6 Colo. Code Regs. § 1011-1 Chapter 04, pt. 28

Current through Register Vol. 47, No. 20, October 25, 2024

Part 28 - PEDIATRIC SERVICES

28.1 The hospital shall provide pediatric patient care commensurate with its identified scope of services.

28.2 Director of Pediatric Services

(A) The director of pediatric services shall be a physician qualified by education, training, competencies, and experience.

(B) The director of pediatric services at a hospital that maintains a dedicated pediatric department shall be a physician who is board eligible or certified in pediatrics.

28.3 Pediatric Nursing Care

(A) Pediatric nursing care shall be directed by a registered nurse qualified by education, training, competencies, and experience.

(B) All nursing personnel assigned to care for children shall be oriented to the special care of children.

28.4 The hospital shall have pediatric specialists as appropriate to the hospital's scope of services.

28.5 The hospital shall not admit children to patient bedrooms where accommodations are shared with adults, with the exception of acute care cases where the child and adult are related and the needs of the patients can be adequately addressed.

28.6 The hospital shall develop and implement policies and procedures based on nationally-recognized guidelines and standards of practice, that address, at a minimum, the following:

(A) Admission criteria for pediatric services that addresses the ages of patients served and reflects the hospital's scope of services.

(B) The transfer of pediatric patients whose needs exceed the hospital's scope of services to a facility capable of providing the appropriate level of care. The transfer is a joint responsibility of the sending and receiving facility.

(C) Assessments based on the age and developmental stage of the patient.

(D) Pediatric consultations.

(E) Weight and/or length based drug administration and dosing. This policy shall be developed in coordination with the pharmacy service.

(F) Parent visitation, overnight stays, and respite care.

(G) Child-proofing measures, such as the covering of electrical outlets, to prevent patient injury.

(H) Organized play and educational activities appropriate to the hospital's pediatric population.

(I) Regular and routine cleaning of equipment in the pediatric area, including play equipment. This policy shall be reviewed by the Infection Prevention and Control Committee.

(J) Security measures to prevent harm, kidnapping, or elopement.

28.7 The hospital shall have appropriate equipment and supplies for the pediatric services provided.

28.8 When a dedicated pediatric inpatient care unit is established it shall provide, at a minimum:

(A) Washable tables and chairs of various sizes; and

(B) Appropriate entertainment and educational materials.

6 CCR 1011-1 Chapter 04, pt. 28