Section 158.37. Pediatric transplantation programs

(a) A transplantation center that provides a transplantation program to pediatric patients shall do the following:

(1) Follow the general criteria for transplantation centers and programs in § § 158.1—158.19.

(2) Follow the supplementary criteria for the applicable organ transplantation program in § § 158.31—158.36.

(3) Follow the criteria in this section in the treatment of pediatric patients.

(b) In those instances where criteria for pediatric transplantation programs differs from supplementary criteria for organ specific transplants, transplantation centers providing services to both adult and to pediatric patients are required to fulfill both the supplementary criteria for the specific organ and the following pediatric transplant criteria. Transplantation centers providing programs exclusively to pediatric patients need only meet the criteria for pediatric transplantation programs.

(c) Those transplantation centers which are exclusively pediatric shall have overall plans and resources to assure a reasonable concentration of experience.

(d) Transplantation centers providing services to pediatric patients shall have on staff and available the following specialists who shall be either certified by or have attained preboard certification status with the appropriate subspecialty board of the American Board of Pediatrics or an equivalent Board:

(1) Pediatric transplantation programs shall have on staff: a pediatric nephrologist, a pediatric infectious disease specialist and a pediatric internist.

(2) Pediatric liver transplantation programs shall have on staff: a pediatric gastroenterologist and a pediatric pulmonologist.

(3) Pediatric heart, lung and combined heart/lung transplantation programs shall have on staff: a pediatric pulmonologist, a pediatric cardiologist and a pediatric cardiac surgeon.

(4) Pediatric pancreas transplantation programs shall have on staff a pediatric endocrinologist.

(e) Transplantation centers providing services to pediatric patients shall have on staff and available the following personnel who are certified or qualified, or both, as follows:

(1) An anesthesiologist who is either certified by or who has attained preboard certification status with the American Board of Anesthesiology or an equivalent Board and has 2 years of experience providing anesthesiology services to pediatric patients.

(2) A dietitian who is registered by the American Dietetic Association or who is a feeding specialist and who has 2 years of experience providing dietetic services to pediatric patients.

(3) A radiologist who is either certified by or who has attained preboard certification status with the American Board of Radiology or an equivalent Board and who has 2 years of experience providing radiology services to pediatric patients.

(4) A physical therapist who has 2 years experience providing services to pediatric patients.

(5) A psychiatrist who is either certified by or who has attained preboard certification status with the American Board of Child Psychiatry or an equivalent Board.

(6) A social worker who has 1 year of experience providing social services to pediatric patients.

(7) A nursing staff that is experienced in providing nursing services to pediatric patients and is of a sufficient complement to meet nursing care goals, standards of nursing practice and nursing care needs of pediatric patients.

(8) An occupational therapist who is registered with the American Occupational Therapy Association and who has 1 year of experience in treating pediatric patients.

(f) A pediatric heart transplantation center shall have cardiac catheterization and open heart surgical services which meet all of the regulatory requirements for pediatric patients.

(g) A pediatric program which provides kidney transplantation services to pediatric patients shall have on staff and available a urologist who is either certified by or who has attained preboard certification status with the American Board of Urology or an equivalent Board and who has 2 years experience providing urology services to pediatric patients.

(h) Transplantation centers that provide transplantation programs to pediatric patients shall have appropriate equipment available to provide the following services to pediatric patients:

(1) Dialysis.

(2) Anesthesia.

(3) Intensive care.

(4) Operating room.