ACTION: Original DATE: 02/27/2017 9:54 AM 3701-84-64 Equipment and supplies - pediatric intensive care service. (A) Appropriate drugs for resuscitation and pediatric advanced life support shall be present or and immediately available for use in the treatment of any patient in the PICU. (B) Equipment and technology described in this paragraph and paragraph (C) of this rule may be replaced by newer technology and equipment with equivalent or superior capability. In assessing this new equipment and technology, consideration should be given to the recommendations of recognized professional societies and accrediting bodies including but not limited to, the society for critical care medicine, American academy of pediatrics.the following life-saving, therapeutic and monitoring equipment shall be present or immediately available in the PICU: The following life-saving, therapeutic and monitoring equipment shall be present or immediately available in the PICU: (1) Portable equipment including: (a) An emergency ("code" or "crash") cart; (b) A procedure lamp; (c) An automated blood pressure measuring device for systemic arterial blood pressures determination;pediatric sized blood pressure cuffs for systemic arterial pressure determination; (d) A doppler ultrasound; (e) An electrocardiograph; (f) A defibrillator or cardioverter with pediatric paddles; (g) Thermometers with a range sufficient to identify extremes of hypothermia and hyperthermia; (h) Automated blood pressure apparatus; (i) Transthoracic pacer with pediatric pads; (i)(j) Devices for accurately measuring body weight; [ stylesheet: rule.xsl 2.14, authoring tool: i4i 2.0 ras3 Aug 30, 2016 03:39, (dv: 0, p: 170198, pa: 311465, ra: 517373, d: 665964)] print date: 02/27/2017 09:02 PM
3701-84-64 2 (j)(k) Cribs and beds with head pressure apparatus; (k)(l) Infant warmers; (l)(m) Heating and cooling blankets; (m)(n) Bilirubin lights; (n)(o) PacemakersTemporary pacemakers; (o)(p) A blood warming apparatus; (p)(q) A transport monitor; (q)(r) Infusion pumps with microinfusion capability; (r)(s) Oxygen tanks for transport and backup; (t) Suction machines for transport and backup; (s)(u) Volumetric infusion pumps; (t)(v) Air-oxygen blenders; (u)(w) An air compressor; (v)(x) Gas humidifiers; (w)(y) Bag-valve mask resuscitators; (x)(z) A pneumatican otoscope/ and ophthalmoscope; (y)(aa) Isolation carts; and (z)(bb) A portable electro-encephalogram available in the hospital for recordings. (2) Respiratory equipment appropriate to meet the needs of all patients, including:
3701-84-64 3 (a) Ventilators Mechanical ventilators suitable for pediatric patients of all sizes; (b) Bag-valve-mask resuscitation devices Pulse oximeters and transcutaneous oxygen monitors; (c) Respired gas humidifiers Cardon dioxide (CO 2 ) monitors; (d) An air compressor; (e) Air-oxygen blenders; (f)(d) Inhalation therapy equipment; (g)(e) Chest physiotherapy and suctioning; (h)(f) Spirometers; and (i)(g) Continuous oxygen analyzers with alarms. (3) Small equipment including: (a) Tracheal intubation equipment in adequate numbers and type to intubate patients of all ages; (b) Endotracheal tubes ( of all pediatric sizes); (c) Oral/nasal airways; (d) Flexible bronchoscope; (e) Suction catheters; (d)(f) Vascular access equipment; and (e)(g) Cut-downSurgical trays for the following:; and (i) Vascular cut-downs; (ii) Open chest procedures;
3701-84-64 4 (iii) Cricothyroidectomy; and (iv) Tracheostomy; (h) Intraosseous (IO) needles. (f) Tracheostomy trays. (4) Bedside monitors that shall be capable of providing continuous, sufficient and appropriate monitoring and shall that have visible and audible alarms and be are capable of producing a permanent hard copy of the rhythm strip. (C) The Each provider of a PICU service shall have the capability to continuously monitor a patient's: (1) Electrocardiogram and heart rate; (2) Respiration; (3) Temperature; (4) Systemic arterial pressure; (5) Oxygen; (6) Carbon dioxide; (7) Central venous pressure; (8) Pulmonary arterial pressure; (9) Intracranial pressure; and (10) Four pressures simultaneously.
3701-84-64 5 Effective: Five Year Review (FYR) Dates: 02/27/2017 Certification Date Promulgated Under: 119.03 Statutory Authority: 3702.11, 3702.13 Rule Amplifies: 3702.11, 3702.12, 3702.13, 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20 Prior Effective Dates: 3/1/1997, 3/24/03, 5/15/08, 6/21/12