The hospital shall have a separate PICU with the capability to care for all significantly injured children. The PICU shall: Have appropriately trained registered nurse staff to care for the critically injured child to include: Brain injury; Spinal cord injury; Solid organ injury; Chest injury; Complex musculoskeletal injury; Burns; Eye injury; Hand and upper extremity injury; and Lower extremity injury; Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards; Have a written plan to: Triage children from the PICU to accommodate acute admissions; or Provide alternative critical care beds with appropriately trained pediatric critical care registered nurses; Have available the pediatric resuscitation equipment and medications; Have the equipment and capability for continuous invasive monitoring of the critically injured child; Have extracorporeal membrane oxygenation capability; Have capability for all renal replacement therapies; and Have support services with immediate access to clinical diagnostic services and stat lab.