1. (1) Abuse. The willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish.
2. (2) ACLS. Advance Cardiac Life Support.
3. (3) ACS. American College of Surgeons.
4. (4) ALARA. As Low As Reasonably Achievable.
5. (5) APLS. Advanced Pediatric Life Support.
6. (6) ATLS. Advanced Trauma Life Support.
7. (7) Basic Pediatric Emergency Facility. The facility shall be capable of identifying those pediatric patients who are critically ill or injured, stabilizing pediatric patients, including the management of airway, breathing and circulation, and providing an appropriate transfer to a definitive care facility.
8. (8) Board. Board for Licensing Health Care Facilities.
9. (9) CRPC. Comprehensive Regional Pediatric Center. The facility shall be capable of providing comprehensive specialized pediatric medical and surgical care to all acutely ill and injured children and shall have a pediatric intensive care unit. The center shall be responsible for serving as a regional referral center for the specialized care of pediatric patients or in special circumstances provide safe and timely transfer of children to other resources for specialized care.
10. (10) CPR. Cardiopulmonary Resuscitation.
11. (11) Do-Not-Resuscitate Order (DNR). A written order, other than a POST, not to resuscitate a patient in cardiac or respiratory arrest in accordance with accepted medical practices.
12. (12) E. Essential.
13. (13) ECG. Electrocardiogram.
14. (14) ED. Emergency Department.
15. (15) EED. Essential in Emergency Department.
16. (16) EF. Essential in Facility.
17. (17) EFI. Essential in Facility and Immediately available within 15 minutes.
18. (18) EMS. Emergency Medical Services.
19. (19) EMSC. Emergency Medical Services for Children.
20. (20) ENPC. Emergency Nursing Pediatric Course.
21. (21) EP. Promptly available. Available within 30 minutes.
22. (22) EPI. Essential in Pediatric Intensive care unit.
23. (23) ES. Essential if Service not provided at facility.
24. (24) FAST. Focused Assessment with Sonography for Trauma.
25. (25) General Pediatric Emergency Care Facility. The facility shall have a defined separate pediatric inpatient service and a department of pediatrics within the medical staff structure. The facility may accept appropriate referrals of pediatric patients.
26. (26) General Pediatric Emergency Care Facility with a Pediatric Intensive Care Unit. A facility that meets the requirements of a General Pediatric Emergency Care Facility and has a dedicated Pediatric Intensive Care Unit meeting the requirements defined herein. The facility may accept appropriate referrals of pediatric patients.
27. (27) ICP. Intracranial Pressure.
28. (28) IM. Intramuscular.
29. (29) Immediately Available. Available within 15 minutes.
30. (30) IV. Intravenous.
31. (31) Mid-Level Practitioner. Either an Advanced Practice Registered Nurse or Physician Assistant.
32. (32) MTP. Massive Transfusion Protocol.
33. (33) OR. Operating Room.
34. (34) PA. Physician’s Assistant.
35. (35) Patient and Family Centered Care. Patient and family centered care is a mutually beneficial partnership among health care providers, patients and families working together in the planning, delivery and evaluation of health care. The four core concepts of patient and family centered care are Dignity and Respect, Information Sharing, Participation and Collaboration.
36. (36) PALS. Pediatric Advanced Life Support.
37. (37) PECC. Pediatric Emergency Care Coordinator.
38. (38) PECF. Pediatric Emergency Care Facilities. Facilities that provide pediatric emergency and trauma services and are classified according to their abilities to provide such services. The classifications are: 1) Basic Pediatric Emergency Facility, 2) Primary Pediatric Emergency Facility, 3) General Pediatric Emergency Facility, 4) General Pediatric Emergency Care Facility with a Pediatric Intensive Care Unit and 5) Comprehensive Regional Pediatric Center.
39. (39) Physician. A person currently licensed as such by the Tennessee Board of Medical Examiners or currently licensed by the Tennessee Board of Osteopathic Examination.
40. (40) PICU/PI. Pediatric Intensive Care Unit. A PICU is a separate physical unit specifically designated for the treatment of pediatric patients who, because of shock, trauma, or other life-threatening conditions, require intensive assessment, monitoring and care. A facility with a PICU shall self-designate as either a General Pediatric Emergency Care Facility with a PICU or a CRPC.
41. (41) PIPS. Performance Improvement and Patient Safety.
42. (42) Primary Pediatric Emergency Facility. The facility shall provide the same services as a Basic Pediatric Emergency Facility in addition to limited capabilities for the management of lower acuity pediatric admissions and observations.
43. (43) PTC. Pediatric Trauma Center.
44. (44) QA. Quality Assessment.
45. (45) QI. Quality Improvement.
46. (46) RA. Readily Available. Available within one hour.
47. (47) RN. Registered Nurse.
48. (48) RT. Licensed Respiratory Therapist.
49. (49) SE. Strongly Encouraged.
50. (50) TNCC. Trauma Nursing Core Course.
51. (51) Trauma. A physical injury or wound caused by external force.
52. (52) Trauma Program Leader. A trauma program director, manager or nurse coordinator.
53. (53) Trauma Registry. A central registry compiled of injury incidence information supplied by designated trauma centers and Comprehensive Regional Pediatric Centers (CRPCs).
54. (54) Trauma Team. Trauma Team consists of the necessary personnel commensurate with the level of trauma activation.

Authority: T.C.A. §§ 4-5-202, 4-5-204, 68-11-202, 68-11-209, and 68-11-251. Administrative History: Original rule filed November 30, 1999; effective February 6, 2000. Amendment filed October 15, 2002; effective December 29, 2002. Amendment filed August 16, 2006; effective October 30, 2006. Amendment filed December 4, 2007; effective February 17, 2008. Amendment filed March 27, 2015; effective June 25, 2015. Transferred from chapter 1200-08-30 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Amendments filed July 10, 2025; effective October 8, 2025.