Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2030 - Level I Trauma Center Designation Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) Level I
				Trauma Centers, under the direction of Level I Trauma Center Medical Directors,
				shall be responsible for coordinating and managing trauma care in the EMS
				Region. This responsibility includes obtaining the cooperation of all Level II
				Trauma Centers, Participating Hospitals, and EMS Systems in the EMS Region. A
				Level I Trauma Center Medical Director shall be the chairperson of the Regional
				Trauma Advisory Committee.
b) The
				Trauma Center Medical Director shall be a trauma surgeon, board certified in
				surgery, with at least two years of post-residency experience in trauma care
				and with 24-hour independent operating privileges.
c) The trauma center shall provide a trauma
				service, separate from the general surgery service, that is an identified
				hospital service functioning under the designated director and staffed by
				trauma surgeons with one year of experience in trauma, and who are available
				in-house 24 hours a day for immediate response.
1) Trauma surgeons shall have 10 hours of
				trauma-related CME every two years.
2) The trauma surgeon requirement may be
				fulfilled by residents with a minimum of four years of general surgery
				residency training with independent operating room privileges and who have
				current Advanced Trauma Life Support (ATLS) verification.
3) If the resident is fulfilling the trauma
				surgeon requirement, the attending physician must be consulted within 30
				minutes after the patient's being classified as Category I or II.
4) If the resident is fulfilling the trauma
				surgeon requirement, it is mandatory that an attending be present 30 minutes
				after the decision to operate is made.
5) The trauma surgeon, resident or surgical
				subspecialist shall be consulted when the decision is made to admit a Category
				II patient. The trauma surgeon or appropriate subspecialist shall see the
				patient within 12 hours after Emergency Department (ED) arrival.
6) A physician with current ATLS verification
				or who has current competency in the initial resuscitation of the trauma
				patient as verified by the professional staff competency plan must be present
				24 hours per day in the Level I Trauma Center to treat the trauma
				patient.
7) The hospital's quality
				improvement program shall monitor compliance with this subsection
				(c).
8) The trauma center shall
				have the option of allowing the ED personnel to determine that a trauma patient
				with an isolated injury may be treated by one of the services listed in
				subsection (d) of this Section. An isolated injury refers to the transfer of
				energy to a single specific anatomic body region with no potential for
				multisystem involvement. The subspecialist is to arrive within the designated
				time listed in subsection (d) after notification that his or her services are
				needed at the hospital. When the need for neurosurgical intervention has been
				identified, the neurosurgeon must arrive and be available in a fully staffed
				operating room within 60 minutes after the identification of need for operative
				intervention.