Md. Code Regs. 30.08.08.05

Current through Register Vol. 51, No. 12, June 14, 2024

Section 30.08.08.05 - Pediatric Emergency Department (PED)

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.

Md. Code Regs. 30.08.08.05

Regulation .05 adopted effective 50:14 Md. R. 594, eff. 7/24/2023