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 515.2040 - Level II Trauma Center Designation Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) A Level II
				Trauma Center, under the direction of a Level II Trauma Center Medical
				Director, shall be responsible for providing trauma care in accordance with the
				EMS System Program Plan.
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 will arrive at
				the hospital to treat the trauma patient within 30 minutes after the patient's
				being classified as a Category I trauma patient.
1) The trauma surgeons shall have 20 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 and current 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 for patients
				undergoing operative procedures by the time the surgery begins.
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 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 II 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
				maintain a call schedule that identifies at least a primary and back-up
				surgeon, each listed by surgeon's name.
9) 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) or (e) 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 must arrive within the time frame listed in subsection (d) or
				(e) 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.