)

Have a written plan to:

(a)

Triage children from the PICU to accommodate acute admissions; or

(b)

Provide alternative critical care beds with appropriately trained pediatric critical care registered nurses;

(4)

Have available the pediatric resuscitation equipment and medications;

(5)

Have the equipment and capability for continuous invasive monitoring of the critically injured child;

(6)

Have extracorporeal membrane oxygenation capability;

(7)

Have capability for all renal replacement therapies; and

(8)

Have support services with immediate access to clinical diagnostic services and stat lab.