District of Columbia Administrative Code

2707 TRAUMA RESUSCITATION AREA 2707.1 The emergency department of each adult trauma care facility shall have a large space designated and dedicated as the trauma resuscitation area. The space shall be large enough to allow assembly of the full trauma team plus necessary equipment…

2708 OPERATING SUITE 2708.1 Operating suites in each adult trauma care facility shall be staffed and equipped to handle each patient brought into the emergency department in need of immediate surgical intervention. 2708.2 Operating suites shall be immediately available twenty-fou…

2709 POSTANESTHETIC RECOVERY ROOM (PAR) 2709.1 In each adult trauma care facility, the postanesthetic recovery room (PAR), which may be the Surgical Intensive Care Unit, shall be staffed and equipped as follows: (a) Registered nurses and other essential personnel twenty-four (24)…

2710 INTENSIVE CARE UNITS (ICU) FOR TRAUMA PATIENTS 2710.1 A hospital designated as a Level I trauma center shall have a surgically directed and staffed Intensive Care Unit (ICU). 2710.2 In each adult trauma care facility, there shall be designated a surgical director or surgical…

2711 ACUTE HEMODIALYSIS CAPABILITY 2711.1 A Level I facility shall have in-house hemodialysis services which shall be available within one hundred and twenty (120) minutes of the request, twenty-four (24) hours per day. 2711.2 A Level II facility may provide in-house hemodialysis…

2712 BURN CENTER 2712.1 Each adult trauma care facility shall have, or shall have access to, a Burn Center directed by a licensed, board certified general or plastic surgeon on the active medical staff who has at least two (2) years of experience in the management of burn patient…

2713 ACUTE SPINAL CORD/HEAD INJURY MANAGEMENT CAPABILITY 2713.1 Each adult trauma care facility shall use a team approach to the initial and continued management of an acute spinal cord or head injury, as follows: (a) In circumstances where a designated spinal cord injury rehabil…

2714 SPECIAL RADIOLOGICAL CAPABILITIES 2714.1 In Level I facilities, special radiological capabilities shall be available twenty-four (24) hours per day and shall consist of at least the following: (a) In-house radiology technician; (b) Angiography; (c) Sonography; (d) Nuclear sc…

2715 CLINICAL LABORATORY SERVICE 2715.1 Clinical laboratory services in adult trauma facilities shall be available twenty-four (24) hours per day for the following: (a) Standard analyses of blood, urine, and other body fluids; (b) Blood typing and cross-matching; (c) Coagulation …

2716 REHABILITATION MEDICINE 2716.1 Each adult trauma care facility shall have a physician-directed rehabilitation service program staffed by personnel trained in rehabilitation care and equipped properly for the care of the critically injured patient. This shall include the foll…

2717 PROGRAMS FOR PERFORMANCE IMPROVEMENT 2717.1 In adult trauma facilities, programs for performance improvement shall have the following elements: (a) Trauma registry; (b) Special audit for all trauma deaths; (c) Morbidity and mortality review; (d) Multidisciplinary trauma conf…

2718 TRANSFER AGREEMENTS 2718.1 Level I facilities shall have transfer agreements with other facilities whereby the Level I facility serves as a receiving facility. 2718.2 Level II facilities shall have transfer agreements whereby the Level II facility serves as both a transferri…

2720 CONTINUING EDUCATION 2720.1 Each adult trauma facility shall provide a formal program for Continuing Medical Education (CME) specifically addressing adult trauma care and for the following personnel: (a) General surgery residency program participants; (b) Advanced Trauma Lif…

2721 OUTREACH PROGRAM 2721.1 Each adult trauma care facility shall be available for telephone and on-site consultations with physicians in the community and surrounding area regarding the care and treatment of trauma patients. 2721.2 Each Level I facility shall conduct at least t…

2722 TRAUMA EDUCATION 2722.1 Level I facilities shall undertake the following public education activities: (a) Perform epidemiology research to include: (1) Conducting studies in injury control; (2) Collaborating with other institutions in epidemiological research; (3) Monitoring…

2723 TRAUMA RESEARCH PROGRAM 2723.1 Level I facilities shall have a trauma research program designed to produce new knowledge applicable to the care of injured trauma patients. This research may be conducted utilizing traditional laboratory and clinical research, reviews of clini…

