WAC 246-976-886   Pediatric education requirements (PER) for nonpediatric designated facilities.  (1) In designated levels I, II, III, and IV general trauma care services emergency physicians and emergency RNs who are involved in the resuscitation and stabilization of pediatric trauma patients shall have PER, as provided in subsection (3) of this section, appropriate to their scope of trauma care.

     (2) In designated levels I, II, and III general trauma care services general surgeons, anesthesiologists, CRNAs and PACU RNs who are involved in the resuscitation and stabilization of pediatric trauma patients shall have PER, as provided in subsection (3) of this section, appropriate to their scope of trauma care.

     (3) PER can be met by the following methods:

     (a) One-time completion of pediatric advanced life support (PALS) or a substantially equivalent training course; or

     (b) Current certification in ATLS; or

     (c) Completion of a least five contact hours of pediatric trauma education during each designation period. PER contact hours will:

     (i) Include the following topics:

     (A) Initial stabilization and transfer of pediatric trauma;

     (B) Assessment and management of pediatric airway and breathing;

     (C) Assessment and management of pediatric shock, including vascular access;

     (D) Assessment and management of pediatric head injuries;

     (E) Assessment and management of pediatric blunt abdominal trauma;

     (ii) Be accomplished through one or more of the following methods:

     (A) Review and discussion of individual pediatric trauma cases within the trauma QA/QI program;

     (B) Staff meetings;

     (C) Classes, formal or informal;

     (D) Web-based learning; or

     (E) Other methods of learning which appropriately communicate the required topics listed in this section.



[Statutory Authority: RCW 70.168.060 and 70.168.070. 04-01-041, § 246-976-886, filed 12/10/03, effective 1/10/04. Statutory Authority: Chapter 70.168 RCW. 02-12-107, § 246-976-886, filed 6/5/02, effective 7/6/02.]