Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.440 - Standards for Pediatric Trauma Center Designation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards for
				  pediatric trauma center designation.
(1) General Standards for Pediatric Trauma
				Center Designation.
(A) The pediatric trauma
				center shall be located in a children's hospital or in a level I trauma
				center.
(B) The hospital board of
				directors, administration, medical staff and nursing staff shall demonstrate a
				commitment to quality pedi-atric trauma care and shall treat any pediatric
				trauma patient presented to the facility for care. Methods of demonstrating the
				commitment shall include, but not be limited to, a board resolution that the
				hospital governing body agrees to establish policies and procedures for the
				maintenance of the services essential to a pediatric trauma center; assure that
				all pediatric trauma patients will receive medical care that meets the
				standards of this rule; commit the institution's financial, human and physical
				resources as needed for the trauma program; and establish a priority for the
				pediatric trauma patient to the full services of the institution.
(C) The hospital shall demonstrate evidence
				of a pediatric trauma program that provides the trauma team with appropriate
				experience to maintain skill and proficiency in the care of pediatric trauma
				patients.
(D) The hospital shall
				have a pediatric trauma team activation protocol that establishes the criteria
				used to rank trauma victims according to the severity and type of injury and
				identifies the persons authorized to notify trauma team members when a major
				pedi-atric trauma patient is en route or has arrived at the pediatric trauma
				center. That protocol shall provide for immediate notification and rapid
				response requirements for trauma team members.
(E) There shall be a lighted helipad on the
				hospital premises no more than three (3) minutes from the emergency
				department.
(F) The hospital shall
				appoint a board-certified pediatric surgeon to serve as pediatric trauma
				medical director.
1. The pediatric trauma
				medical director shall document a minimum average of sixteen (16) hours of
				trauma-related continuing medical education (CME) every year.
2. There shall be a job description and
				organizational chart depicting the relationship between the pediatric trauma
				program director and other services.
(G) A registered nurse shall be appointed to
				serve as the pediatric trauma nurse coordinator.
1. The pediatric trauma nurse coordinator
				shall document a minimum average of twenty-four (24) hours of trauma-related
				continuing nursing education every year.
2. There shall be a job description and
				organization chart depicting the relationship between the pediatric trauma
				nurse coordinator and other services.
(H) By the time of the initial review,
				pedi-atric surgeons who comprise the pediatric surgical trauma call roster
				shall have successfully completed or be registered for a provider advanced
				trauma life support (ATLS) course.
(I) All members of the pediatric surgical
				trauma call roster, including anesthesiology, shall document a minimum average
				of eight (8) hours of trauma-related CME every year.
(J) The hospital shall be able to document
				active involvement in local and regional emergency medical services (EMS)
				systems. The hospital can demonstrate involvement in the local and regional EMS
				programs by participating in EMS training programs and joint educational
				programs regarding the pediatric patient; providing appropriate clinical
				experience and EMS system quality assessment and quality assurance mechanisms;
				and assisting in the development of regional policies and procedures.
(K) The hospital shall have a plan to notify
				an organ or tissue procurement organization and cooperate in the procurement of
				anatomical gifts in accordance with the provisions in section
				194.233, RSMo.
(L) All pediatric trauma centers shall
				support and fully participate in the Missouri trauma registry and shall belong
				to the Missouri poison control network.