2724 DISASTER PLAN 2724.1 Each adult trauma care facility shall develop a disaster plan. 2724.2 Each adult trauma care facility shall have a plan that differentiates between multiple casualty situations, in which five to forty (5 to 40) victims are involved, and disasters leading…

2725 ORGAN PROCUREMENT ACTIVITY 2725.1 Each adult trauma care facility shall have an Organ Donation and Transplantation Program. 2725.2 Each adult trauma care facility shall develop policies and procedures for ensuring access to information on the option to donate organs. SOURCE:…

2799 DEFINITIONS 2799.1 For the purposes of this chapter, the following words and phrases shall have the meaning described: Audit Filters - clinical indicators used to examine the process of care and to identify potential patient-care problems. Burn Service - the patient care tea…

2800 GENERAL PROVISIONS 2800.1 The Director, Department of Health, shall designate Level I and Level II hospitals for pediatric trauma care services as the inclusive trauma system in the District of Columbia, provided a facility complies with the provisions of this chapter. 2800.…

2801 INJURY PREVENTION AND CONTROL 2801.1 Each pediatric trauma care facility shall implement injury prevention and control programs to accomplish injury prevention. 2801.2 Institutional involvement in injury prevention programs shall be based upon the resources of staff, time, a…

2802 HOSPITAL ORGANIZATION - PEDIATRIC TRAUMA SERVICES 2802.1 The staff credentialing committee of a pediatric trauma care facility shall specifically delineate all privileges of members of the staff providing Pediatric Trauma Services. 2802.2 Each pediatric trauma resuscitation …

2803 TRAUMA COORDINATOR 2803.1 Each pediatric trauma care facility shall have a trauma coordinator who is fundamental to the institution's trauma program development, implementation, and evaluation. Working in conjunction with the Trauma Service Director, the trauma coordinator s…

2804 HOSPITAL DEPARTMENTS, DIVISIONS, SERVICES, SECTIONS 2804.1 Each pediatric trauma care facility shall have departments, divisions, services, or sections with designated chiefs and shall be staffed by qualified pediatric specialists in the following areas: (a) General Surgery;…

2805 CLINICAL CAPABILITIES (HOSPITAL PERSONNEL) 2805.1 Each pediatric trauma care facility shall have the following surgical specialties available in-house twenty-four (24) hours each day: (a) General Surgery; (b) Repealed. (c) Repealed. (d) Emergency Medicine; (e) Anesthesiology…

2806 FACILITY RESOURCES AND CAPABILITIES 2806.1 In each pediatric trauma facility, emergency department personnel shall consist of at least the following: (a) A designated physician director of the emergency department; (b) A physician with special competence in care of the criti…

2807 PEDIATRIC TRAUMA RESUSCITATION AREA 2807.1 In each pediatric trauma care facility, the emergency department shall have a large space designated and dedicated as the trauma resuscitation area. The space shall be large enough to allow assembly of the full trauma team plus nece…

2808 PEDIATRIC OPERATING SUITE 2808.1 Operating suites in each pediatric trauma care facility shall be staffed and equipped to handle each pediatric patient brought into the emergency department in need of immediate surgical intervention. 2808.2 Operating suites in Level I facili…

2809 POSTANESTHETIC RECOVERY ROOM (PAR) 2809.1 In each pediatric trauma care facility, the postanesthetic recovery room (PAR), which may be the Surgical Pediatric Intensive Care Unit (PICU), shall be staffed and equipped as follows: (a) Registered nurses and other essential perso…

2810 PEDIATRIC INTENSIVE CARE UNITS (PICU) FOR TRAUMA PATIENTS 2810.1 A hospital shall have a surgically-directed and staffed Pediatric Intensive Care Unit (PICU) in order to be designated as a Level I trauma center. 2810.2 Each pediatric trauma care facility shall designate a su…

2811 ACUTE PEDIATRIC HEMODIALYSIS CAPABILITY 2811.1 A Level I facility shall have in-house hemodialysis services which shall be available within one hundred and twenty (120) minutes of the request, twenty-four (24) hours per day. 2811.2 A Level II facility may provide in-house he…

2812 PEDIATRIC BURN CENTER 2812.1 Each pediatric trauma care facility shall have, or shall have access to, a Burn Center directed by a licensed, board certified general or plastic surgeon on the active medical staff who has at least two (2) years of experience in management of bu…

