reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 5 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-5.4.4 - Transfer Guidelines

Current through June 25, 2024
All facilities will work together to develop transfer
						guidelines indicating which patients should be considered for transfer and
						procedures to ensure the most expedient, safe transfer of the patient. The
						transfer guidelines shall make certain that feedback is provided to the
						facilities and assure that this information becomes part of the trauma
						registry. All designated facilities will agree to provide service to the trauma
						patient regardless of their ability to pay.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 5 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-5.4.5 - Performance Improvement/Evaluation

Current through June 25, 2024
1. The trauma
					 center must develop and implement a trauma specific performance improvement
					 plan. Key elements in trauma system planning are evaluation, measurement and
					 improvement of performance. The goal is to decrease variation in care and
					 improve patient outcomes.
2.
					 Compliance with the above will be evidenced by:
a. Review of compliance with EMS Triage
					 Guidelines and Protocols;
b.
					 Compliance with written Trauma Team Activation Criteria;
c. Compliance with the principles of
					 ATLS;
d. Peer Review of all trauma
					 deaths to determine timeliness and appropriateness of care and preventability
					 of death;
e. Review of trauma
					 related morbidities for appropriateness of care and preventability;
f. Nursing Audit (clinical review of nursing
					 documentation and quality of care rendered to trauma patients);
g. Review of timeliness and appropriateness
					 of all transfers out;
h. Review of
					 prehospital trauma care;
i. Review
					 of times/reasons for trauma-related bypass;
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 5 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-5.4.6 - Education

Current through June 25, 2024
Level IV Trauma Centers must have internal trauma
						education programs for physicians, mid-level providers, nurses, and
						pre-hospital providers (when employed by the hospital).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.1 - General

Current through June 25, 2024
1. Tertiary Pediatric Trauma Centers shall
					 act as regional tertiary care facilities at the hub of the trauma care system
					 for injured pediatric patients. The facility shall have the ability to provide
					 leadership and total care for every aspect of injury from prevention to
					 rehabilitation. The Tertiary Pediatric Trauma Center must have adequate depth
					 of resources and personnel.
2. A
					 stand-alone Pediatric Trauma Center provides tertiary pediatric trauma care
					 without sharing resources with another facility (i.e., CT scanner, radiology,
					 surgeons, etc). Only Level I Trauma Centers and Stand-alone pediatric hospitals
					 may qualify as a tertiary Pediatric Trauma Center.
3. The Tertiary Pediatric Trauma Centers have
					 the responsibility of providing leadership in pediatric trauma education,
					 trauma prevention, pediatric trauma research, and system planning.
4. The list of required equipment for
					 Tertiary Pediatric Trauma Centers can be found on-line at
http://msdh.ms.gov/msdhsite/static/49.html
.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
1. The Tertiary
					 Pediatric Trauma Center must have the following department, divisions, or
					 sections:
a. Emergency medicine
b. General surgery (not required for
					 stand-alone Pediatric Trauma enter)
c. Pediatric surgery
d. Orthopedic surgery
e. Neurological surgery
f. Anesthesia
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.3 - Pediatric Trauma Program

Current through June 25, 2024
1. There must be a
					 written commitment on behalf of the entire facility to the organization of
					 pediatric trauma care. The written commitment shall be in the form of a
					 resolution passed by an appropriate quorum of the members of the governing
					 authority. Should the business organization be other than a corporation, a
					 letter explaining such together with a written commitment of the hospital's
					 chief executive officer to the establishment of a pediatric trauma care program
					 is sufficient. The pediatric trauma program must be established and recognized
					 by the medical staff and hospital administration. The pediatric trauma program
					 must come under the direction of a board-certified surgeon with special
					 interest in pediatric trauma care. An identified hospital administrative leader
					 must work closely with the pediatric trauma medical director to establish and
					 maintain the components of the pediatric trauma program including appropriate
					 financial support. The pediatric trauma program location in the organizational
					 structure of the hospital must be under the overall adult trauma program and
					 must be such that it may interact effectively with at least equal authority
					 with other departments providing pediatric patient care. The administrative
					 structure should minimally include an administrator, pediatric medical
					 director, trauma program manager, trauma registrar, and the appropriate support
					 staff. These resources must be captured under the organization of the adult
					 trauma program. The pediatric trauma program must be multidisciplinary in
					 nature and the performance improvement evaluation of this care should be
					 extended to all the involved departments.
2. Compliance with the above will be
					 evidenced by but not confined to:
a.
					 Governing authority and medical staff letter of commitment in the form of a
					 resolution;
b. Written policies and
					 procedures and guidelines for care of the pediatric trauma patient;
c. Defined pediatric trauma team and written
					 roles and responsibilities;
d.
					 Appointed pediatric trauma medical director with a written job
					 description;
e. Appointed pediatric
					 trauma program manager with a written job description;
f. A written pediatric trauma performance
					 improvement plan;
g. Documentation
					 of pediatric trauma center representative attendance at the regional trauma
					 advisory committee meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.4 - Pediatric Trauma Service

