Section R432-100-20 - Pediatric Services(1) If the licensee provides pediatric services, the services shall be under the direction of a member of the medical staff who is experienced in pediatrics and whose functions and scope of responsibility are defined by the medical staff. (a) A pediatrics qualified registered nurse shall supervise nursing care and shall supervise the documentation of the implementation of pediatric patient care on an interdisciplinary plan of care.(b) If the licensee provides a pediatric unit, the licensee shall ensure there is an interdisciplinary committee responsible for policy development and review of practice within the unit. The committee shall include representatives from administration, the medical and nursing staff, and rehabilitative support staff.(c) A licensee that admits pediatric patients shall have written policies and procedures specifying the criteria for admission to the hospital and conditions requiring transfer when indicated. These policies and procedures shall consider and address the resources available at the hospital, specifically, in terms of personnel, space, equipment, and supplies.(d) The licensee shall:(i) assess each pediatric patient for maturity and development. Information obtained from the maturity and development assessment must be incorporated into the plan of care;(ii) establish and implement security protocols for pediatric patients; and(iii) provide a safe area for diversional play activities.(2) A licensee that admits pediatric patients shall have equipment and supplies in accordance with the hospital's scope of pediatric services.(3) The licensee shall have written guidelines for the placement or room assignment of pediatric patients according to patient acuity under usual, specific, or unusual conditions within the hospital that shall address the use of: (d) proper use of restraints, bed rails, and other safety devices.(4) The licensee shall place infant patients in beds where frequent observation is possible.(5) The licensee shall ensure that pediatric patients other than infants are placed in beds to allow frequent observation according to each patient's assessed care needs.(6) Personnel working with pediatric patients shall have specific training and experience relating to the care of pediatric patients.(7) Orientation and in-service training provided by the licensee for pediatric care staff shall include pediatric-specific training on:(d) pediatric emergency procedures;(e) infant and child nutrition;(f) the emotional needs and behavioral management of hospitalized children;(g) child abuse and neglect; and(h) other topics according to the needs of the pediatric patients.Utah Admin. Code R432-100-20
Amended by Utah State Bulletin Number 2016-5, effective 2/10/2016Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023