Ohio Admin. Code 3701-84-62 - Personnel and staffing standards - pediatric intensive care service
(A) Each provider
of a PICU service shall
will have a medical director whose appointment,
acceptance and responsibilities shall
will be in writing and on file in the
PICU .
(B) The PICU medical director
shall
will
be:
(1) An active service provider in the
PICU where he or she is the medical director ; and
(2) Be board-certified in one of the
following:
(a) Pediatric critical
care;
(b) Anesthesiology with
practice limited to infants and children and with special qualifications in
critical care medicine; or
(c)
Pediatric surgery with added qualifications in surgical critical care
medicine.
(C)
The PICU medical director shall
will :
(1)
Participate in development, review, and implementation of PICU
policies;
(2) Participate in budget
preparation;
(3) Coordinate staff
education;
(4) Maintain a data base
and/or vital statistics that describe unit experience and
performance;
(5) Supervise
resuscitation techniques, including educational component;
(6) Supervise quality control, assessment and
improvement activities, including morbidity and mortality reviews;
(7) Coordinate research;
(8) Have the authority to consult on any PICU
patient ; and
(9) Name qualified
designees to fulfill the medical director 's duties during absences.
(D) Other individuals may
supervise the activities required in paragraph (C) of this rule, but the PICU
director shall
will participate in each.
(E) In addition to the pediatric intensivist
required in paragraph (D) of rule
3701-84-61 of the Administrative
Code, each provider of a PICU service
shall
will
have a licensed physician assigned to the PICU who:
(1) Is available to provide
beside
bedside care to the patients in the PICU ;
and
(2) Is skilled in and has the
credentials to provide emergency care to critically ill children.
These responsibilities may be shared or delegated to an
advanced practice
(F) Each
provider of a PICU service
shall
will
have a nurse manager dedicated to the PICU who shall
will be
supervised by the director of pediatric nursing or equivalent. The PICU nurse
manager shall
will have specific training and experience in
pediatric critical care. Pediatric critical care registered nurse (CCRN)
certification is recommended for the nurse manager, but not required.
(G) The PICU nurse manager
shall
will
participate in the following:
(1) Development,
review, and implementation of written policies and procedures for the
PICU ;
(2) Coordination of
multidisciplinary staff education;
(3) Quality assurance;
(4) Nurse research;
(5) Budget preparation with the medical
director ; and
(6) Name qualified
designees to fulfill their duties during absences.
These responsibilities may be shared or delegated to advanced
practice nurses, but the shall
(H) Nursing to patient ratios in the PICU
service shall
will be sufficient to accommodate the acuity level and
volume of patients, usually ranging from two nurses to one patient to one nurse
to three patients and adjusted as needed.
(I) Required nursing skills for PICU nurses
shall
will
include:
(1) Recognition, interpretation and
recording of various physiologic variables;
(2) Drug and fluid administration;
(3) Cardio-pulmonary resuscitation (CPR)
certification;
(4) Pediatric
advanced life support certification (PALS);
(5) Respiratory care techniques including
chest physiotherapy, endotracheal suctioning and management, and tracheostomy
care;
(6) Preparation and
maintenance of patient monitors; and
(7) Psychosocial skills to meet the needs of
both patient and family .
(J) Each provider
of a PICU service shall
will provide to nursing staff
and document in each nurse 's personnel file the
following :
(1) An orientation the the
PICU ;
(2) A clinical and didactic
orientation in pediatric critical care; and
(3) On-going pediatric critical care
in-service education.
(K)
Each provider of a PICU service
shall
will
have respiratory therapy staff assigned to the unit in-house twenty-four hours
a day, seven days a week who:
(1) Have
clinical experience managing pediatric patients with respiratory failure;
and
(2) It is recommended that all
respiratory therapy staff have pediatric advanced life support (PALS) training
or an equivalent course.
(L) Other PICU staff
shall
will
include:
(1) Biomedical technicians (in-house
or available within one hour on a twenty-four hours a day, seven day a week
basis);
(2) A social
worker ;
(3) A pharmacist in-house
twenty-four hours per day;
(4) A
radiology technician;
(5) A
registered dietitian ;
(6) A
physical therapist ;
(7) An
occupational therapist ;
(8) A child
life specialist; and
(9) A unit
clerk.
(M) As part of a
continuing education program, the provider of
a PICU service shall
will :
(1) Have
staff participate in regional pediatric critical care education programs;
and
(2) Provide regularly scheduled
resuscitation practice sessions.
(N) Staffing requirements of this rule may be
met by individuals with equivalent or greater qualifications if the
replacement's scope of practice encompasses the duties of the required
staff .
Notes
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: 03/01/1997, 03/24/2003, 05/15/2008, 08/01/2017, 01/20/2020
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