(b)

1. (1) The hospital seeking pediatric Level I designation shall meet all the criteria listed for an adult Level I facility.

2. (2) In addition, a hospital seeking a Level I pediatric trauma center designation shall have a:

   1. (A) Pediatric trauma service organized and run by a pediatric surgeon;
   2. (B) Pediatric ED with appropriate personnel, equipment, and facilities;
   3. (C) Pediatric ICU with pediatric surgery and other surgical, medical, and nursing personnel and equipment needed to care for the injured child;
   4. (D) Pediatric surgeon credentialed in trauma care immediately available and present in the OR for any and all operative procedures; and
   5. (E) General surgical resident at a minimum PGY 3 or higher resident level may initiate resuscitative care until the attending pediatric surgeon arrives.

(c) A Level I pediatric trauma center shall have, at a minimum, the following specialists active on the trauma call panel and involved in the Trauma Peer Review Committee and the Trauma Program Operations Review Committee:

1. (1) Two (2) pediatric surgeons;
2. (2) One (1) pediatric orthopedist;
3. (3) One (1) pediatric neurosurgeon;
4. (4) One (1) pediatric anesthesiologist;
5. (5) Two (2) pediatric intensivists;
6. (6) Two (2) pediatric EM physicians;
7. (7) One (1) pediatric radiologist;
8. (8) One (1) pediatric rehabilitation specialist; and
9. (9) One (1) child abuse specialist.

(d) A Level I pediatric trauma center shall also have the following:

1. (1) A pediatric TPM;
2. (2) A trauma registrar;
3. (3) A separate and distinct trauma QI program;
4. (4) Pediatric-specific clinical care guidelines and pathways;
5. (5) A pediatric-specific massive transfusion protocol;
6. (6) A pediatric-specific IVP program;
7. (7) A child abuse assessment team;
8. (8) Specific credentialing by the hospital with the agreement of the TMD for any physician serving on the trauma call panel not board-certified/board-eligible in a pediatric subspeciality; and
9. (9) A pediatric trauma research program with peer-reviewed publications.