Initial Pediatric Facility Recognition Application

PCCC Pediatric Plan

• Application overview and application form

• PCCC/EDAP checklist

• PICU and pediatric inpatient requirements

• PCCC equipment requirement

EDAP and SEDP Pediatric Plan

This application packet can be viewed in either PDF or Word format.  Please note, in order to view the entire packet in Word, you must click on the Initial Pediatric Facility Recognition Application Packet (minus appendices) link and also click on each of the appendices below.

• Click here to  view the Initial Pediatric Facility Recognition Application Packet (minus appendices) (83K)

• Appendices

  • Section 515.4000 Facility Recognition Criteria for the Emergency Department Approved for Pediatrics (EDAP) (50K)

  • Section 515.4010 Facility Recognition Criteria for the Standby Emergency Department Approved for Pediatrics (SEDP) (46K)

  • Credentialing Forms (103K)

  • Pediatric Equipment Recommendations for Emergency Departments (149K)

  • Section 515.Appendix M Interfacility Pediatric Trauma and Critical Care Consultation and/or Transfer Guideline (48K)

  • Pediatric Bill of Rights (29K)
    

• Initial Pediatric Facility Recognition Application Packet (699K)
  Must be viewed with Adobe Acrobat Reader.  Please click here to download a free viewer from Adobe.