Current through June 25, 2024
The pediatric trauma service must be established and
						recognized by the medical staff and be responsible for the overall coordination
						and management of the system of care rendered to the injured pediatric patient.
						The pediatric trauma service will vary in each institution depending on the
						needs of the pediatric patient and the resources available. The pediatric
						trauma service must come under the organization of the adult trauma program
						(not required for a stand-alone facility) and direction of a surgeon who is
						board certified with special interest in pediatric trauma care. All pediatric
						patients with multiple system trauma or major injury must be evaluated by the
						pediatric trauma service. The surgeon responsible for the overall care of the
						pediatric patient must be identified.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.5 - Pediatric Trauma Medical Director (TMD)

Current through June 25, 2024
Tertiary pediatric trauma centers must have a physician
						director of the pediatric trauma program. This role can be filled by the TMD of
						the adult trauma center. The pediatric TMD plays an important administrative
						role. The pediatric TMD must be a board-certified surgeon with a special
						interest in pediatric trauma care. The pediatric TMD will be responsible for
						developing a performance improvement process and will have overall
						accountability and administrative authority for the pediatric trauma program.
						The pediatric TMD must be given administrative support to implement the
						requirements specified by the State trauma plan. The pediatric TMD is
						responsible for working with the credentialing process of the hospital, and in
						consultation with the appropriate service chiefs, for recommending appointment
						and removal of physicians from the pediatric trauma team. He/she should
						cooperate with nursing administration to support the nursing needs of the
						pediatric trauma patient and develop treatment protocols for the pediatric
						trauma patient. The pediatric trauma medical director, in collaboration with
						the trauma program manager, should coordinate the budgetary process for the
						trauma program. The director must be currently certified in ATLS, maintain
						personal involvement in care of the injured pediatric patient, maintain
						education in pediatric trauma care, and maintain involvement in professional
						organizations. The pediatric TMD must be actively involved with the trauma
						system development at the community, regional, and state
						levels.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.6 - Pediatric Trauma Program Manager

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a registered nurse working in the role of
					 the TPM. The TPM of the adult trauma center may assume this additional role;
					 however, if a pediatric TPM is utilized, the pediatric TPM is to report and be
					 held accountable by the adult TPM. Working in conjunction with the pediatric
					 trauma medical director, the pediatric TPM is responsible for organization of
					 the pediatric trauma program and all systems necessary for the
					 multidisciplinary approach throughout the continuum of trauma care. The
					 pediatric TPM is responsible for working with the pediatric trauma team to
					 assure optimal patient care. There are many requirements for data coordination,
					 PI, education, and prevention activities incumbent upon this
					 position.
2. The pediatric
					 TPM/designee should offer or coordinate services for pediatric trauma
					 education. The pediatric TPM should liaison with local EMS personnel, the
					 Department, the Trauma Care Regions, and other trauma centers.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.7 - Pediatric Trauma Team

