Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 4 - Level III Trauma Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-4.2.1 - Required Components

Current through June 25, 2024
Level III Trauma Centers must maintain published call
						schedules and have the following physician coverage immediately available 24
						hours/day:
1. Emergency Medicine
					 (In-house 24 hours/day). Emergency Physician and/or mid-level provider
					 (Physician Assistant/Nurse Practitioner) must be in the specified trauma
					 resuscitation area upon patient arrival.
2. Trauma/General Surgery. It is desirable
					 that a back up surgeon schedule is published. It is desirable that the surgeon
					 on-call is dedicated to the trauma center and not on-call to any other hospital
					 while on trauma call. A system should be developed to assure notification of
					 the on-call surgeon and compliance with these criteria and their
					 appropriateness must be documented and monitored by the PI process. Response
					 time for Alpha Alert/Activations is 30 minutes and starts at patient arrival or
					 EMS notification, whichever is sooner. Response time for Bravo
					 Alerts/Activations is 45 minutes from the time notified to respond.
3. Orthopedic Surgery. It is desirable to
					 have the orthopedists dedicated to the trauma center solely while on-call. The
					 maximum response time for all trauma patients is 60 minutes from the time
					 notified to respond.
4. Anesthesia.
					 Anesthesia must be immediately available with a mechanism established to ensure
					 early notification of the on-call anesthesiologist. Anesthesia chief residents
					 or Certified Registered Nurse Anesthetist (CRNAs) may fill this requirement.
					 When residents or CRNAs are utilized, the staff anesthesiologist on-call will
					 be advised, promptly available, and present for all operations. 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.
5. The
					 following specialists must be on-call and promptly available 24 hours/day:
					 Radiology
6. It is desirable
					 (although not required) to have the following specialist available to a Level
					 III Trauma Center:
a. Hand Surgery
b. Obstetrics/Gynecology Surgery
c. Ophthalmic Surgery
d. Oral/Maxillofacial Surgery
e. Plastic Surgery
f. Critical Care Medicine
g. Thoracic Surgery*
h. Microvascular Surgery
*A trauma surgeon is presumed to be qualified and have
						privileges to provide emergency thoracic surgical care to patients with
						thoracic injuries. If this is not the case, the facility should have a
						board-certified thoracic surgeon immediately available (within 30 minutes of
						the time notified to respond).