10A NCAC 14C .3404. SUPPORT SERVICES

(a)  An applicant proposing to develop a new burn intensive care unit or to add a bed to an existing or approved burn intensive care unit shall demonstrate that the following services, equipment and supplies shall be available to the burn intensive care unit 24 hours per day, 7 days per week:

(1)           monitoring devices which allow nurses at a nursing station to monitor patients around-the-clock;

(2)           ventilator capability at each bed in the unit;

(3)           a tub, tank or table for the cleaning of burn wounds located in an area of the unit separate from the general patient care area;

(4)           temperature control equipment or capability which allows for independent temperature control for each patient area;

(5)           renal dialysis;

(6)           an operating room;

(7)           a clinical laboratory which is capable of performing tests and reporting the results on a timely basis, including blood chemistries, blood gas analyses, Ph levels, electrolyte determinations, and serum and urine osmolalities;

(8)           microbiology services;

(9)           blood bank services;

(10)         diagnostic radiologic services;

(11)         a direct intercommunication/alarm system between the nurses' station and the patient's bedside, with connections to treatment, work, lounge, or other areas from which additional personnel would be summoned;

(12)         oxygen and compressed air and the means of administration;

(13)         mechanical ventilatory assistance equipment;

(14)         cardiac defibrillator with synchronization capability;

(15)         respiratory and cardiac monitoring equipment;

(16)         thoracentesis and closed thoracostomy sets;

(17)         tracheostomy sets;

(18)         tourniquets;

(19)         vascular cutdown sets;

(20)         infusion pumps;

(21)         laryngoscopes and endotracheal tubes;

(22)         tracheobronchial and gastric suction equipment;

(23)         portable x-ray equipment; and

(24)         a patient weighing device for bed patients.

(b)  An applicant proposing to develop a new burn intensive care unit or to add a bed to an existing or approved burn intensive care unit shall also demonstrate that the following services shall be available:

(1)           aftercare services to burn unit patients for post hospitalization including social services, vocational counseling and physical rehabilitation; and

(2)           a community outreach and prevention education program, which shall include, but not be limited to, coordination with emergency medical service authorities in training in the assessment, care, triage and transfer of severely burned patients.

 

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.