(b)

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

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

   1. (A) A designated pediatric area in the ED staffed with pediatric trauma personnel and appropriate equipment; and
   2. (B) A pediatric ICU with appropriately trained personnel and equipment.

(c) A Level II 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) One (1) pediatric surgeon;
2. (2) One (1) pediatric orthopedist or an orthopedist meeting an alternate pathway if deemed necessary by the Department of Health;
3. (3) One (1) pediatric neurosurgeon or a neurosurgeon meeting an alternate pathway if deemed necessary by the department;
4. (4) One (1) pediatric intensivist;
5. (5) One (1) pediatric EM physician;
6. (6) Pediatricians;
7. (7) A pediatric TPM;
8. (8) A trauma registrar; and
9. (9) Pediatric-trained trauma nurses.

(d) All surgeons, intensivists, anesthesiologists, and EM providers not formally trained in a pediatric sub-specialty shall:

1. (1) Be credentialed specifically by the facility to care for children of all ages;
2. (2) Have their credentials reviewed and approved by the TMD; and
3. (3) Have pediatric trauma-specific CME.

(e) A Level II pediatric trauma center shall also have the following:

1. (1) A separate and distinct trauma QI program;
2. (2) Pediatric-specific clinical care guidelines and pathways;
3. (3) Ongoing pediatric trauma education for physicians and nurses;
4. (4) A pediatric-specific massive transfusion protocol;
5. (5) A pediatric-specific IVP program; and
6. (6) A child abuse assessment team or protocols in place for the assessment and treatment of children with known or suspected child maltreatment.