Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.15 - Facility Standards-Pediatric ICU (PICU)

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a PICU that meets the needs of the pediatric
					 trauma patient.
2. The surgical
					 director for the PICU must have obtained critical care training during a
					 residency or fellowship and must have expertise in the preoperative and post
					 injury care of the injured pediatric patient. This is best demonstrated by a
					 certificate of added qualifications in surgical critical care from the American
					 Board of Surgery and may also be fulfilled by documentation of active
					 participation during the preceding 12 months in pediatric trauma patient PICU
					 care and PICU administrative and critical care-related continuing medical
					 education. The director is responsible for the quality of care and
					 administration of the PICU and will set policy and establish standards of care
					 to meet the unique needs of the pediatric trauma patient.
3. The pediatric trauma service assumes and
					 maintains responsibility for the care of the multiple injured pediatric
					 patient. A surgically directed PICU physician team is essential. The team will
					 provide in-house physician coverage for all PICU pediatric trauma patients at
					 all times. This service can be staffed by appropriately trained physicians from
					 different specialists, but must be led by a qualified surgeon as determined by
					 critical care credentials consistent with the medical staff privileging process
					 of the institution.
4. There must
					 be in-house physician coverage for the PICU at all times. A physician
					 credentialed by the facility for critical care must be immediately available to
					 the pediatric trauma patient in the PICU 24 hours/day. This coverage is for
					 emergencies only and is not intended to replace the primary surgeon but rather
					 is intended to ensure that the patient's immediate needs are met while the
					 surgeon is contacted.
5. The
					 pediatric trauma service must maintain the responsibility for the care of the
					 patient as long as the patient remains critically ill. The pediatric trauma
					 service must remain in charge of the patient and coordinate all therapeutic
					 decisions. The responsible trauma surgeon or designee should write all orders,
					 maintain control over all aspects of care, including but not limited to
					 respiratory care and management of mechanical ventilation, placement and use of
					 pulmonary catheters, management of fluid and electrolytes, antimicrobials, and
					 enteral and parenteral nutrition.
6. Tertiary pediatric trauma centers must
					 provide staffing in sufficient numbers to meet the critical needs of the
					 pediatric trauma patient. Critical care nurses must show evidence of completion
					 of a structured in-service program. There must be a written plan ensuring
					 nurses maintain ongoing trauma specific education. PICU nurses are an integral
					 part of the pediatric trauma team and as such, should be represented on the
					 Multidisciplinary Trauma Committee and participate in the PI process of the
					 trauma program.
Miss. Code Ann.
						§
												41-59-5