Part Six: Health facilities and services

The paediatric critical care modality includes the following entries: 1° Referral intensive care and multi-purpose paediatric intensive care, and speciality intensive care where applicable; 2° Intensive care and multi-purpose paediatric intensive care, and speciality intensive care where applicable; 3° Derogatory multi-purpose paediatric intensive care; 4° Paediatric haematology intensive care.

I.- Holders of designation 1° under the adult critical care modality of article R. 6123-34-1 and holders of designation 1° or 2° under the paediatric critical care modality of article R. 6123-34-2 must set up a critical care technical platform comprising at least one intensive care unit and at least one contiguous polyvalent intensive care unit. II.-The intensive care unit ensures the care of patients who present or are likely…

I. – Exceptionally and on a temporary basis, in the absence of available paediatric critical care beds, patients under the age of 18 may be treated in adult critical care on site or by agreement with a holder of the authorisation for adult critical care activity, enabling treatment to be provided within a timeframe compatible with the imperatives of care safety. II. – As part of a paediatric care pathway,…

I. – The holder of the authorisation provides round-the-clock care, every day of the year, for the reception, diagnostic and therapeutic management, monitoring and transfer of patients as soon as their state of health permits. II. – The holder of the 1° adult critical care authorisation ensures the safety and continuity of critical care by organising the return or transfer of patients to intensive care units as soon as their…

I. – Authorisation for entries 1° and 2° under the adult critical care modality may only be granted if the holder has at his disposal twenty-four hours a day, every day of the year: a) On site, full-time surgical hospitalisation facilities, adapted to the patient’s age; b) On site or by agreement, full-time medical hospitalisation facilities, adapted to the patient’s age; c) On site, an operating theatre with post-interventional monitoring…

I. – Authorisation for 1° under the adult critical care modality and for 1° and 2° under the paediatric critical care modality may only be granted if the holder has access, on site or by agreement, to a technical platform enabling care to be taken within timescales that are compatible with the imperatives of safe care: a) Medical imaging examinations using conventional radiology, angiography by scanner and ultrasound, MRI and…

I. – Authorisation for 3° under the adult critical care modality may only be granted if the holder has a medical unit on site dedicated to cardiology activities. II.- The holder has, on site or by agreement, access to: a) A cardiac and vascular surgery unit; b) An intensive care unit. III.The holder has, on site or by agreement, access to: a) A medical imaging platform enabling scintigraphy and MRI…

I.-The 4° adult critical care authorisation may only be granted if the holder has an on-site medical unit dedicated to vascular neurology activities. II.-The holder has on-site access, or access under an agreement that allows care to be taken within timescales that are compatible with the imperatives of care safety, to: a) An emergency facility; b) A resuscitation unit; c) A neurosurgery unit. III.-The holder has, on site or by…

I.- Authorisation for entry 5° under the adult critical care modality and entry 4° under the paediatric critical care modality may only be granted if the holder has an on-site medical unit dedicated to haematology activities, adapted to the age group. II. – The holder has, on site or by agreement, access to: a) An age-appropriate unit dedicated to haematopoietic stem cell transplantation; b) An age-appropriate intensive care unit. III…

I. – The holder of the 1° designation and the 2° designation under the paediatric critical care modality of article R. 6123-34-2 must comply with a minimum annual activity level set by order of the Minister for Health. In the case of a new establishment, the minimum annual activity level is forecast for the first year. This activity level is expressed in terms of the number of infants, children and…