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Hospital Pediatric Surge Tier Descritpions
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The following list details the surge targets for each hospital within LAC. Surge targets are based on existing pediatric capacity and capability, described in the Tiers listed below:
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Tier 1 - Tier 1 Hospitals are those facilities that currently care for pediatric intensive care, pediatric acute care, neonatal intensive care, and pediatric trauma patients. These facilities may be requested to take care of the most critically injured children throughout LAC.
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Tier 2 - Tier 2 Hospitals are those facilities that are medically equipped to care for children including pediatric intensive care, pediatric acute care, and neonatal intensive care patients. These facilities may be requested to take care of the most critically ill children throughout LAC.
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Tier 3 - Tier 3 Hospitals are adult trauma centers in LAC. These facilities do not have PICU capability but may be able to surgically handle traumatic injuries in children. If a PICU surge is greater than the surge targets for Tier 1 and 2 hospitals, this group of hospitals may be called upon to care for the additional surge of five PICU patients each.
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Tier 4 - Tier 4 Hospitals are EDAPs and provide inpatient pediatric acute care, except three (3) facilities are pediatric capable. Pediatric Capable (PC) facilities are indicated in italics.
Tier 4 hospitals may be requested to accept lower acuity patients compared to Tiers 1, 2, and 3.
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Tier 5 - Tier 5 Hospitals are EDAP, but do not provide inpatient pediatric services. These facilities may be requested to provide inpatient surge capacity for stable patients who are ideally over the age of eight (8). The Kaiser Foundation Hospitals (in italics) are non-EDAP Pediatric Capable (PC) facilities.
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Tier 6 - Tier 6 Hospitals/facilities that are non-EDAP and do not have licensed inpatient pediatric beds. These Tier facilities may be requested to surge for stable patients over eight (8) years of age. The Italicized hospitals have NICU “1” capability and may be able to use surge strategies to accommodate patients age two years twelve (12) months and under.
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Tier 7 - Tier 7 Hospitals without 9-1-1 receiving emergency departments that may also have a specialty service. These facilities may be used for transfer once a patient is stable based on their capabilities.
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