2813 ACUTE SPINAL CORD/HEAD INJURY MANAGEMENT CAPABILITY 2813.1 Each pediatric trauma care facility, shall use a team approach to the initial and continued management of the acute spinal cord and head injury, as follows: (a) In circumstances where a designated spinal cord injury …

2814 SPECIAL PEDIATRIC RADIOLOGICAL CAPABILITIES 2814.1 In Level I facilities, special radiological capabilities shall be available twenty-four (24) hours per day and shall consist of at least the following: (a) In-house radiology technician; (b) Angiography; (c) Sonography; (d) …

2815 CLINICAL LABORATORY SERVICE 2815.1 Clinical laboratory services in pediatric trauma care facilities shall be available twenty-four (24) hours per day for the following: (a) Standard analyses of blood, urine, and other body fluids; (b) Blood typing and cross-matching; (c) Coa…

2816 REHABILITATION MEDICINE 2816.1 Each pediatric trauma care facility shall have a physician-directed rehabilitation service program staffed by personnel trained in rehabilitation care and equipped properly for the care of the critically injured patient, including, at a minimum…

2817 PROGRAMS FOR PERFORMANCE IMPROVEMENT 2817.1 Programs for performance improvement in a pediatric trauma facility shall have the following elements: (a) Trauma registry; (b) Special audit for all trauma deaths; (c) Morbidity and mortality review; (d) Multidisciplinary trauma c…

2818 TRANSFER AGREEMENTS 2818.1 Level I facilities shall have transfer agreements with other hospitals acting as receiving facilities. 2818.2 Level II facilities shall have transfer agreements as transferring and receiving facilities. 2818.3 Once it is apparent that interhospital…

2820 CONTINUING EDUCATION 2820.1 A formal program for Continuing Medical Education (CME) specifically addressing pediatric trauma care shall be provided by the hospital for the following personnel: (a) General surgery residency program participants; (b) Advanced Trauma Life Suppo…

2821 OUTREACH PROGRAM 2821.1 Each pediatric trauma care facility shall be available for telephone and on-site consultations with physicians in the community and surrounding area regarding the care and treatment of trauma patients. 2821.2 Each Level I facility shall conduct at lea…

2822 PEDIATRIC TRAUMA EDUCATION 2822.1 Level I facilities shall undertake the following public education activities: (a) Perform epidemiology research to include: (1) Conducting studies in injury control; (2) Collaborating with other institutions in epidemiological research; (3) …

2823 TRAUMA RESEARCH PROGRAM 2823.1 Level I facilities shall have a trauma research program designed to produce new knowledge applicable to the care of injured trauma patients. This research may be conducted in a number of ways, including traditional laboratory and clinical resea…

2824 DISASTER PLAN 2824.1 Each pediatric trauma care facility shall develop a disaster plan. 2824.2 Each pediatric trauma care facility shall have a plan that differentiates between multiple casualty situations, in which five to forty (5 to 40) victims are involved, and disasters…

2825 ORGAN PROCUREMENT ACTIVITY 2825.1 Each pediatric trauma care facility shall have an Organ Donation and Transplantation Program. 2825.2 Each pediatric trauma care facility shall develop policies and procedures for ensuring access to information on the option to donate organs.…

2899 DEFINITIONS 2899.1 For the purposes of this chapter, the following words and phrases shall have the meaning described: Audit Filters - clinical indicators used to examine the process of care and to identify potential patient-care problems. Burn Service - the patient care tea…

2900 PUBLIC HEALTH LABORATORY FEES 2900.1 The following fees shall be for the services and supplies provided by the District of Columbia Public Health Laboratory and shall have discounted fees for bulk services: Test Service Category Fee Immunology Syphilis EIA $ 3.00 Syphilis RP…

300 GENERAL PROVISIONS 300.1 This chapter shall provide minimum standards for the establishment, maintenance, and operation of tissue banks; and shall carry out the stated purposes of the D.C. Tissue Bank Act, as well as to meet the requirements of § 4(b) of the Act. 300.2 The pr…

301 LICENSES 301.1 No person shall operate or hold himself or herself out as operating a tissue bank in the District after May 25, 1963, without being licensed, or designated by the licensee, as required by the Act and this chapter, unless the tissue bank is operated by, or in co…