10A NCAC 14C .3008. STAFFING AND STAFF TRAINING

(a)  An applicant proposing to establish a new heart or heart/lung transplantation service or to expand an existing heart or heart/lung transplantation service shall demonstrate that the following persons shall provide the proposed services:

(1)           anesthesiologists with expertise in transplantation anesthesia;

(2)           cardiologists and surgeons trained in endocardial biopsy and immunosuppression techniques;

(3)           cardiologists and surgeons for both adult and pediatric patients, as appropriate;

(4)           surgeons and physicians that meet UNOS criteria as transplant physicians and surgeons; and

(5)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

(b)  An applicant proposing to establish a new lung transplantation service or to expand an existing lung transplantation service shall demonstrate that the following persons will provide the proposed services:

(1)           anesthesiologists with expertise in thoracic anesthesia;

(2)           pulmonologist(s) and surgeons trained in immunosuppression techiques;

(3)           pulmonologist(s) and surgeons for both adult and pediatric patients, as appropriate;

(4)           pulmonologist(s) and surgeons trained in transbronchial lung biopsy techniques;

(5)           surgeons and physicians that meet UNOS criteria as transplant physicians and surgeons; and

(6)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

(c)  An applicant proposing to establish a new liver transplantation service or to expand an existing liver transplantation service shall demonstrate that the following persons shall provide the proposed services:

(1)           anesthesiologists with expertise in transplantation anesthesia;

(2)           surgeons and physicians who meet UNOS criteria as liver transplant surgeons and physicians;

(3)           a veno-venous bypass team immediately available for liver transplant recipient operation, a requirement which may be satisfied by a written agreement which ensures that a veno-venous bypass team will always be on site throughout the entire liver transplant recipient operation; and

(4)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

(d)  An applicant proposing to establish a new pancreas transplantation service or to expand an existing pancreas transplantation service shall demonstrate that the following persons shall provide the proposed services:

(1)           anesthesiologists with expertise in transplantation anesthesia;

(2)           transplant surgeons and physicians experienced with renal transplantation in diabetics;

(3)           surgeons and physicians who meet UNOS criteria as pancreatic transplant surgeons and physicians;

(4)           adult and pediatric diabetologists, as appropriate, actively participating in the transplant service; and

(5)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

(e)  An applicant proposing to establish a new kidney transplantation service or to expand an existing kidney transplantation service shall demonstrate that the following persons shall provide the proposed services:

(1)           surgeons and physicians that meet UNOS criteria as kidney transplant surgeons and physicians;

(2)           the transplant team performing kidney transplantation shall include physicians in the areas of anesthesiol­ogy, nephrology, psychiatry, vascular surgery and urology;

(3)           additional support personnel shall be available including but not limited to a nephrology nurse with experience in the nursing care of patients with permanent kidney failure and a renal dietician;

(4)           adult and pediatric diabetologists, as appropriate, actively participating in the transplant service;

(5)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

(f)  An applicant proposing to establish a new intestine transplantation service or to expand an existing intestine transplantation service shall demonstrate that the following persons shall provide the proposed services:

(1)           anesthesiologists with expertise in transplantation anesthesia;

(2)           surgeons and physicians that meet UNOS criteria as transplant surgeons and physicians;

(3)           a physician who meets UNOS criteria in the sub-specialty of Gastroenterology;

(4)           a pathologist who is certified by the American Board of Pathology or who has equivalent qualifications; and

(5)           a nursing team trained in immunosuppression management including isolation techniques and infection control methods.

 

History Note:        Filed as a Temporary Adoption Eff. September 1, 1993 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Authority G.S. 131E-177(1); 131E-183(b);

Eff. January 4, 1994.