3701-84-64. Equipment and supplies - pediatric intensive care service

(A) Appropriate drugs for resuscitation and pediatric advanced life support shall be present and immediately available for use in the treatment of any patient in the PICU.

(B) The following life-saving, therapeutic and monitoring equipment shall be present or immediately available in the PICU:

(1) Portable equipment including:

(a) An emergency ("code" or "crash") cart;

(b) A procedure lamp;

(c) Pediatric sized blood pressure cuffs for systemic arterial pressure determination;

(d) A doppler ultrasound;

(e) An electrocardiograph;

(f) A defibrillator or cardioverter with pediatric paddles;

(g) Thermometers with a range sufficient to identify extremes of hypothermia and hyperthermia;

(h) Automated blood pressure apparatus;

(i) Transthoracic pacer with pediatric pads;

(j) Devices for accurately measuring body weight;

(k) Cribs and beds with head pressure apparatus;

(l) Infant warmers;

(m) Heating and cooling blankets;

(n) Bilirubin lights;

(o) Temporary pacemakers;

(p) A blood warming apparatus;

(q) A transport monitor;

(r) Infusion pumps with microinfusion capability;

(s) Oxygen tanks for transport and backup;

(t) Suction machines for transport and backup;

(u) Volumetric infusion pumps;

(v) Air-oxygen blenders;

(w) An air compressor;

(x) Gas humidifiers;

(y) Bag-valve mask resuscitators;

(z) An otoscope and ophthalmoscope;

(aa) Isolation carts; and

(bb) A portable electro-encephalogram available in the hospital for recordings.

(2) Respiratory equipment appropriate to meet the needs of all patients, including:

(a) Mechanical ventilators suitable for pediatric patients of all sizes;

(b) Pulse oximeters and transcutaneous oxygen monitors;

(c) Cardon dioxide (CO) monitors;

(d) Inhalation therapy equipment;

(e) Chest physiotherapy and suctioning;

(f) Spirometers; and

(g) Continuous oxygen analyzers with alarms.

(3) Small equipment including:

(a) Tracheal intubation equipment in adequate numbers and type to intubate patients of all ages;

(b) Endotracheal tubes of all pediatric sizes ;

(c) Oral/nasal airways;

(d) Flexible bronchoscope;

(e) Suction catheters;

(f) Vascular access equipment; and

(g) Surgical trays for the following:;

(i) Vascular cut-downs;

(ii) Open chest procedures;

(iii) Cricothyroidectomy; and

(iv) Tracheostomy;

(h) Intraosseous (IO) needles.

(4) Bedside monitors that shall be capable of providing continuous, sufficient and appropriate monitoring that have visible and audible alarms and are capable of producing a permanent hard copy of the rhythm strip.

(C) Each provider of a PICU service shall have the capability to continuously monitor a patient's:

(1) Electrocardiogram and heart rate;

(2) Respiration;

(3) Temperature;

(4) Systemic arterial pressure;

(5) Oxygen;

(6) Carbon dioxide;

(7) Central venous pressure;

(8) Pulmonary arterial pressure;

(9) Intracranial pressure; and

(10) Four pressures simultaneously.

Effective: 8/1/2017
Five Year Review (FYR) Dates: 02/27/2017 and 03/01/2022
Promulgated Under: 119.03
Statutory Authority: 3702.11, 3702.13
Rule Amplifies: 3702.11, 3702.12, 3702.13 , 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates: 3/1/1997, 3/24/03, 5/15/08, 6/21/12