Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.08 - Pediatric Trauma Center Standards
Section 30.08.08.08 - Pediatric Intensive Care Unit (PICU)

Universal Citation: MD Code Reg 30.08.08.08

Current through Register Vol. 51, No. 19, September 20, 2024

A. The hospital shall have a separate PICU with the capability to care for all significantly injured children.

B. The PICU shall:

(1) Have appropriately trained registered nurse staff to care for the critically injured child to include:
(a) Brain injury;

(b) Spinal cord injury;

(c) Solid organ injury;

(d) Chest injury;

(e) Complex musculoskeletal injury;

(f) Burns;

(g) Eye injury;

(h) Hand and upper extremity injury; and

(i) Lower extremity injury;

(2) Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;

(3) Have a written plan to:
(a) Triage children from the PICU to accommodate acute admissions; or

(b) Provide alternative critical care beds with appropriately trained pediatric critical care registered nurses;

(4) Have available the pediatric resuscitation equipment and medications;

(5) Have the equipment and capability for continuous invasive monitoring of the critically injured child;

(6) Have extracorporeal membrane oxygenation capability;

(7) Have capability for all renal replacement therapies; and

(8) Have support services with immediate access to clinical diagnostic services and stat lab.

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