Section 158.3. Scope

(a) When a hospital provides transplantation services, it shall make a sufficient commitment of resources and planning to all transplantation services which it provides. This commitment shall be demonstrated as follows:

(1) Commitment of the hospital to the transplantation service shall be present at all levels and broadly evident throughout the facility. This requires a major commitment of resources. These shall include many other departments, as well as the principal sponsoring departments.

(2) The hospital shall have both the expertise and the commitment for participation in medical, surgical and other relevant areas. The hospital shall identify individuals in these areas to achieve an identifiable and stable transplant team.

(3) The component teams shall be integrated into a comprehensive team with clearly defined leadership and corresponding responsibility.

(4) The hospital shall have active medical and surgical programs in the specific areas in which transplantation services are offered.

(5) The commitment to medical staff shall include the elements in § 158.13 (relating to medical staff).

(6) The nursing service shall identify a team trained not only in the support of the patient, but also in the special problems of managing immunosuppressed patients.

(7) Adequate social services resources shall be available.

(8) Mechanisms shall be in place for managing the transplantation program which assures that:

(i) Patient selection criteria are consistent with those set forth in the hospital’s written patient selection criteria.

(ii) The hospital is responsible for the ethical and medical considerations involved in the patient selection process and application of patient selection criteria.

(9) Adequate plans exist for organ procurement which meet legal and ethical criteria.

(b) Each transplantation program shall be a participating member of the Organ Procurement and Transplantation Network and shall comply with its standards, guidelines and bylaws.

Notation

Cross References

This section cited in 28 Pa. Code § 158.31 (relating to kidney transplantation program); 28 Pa. Code § 158.33 (relating to liver transplantation program); 28 Pa. Code § 158.35 (relating to pancreas transplantation programs); and 28 Pa. Code § 158.37 (relating to pediatric transplantation programs).