Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.13 - Facility Standards-Surgical Suites/Anesthesia

Current through June 25, 2024
1. The
					 operating room (OR) must be staffed and available in-house 24
					 hours/day.
2. An operating room
					 must be adequately staffed and available within 30 minutes of time of
					 notification. Availability of the operating room personnel and timeliness of
					 starting operations must be continuously evaluated by the trauma performance
					 improvement process, and measures must be implemented to ensure optimal
					 care.
3. The OR nurses must
					 participate in the care of the pediatric trauma patient and be competent in the
					 surgical stabilization of the major pediatric trauma patient. The Surgical
					 nurses are an integral member of the trauma team and must participate in the
					 ongoing PI process of the pediatric trauma program and be represented on the
					 Multidisciplinary Trauma Committee.
4. The OR supervisor must be able to
					 demonstrate a prioritization scheme to assure the availability of an operating
					 room for the emergency pediatric patient during a busy operative schedule.
					 There must be an on-call system for additional personnel for multiple patient
					 admissions.
5. The anesthesia
					 department in a tertiary pediatric trauma center must be organized and run by
					 an anesthesiologist who has a special interest in the care of the injured
					 pediatric patient. Anesthesiologist on the pediatric trauma team must have
					 successfully completed an anesthesia residency program approved by the
					 Accreditation Council of Graduate Medical Education or the American Board of
					 Osteopathic Specialists and have board certification in anesthesia. One
					 anesthesiologist must maintain commitment to education in trauma related
					 anesthesia.
6. Anesthesia must be
					 available in-house 24 hours/day. Anesthesia Chief Residents or Certified
					 Registered Nurse Anesthetist (CRNAs) who are capable of assessing emergency
					 situations in pediatric trauma patient and of providing indicated treatment,
					 including initiation of surgical anesthesia may fill this requirement. When the
					 CRNA or chief resident is used to meet this requirement, the staff
					 Anesthesiologist on-call will be available within 30 minutes, and present for
					 all operations.
7. Hospital policy
					 must be established to determine when the anesthesiologist must be immediately
					 available for airway control and assisting with resuscitation. The availability
					 of the anesthesiologist and the absence of delays in airway control or
					 operative anesthesia must be documented and monitored by the PI process. The
					 maximum response time for all trauma patients is 30 minutes from the time
					 notified to respond.
8. The list of
					 required equipment necessary for Surgery and Anesthesia can be found on line at
					 the department's website.
Miss. Code Ann.
						§
												41-59-5