Section 100450.218 - [Operative until 1/1/2025] All Pedrc Requirements(a) All PedRCs shall meet the following facility requirements: (1) All PedRCs shall have an interfacility transfer plan for pediatric patients in accordance with Title 22, Division 9, Chapter 7, Article 5, section 100266.(2) Establish a process for obtaining and providing consultation via phone, telehealth, or onsite for emergency care and stabilization, transfer, and transport.(b) All PedRCs shall meet the following personnel requirements:(1) All physician PECCs shall be licensed in California and meet all the following minimum requirements: (A) Be a qualified emergency specialist, or(B) Be a qualified specialist in Pediatrics or Family Medicine, and(C) Shall have competency in resuscitation of pediatric patients of all ages from neonates to adolescents.(2) All nurse PECCs shall be licensed in California and meet all the following minimum requirements: (A) Have at least two (2) years of experience in pediatric or emergency nursing within the previous five (5) years.(B) Shall have competency in resuscitation of pediatric patients of all ages from neonates to adolescents through American Heart Association Pediatric Advanced Life Support or American College of Emergency Physicians sponsored Advanced Pediatric Life Support.(3) The designated PECC shall be responsible for all of the following: (A) Provide oversight of the emergency department pediatric quality improvement program.(B) Liaison with appropriate hospital-based pediatric care committees.(C) Liaison with other PedRCs, the local EMS agency, base hospitals, prehospital care providers, and neighboring hospitals.(D) Facilitate pediatric emergency department continuing education and competency evaluations in pediatrics for emergency department staff.(E) Coordinate pediatric disaster preparedness.(F) Ensure family centered care practices are in place.(4) All PedRCs shall have personnel available for consultation to the emergency department through live interactive telehealth or other means determined by the local EMS agency including, but not limited to: (A) A qualified pediatric specialist.(B) A pediatric intensivist.(C) Support services, including respiratory care, laboratory, radiology, and pharmacy shall include staff and equipment to care for the pediatric patient.(D) Respiratory care specialists who respond to the emergency department. 1. Respiratory care specialists shall verify their competence to support oxygenation and ventilation of pediatric patients to the Director of Respiratory Services. This verification may include, but is not limited to: a. Current completion of the American Heart Association Pediatric Advanced Life Support Course, orb. The American Academy of Pediatrics and American College of Emergency Physicians sponsored Advanced Pediatric Life Support Course, orc. Continuing education courses specific to resuscitation of pediatric patients.(c) The pediatric equipment, supplies, and medications in all PedRCs, for pediatric patients from neonates to adolescents, shall include, but not be limited to: (1) A length-based resuscitation tape, medical software, or other system available to assure proper sizing of resuscitation equipment and proper dosing of medication.(2) Portable resuscitation supplies, such as a crash cart or bag, with a method of verification of contents on a regular basis.(3) Equipment for patient and fluid warming, patient restraint, weight scale (in kilograms) and pain scale tools for all ages of pediatric patients.(4) Monitoring equipment appropriate for pediatric patients including, but not limited to, blood pressure cuffs, doppler device, electrocardiogram monitor/defibrillator, hypothermia thermometer, pulse oximeter, and end tidal carbon dioxide monitor.(5) Respiratory equipment and supplies appropriate for pediatric patients including, but not limited to, clear oxygen masks, bag-mask devices, intubation equipment, supraglottic airways, oral and nasal airways, nasogastric tubes, and suction equipment.(6) Vascular access supplies and equipment for pediatric patients including, but not limited to, intravenous catheters, intraosseous needles, infusion devices, and Intravenous solutions.(7) Fracture management devices for pediatric patients including extremity splints and spinal motion restriction devices.(8) Medications for the care of pediatric patients requiring resuscitation.(9) Specialized pediatric trays or kits which shall include, but not be limited to:(A) Lumbar puncture tray.(B) Difficult airway kit with devices to assist intubation and ventilation.(C) Tube thoracostomy tray including chest tubes in sizes for pediatric patients of all ages.(10) Newborn delivery kit to include, but not limited to, the following:(B) Clamps and scissors for cutting the umbilical cord,(E) Neonatal bag-mask ventilation device with appropriate sized masks.(F) Urinary catheter tray including urinary catheters for pediatric patients of all ages.Cal. Code Regs. Tit. 22, § 100450.218
1. New article 3 (sections 10045.218-100450.222) and section filed 4-23-2019; operative 7-1-2019 (Register 2019, No. 17). Note: Authority cited: Sections 1797.107 and 1799.204, Health and Safety Code. Reference: Sections 1798.150 and 1799.204, Health and Safety Code.
1. New article 3 (sections 10045.218-100450.222) and section filed 4-23-2019; operative 7/1/2019 (Register 2019, No. 17).The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.