Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 130.000 - Hospital Licensure
Subpart D - SUPPLEMENTARY STANDARDS: PARTICULAR SERVICES
Section 130.740 - Requirements for General Pediatric Services (Level II)
Universal Citation: 105 CMR 130.000 MA Code of Regs 130.740
Current through Register 1531, September 27, 2024
General pediatric services (Level II) must meet the following requirements in addition to those listed in 105 CMR 130.720:
(A) Environment. The hospital must have either:
(1) a discrete unit
designated for pediatric patients; or
(2) a discrete sub-unit within an adult care
unit containing beds permanently designated as pediatric beds, provided this
sub-unit meets the following requirements:
(a)
Such pediatric beds are located in a specific room, or contiguous specific
rooms, and such beds and other support equipment are appropriate for pediatric
patients younger than 15 years old.
(b) The nursing station or sub-station
serving pediatric patients is adjacent to the room(s) containing beds
designated for pediatric patients. Observation of these rooms is possible from
the nursing station or sub-station.
(c) The pediatric service has written
policies specifying the ages and types of diagnoses of patients who may be
admitted to the sub-unit for elective and emergency purposes, and the types of
procedures that may be performed on them.
(d) The pediatric sub-unit is situated in
such a way that the flow of adult patients through it is discouraged.
(3) The service must have an area
or areas that are used primarily for recreation or play, and equipped with
items appropriate for the pediatric patients of the age using the
areas.
(B) Administration and Staffing.
(1) The hospital must have a designated Chief
of Pediatrics who is a board certified pediatrician. The Chief of Pediatrics or
one or more physicians designated by the Chief shall be on call at all times
for the care of pediatric patients.
(2) There must be a physician trained in
pediatric resuscitation available in-hospital 24 hours a day.
(3) Any pediatric residents and interns
assigned to a Level II service shall be supervised by a pediatrician with full
privileges at the hospital.
(4) A
registered nurse designated by the hospital shall be accountable for the 24
hour nursing management of the Level II service. At a minimum, this nurse shall
have at least five years of documented nursing experience of which at least two
years is pediatric nursing experience and be bachelor's prepared.
(5) At least one registered nurse with
pediatric nursing experience shall be assigned to work in each pediatric unit
or sub-unit at all times.
(C) Services.
(1) Social services for pediatric patients
must be available in-hospital or through consultant arrangements, and their
existence must be made known to the families of pediatric patients.
(2) Physical and occupational therapy
services shall be available in-hospital or through consultant
arrangements.
(3) A technician to
perform laboratory tests shall be available on a 24-hour basis, in-hospital or
on call within l5 minutes.
(4) A
radiology technician shall be available on a 24-hour basis, in-hospital or
ready to obtain images within 30 minutes.
(5) When necessary, a registered dietitian
shall be available to Level II service staff and the families of pediatric
patients for consultation concerning pediatric nutrition.
(6) Pharmacy services including 24-hour
availability of medications and intravenous solutions must be available
in-hospital. Pharmacy consultations with pharmacists experienced in pediatrics
must be available on call 24 hours a day.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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