28 Pa. Code § 133.5 – Director.

(a) Special care units shall be under the direction of a physician who has a special interest in and, preferably, additional experience in providing the type of care supplied by the special care unit. If an experienced physician is not available, direction of the unit may be provided by a medical staff committee.
(b) The special care unit director or committee shall be responsible for the establishment and implementation of written policies governing the following:
1. (1) Proper utilization of the service.
2. (2) Staff participation in appropriate training programs for safe and effective use of diagnostic and therapeutic equipment, for cardiopulmonary resuscitation and for other aspects of intensive care.
3. (3) Supervision of the collection and analysis of clinical data needed for the retrospective evaluation of care provided in the unit.