Cal. Code Regs. tit. 22 § 100137.04

Current through Register 2024 Notice Reg. No. 49, December 6, 2024

Section 100137.04 - [Operative 1/1/2025] Additional Level I Pediatric Trauma Criteria

In addition to the above requirements, a Level I pediatric trauma center shall have:

(a) A pediatric trauma program medical director who is a board-certified pediatric surgeon, whose responsibilities include, but are not limited to, factors that affect all aspects of pediatric trauma care.

(b) Additional qualified pediatric surgical specialists or specialty availability on-call and promptly available:

(1) cardiothoracic;

(2) pediatric neurologic;

(3) pediatric ophthalmologic;

(4) pediatric oral or maxillofacial or head and neck; and

(5) pediatric orthopaedic,

(c) A surgical service that has at least the following:

(1) operating staff who are immediately available unless operating on trauma patients and back-up personnel who are promptly available.

(2) cardiopulmonary bypass equipment; and

(3) operating microscope.

(d) Additional qualified pediatric non-surgical specialist or specialty availability on-call and promptly available:

(1) pediatric anesthesiology;

(2) pediatric emergency medicine;

(3) pediatric gastroenterology;

(4) pediatric infectious disease;

(5) pediatric nephrology;

(6) pediatric neurology;

(7) pediatric pulmonology; and

(8) pediatric radiology.

(e) the qualified pediatric PICU specialist shall be immediately available, advised about all patients who may require admission to the PICU, and shall participate in all major therapeutic decisions and interventions;

(f) Anesthesiology shall be immediately available. This requirement may be fulfilled by a senior resident or certified registered nurse anaesthetists who are capable of assessing emergent situations in trauma patients and providing treatment and are supervised by the staff anesthesiologist.

(g) Pediatric trauma research program.

(h) Maintain an education rotation with an ACGME approved and affiliated surgical residency program.

Cal. Code Regs. Tit. 22, § 100137.04

Note: Authority cited: Sections 1797.107 and 1798.161, Health and Safety Code. Reference: Sections 1798.161 and 1798.165, Health and Safety Code.

1. Renumbering of section 100262 to section 100137.04 filed 9-5-2024; operative 1/1/2025 (Register 2024, No. 36).