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Ohio Administrative Code (Last Updated: January 12, 2021) |
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3701 Department of Health - Administration and Director |
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Chapter3701-84. Quality Standards for Providers of Health Care Service (HCS) |
3701-84-82. Personnel/staffing - pediatric cardiovascular surgery service
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(A) The medical director of the pediatric cardiovascular surgery service shall be board certified in thoracic surgery. The medical director shall be:
(1) Responsible for oversight and care in the service;
(2) Credentialed to provide pediatric cardiovascular surgery services at the hospital where he or she is the medical director; and
(3) Active in performing pediatric cardiovascular surgery procedures at the hospital where he or she is the medical director.
(B) Each provider of a pediatric cardiovascular surgery service shall 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 and the general personnel requirements of paragraph (B) of rule 3701-84-08 of the Administrative Code, each provider of a pediatric cardiovascular surgery service shall have competent and qualified staff available, including but not limited to:
(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 shall include 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 shall be trained in pediatric cardiovascular surgical operating room procedures and nurses shall 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/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 shall 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 shall be graduates of an accredited cardiovascular perfusion or perfusion technology training program or have equivalent training and experience. The perfusionists shall 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 provider of a pediatric cardiovascular surgery service shall have appropriate staff available, including but not limited to 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.