Current through all regulations passed and filed through September 16, 2024
(A) The medical director of
a
pediatric cardiovascular surgery service
will be board
certified in thoracic surgery. The medical director
will be:
(1) Responsible for oversight and care in the
service;
(2) Credentialed to
provide pediatric cardiovascular surgery services at the hospital where
they
are the medical director; and
(3) Active in performing pediatric
cardiovascular surgery procedures at the hospital where
they
are the medical director.
(B) Each pediatric cardiovascular surgery service
will
have on staff at least two thoracic surgeons who are credentialed to perform
and actively perform pediatric cardiovascular surgery procedures at the
hospital.
(C) In addition to the
requirements of paragraphs (A) and (B) of this rule , each
pediatric cardiovascular
surgery service
will have competent and qualified staff
available, including :
(1) Surgical assistants to assist the
surgeon. A surgical assistant may consist of a resident, another physician, or
a specially trained surgical assistant;
(2) Anesthesiologists with expertise in the
anesthetic and support requirements of pediatric cardiovascular
surgery;
(3) Nursing staff which
will
include an appropriate numbers of scrub nurses or
technicians and circulating nurses or technicians. A minimum of one scrub nurse
and one circulating nurse or technician alternative as noted, is necessary.
Nursing staff
will be trained in pediatric cardiovascular surgical
operating room procedures and nurses
will be pediatric advanced life support (PALS)
certified;
(4) Pediatric intensive
care unit staff who are trained in pediatric advanced life support (PALS) at an
appropriate nurse
to patient ratio commensurate with the acuity of each
individual patient and the amount of time following surgery that such care will
be necessary. Pediatric intensive care nurses and physicians
will
have specialized training to develop the theoretical knowledge and clinical
skills required for the care of pediatric cardiovascular surgical patients;
and
(5) A minimum of two
perfusionists. Perfusionists
will be graduates of an accredited cardiovascular
perfusion or perfusion technology training program or have equivalent training
and experience. The perfusionists
will have training, knowledge, and experience
with small body perfusion, extracorporeal membrane oxygenation (ECMO), and
ventricular assist devices (VAD) if those services are provided
onsite.
(D) In addition
to the requirements of paragraph (C) of this rule, each
pediatric cardiovascular
surgery service
will have appropriate staff available, including
pharmacists, dietitians,
respiratory therapists, physical therapists and social workers.
(E) 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.
