Utah Admin. Code R432-100-20 - Pediatric Services
(1)
(a) If the licensee provides pediatric
services, the services shall be under the direction of a member of the medical
staff who is experienced in pediatrics and whose functions and scope of
responsibility are defined by the medical staff.
(b) A pediatrics qualified registered nurse
shall supervise pediatric nursing care and shall supervise the documentation of
the implementation of pediatric patient care on an interdisciplinary plan of
care.
(c) If the licensee provides
a pediatric unit, the licensee shall ensure there is an interdisciplinary
committee responsible for policy development and review of practice within the
unit. The committee shall include representatives from administration, the
medical and nursing staff, and rehabilitative support staff.
(d) A licensee that admits pediatric patients
shall have written policies and procedures specifying the criteria for
admission to the hospital and conditions requiring transfer when indicated.
These policies and procedures shall consider and address the resources
available at the hospital, specifically, in terms of personnel, space,
equipment, and supplies.
(e) The
licensee shall:
(i) assess each pediatric
patient for maturity and development that incorporates information obtained
from the maturity and development assessment into the plan of care;
(ii) establish and implement security
protocols for pediatric patients; and
(iii) provide a safe area for diversional
play activities.
(2) A licensee that admits pediatric patients
shall have equipment and supplies in accordance with the hospital's scope of
pediatric services.
(3) The
licensee shall have written guidelines for the placement or room assignment of
pediatric patients according to patient acuity under usual, specific, or
unusual conditions within the hospital that shall address the use of:
(a) cribs;
(b) bassinets;
(c) beds; and
(d) proper use of restraints, bed rails, and
other safety devices.
(4) The licensee shall place infant patients
in beds where frequent observation is possible.
(5) The licensee shall ensure that pediatric
patients other than infants are placed in beds to allow frequent observation
according to each patient's assessed care needs.
(6) Personnel working with pediatric patients
shall have specific training and experience relating to the care of pediatric
patients.
(7) Orientation and
in-service training provided by the licensee for pediatric care staff shall
include pediatric-specific training on:
(a)
drugs;
(b) toxicology;
(c) intravenous therapy;
(d) pediatric emergency procedures;
(e) infant and child nutrition;
(f) the emotional needs and behavioral
management of hospitalized children;
(g) child abuse and neglect; and
(h) other topics according to the needs of
the pediatric patients.
Notes
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