Rule 3701-84-82 | Personnel/staffing - pediatric cardiovascular surgery service.
(A) The medical director of a pediatric cardiovascular surgery service will be board certified in thoracic surgery. The medical director will be:
(1) Responsible for oversight and care in the service;
(2) Credentialed to provide pediatric cardiovascular surgery services at the hospital where they are the medical director; and
(3) Active in performing pediatric cardiovascular surgery procedures at the hospital where they are the medical director.
(B) Each pediatric cardiovascular surgery service will 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, each pediatric cardiovascular surgery service will have competent and qualified staff available, including:
(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 will include an 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 will be trained in pediatric cardiovascular surgical operating room procedures and nurses will 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 to 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 will 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 will be graduates of an accredited cardiovascular perfusion or perfusion technology training program or have equivalent training and experience. The perfusionists will 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 pediatric cardiovascular surgery service will have appropriate staff available, including 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.
Last updated May 15, 2023 at 12:45 AM
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