Current through June 25, 2024
The team approach is optimal in the care of the multiple
						injured pediatric patient. There must be identified members of the pediatric
						trauma team. Policies should be in place describing the respective role of all
						personnel on the pediatric trauma team. The composition of the pediatric trauma
						team will depend of the characteristics of the hospital and its staff. In some
						instances a tiered response may be appropriate. If a tiered response is
						employed written policy must be in place and the system monitored by the PI
						process. All physicians and/or mid-level providers on the pediatric trauma team
						responsible for directing the initial resuscitation of the pediatric trauma
						patient must be certified in The American College of Surgeons Advanced Trauma
						Life Support (ATLS). ATLS requirement is waived for Board Certified Emergency
						Medicine and Board Certified General Surgery physicians. A pediatric ED
						physician and pediatric general/trauma surgeon are required members of the
						team. Additional members may include:
1. Anesthesiologist
2. Pediatricians
3. Laboratory technicians as dictated by
					 clinical needs
4. Mental
					 health/social services/radiology technicians
5. Pastoral care
6. Respiratory therapist
7. Nurses: ED, OR, ICU, etc.
8. Police/Security officers
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.8 - Multidisciplinary Trauma Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire trauma
					 program including the pediatric trauma program. The exact format will be
					 hospital specific and may be accomplished by collaboration with another
					 designated trauma center in the region. Each trauma center may choose to have
					 one or more committees as needed to accomplish this task. One committee should
					 be multidisciplinary and focus on pediatric trauma program oversight and
					 leadership. The major focus will be on performance improvement (PI) activities,
					 pediatric trauma policy development, communication among all pediatric trauma
					 team members, and establishment of pediatric trauma standards of care,
					 education, and outreach programs for pediatric injury prevention. The committee
					 has administrative and systematic control and oversees implementation of all
					 pediatric trauma program services, meets regularly, takes attendance, maintains
					 minutes, and works to correct overall pediatric trauma program deficiencies to
					 optimize pediatric patient care. Suggested membership for the committee
					 includes representatives from:
a. Pediatric
					 Emergency Medicine
b. Pediatric
					 Surgery
c. Pediatric
					 Orthopedics
d. Pediatric
					 Neurosurgery
e.
					 Anesthesia
f. Operating
					 room
g. Intensive care
h. Respiratory Therapy
i. Radiology
j. Laboratory
k. Pediatric Rehabilitation
l. Pre-hospital care providers
m. Administration
n. Pediatrics
o. Nursing
p. Trauma Program Manager
q. Clinical managers (or designees) of the
					 departments involved with pediatric trauma care should plan an active role with
					 the committee
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.10 - Qualifications of Surgeons on the Trauma Team

Current through June 25, 2024
1. Basic
					 qualifications for pediatric trauma care for any surgeon is Board Certification
					 in a surgical specialty recognized by the American Board of Medical
					 Specialties, the Advisory Board of Osteopathic Specialties, the Royal College
					 of Physicians, the American Dental Association and Surgeons of Canada, or other
					 appropriate foreign board. Many boards require a practice period. Such an
					 individual may be included when recognition by major professional organizations
					 has been received in their specialty. The board certification criteria apply to
					 the general surgeons, orthopedic surgeons, and neurosurgeons.
2. Alternate criteria in lieu of board
					 certification are as follows:
a. A non-board
					 certified general surgeon must have completed a surgical residency
					 program.
b. He/she must be licensed
					 to practice medicine.
c. He/she
					 must be approved by the hospital's credentialing committee for surgical
					 privileges.
d. The surgeon must
					 meet all criteria established by the pediatric trauma medical director to serve
					 on the pediatric trauma team.
e.
					 The surgeon's experience in caring for the pediatric trauma patient must be
					 tracked by the trauma PI program.
f. The pediatric trauma medical director must
					 attest to the surgeon's experience and quality as part of the recurring
					 granting of pediatric trauma team privileges.
g. The pediatric trauma medical director
					 using the trauma PI program is responsible for determining each general
					 surgeon's ability to participate on the pediatric trauma team.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.11 - Qualifications of Emergency Physicians

Current through June 25, 2024
1. For those
					 physicians providing emergency medicine coverage, board certification in
					 Emergency Medicine is desirable. However, emergency medicine physicians who are
					 boarded in a specialty recognized by the American Board of Medical Specialists,
					 a Canadian Board or other equivalent foreign board meets the
					 requirements.
2. Alternate criteria
					 for the non-boarded physician working in the Emergency Department are as
					 follows:
a. He/she must be licensed to
					 practice medicine.
b. He/she must
					 be approved by the hospital's credentialing committee for emergency medicine
					 privileges.
c. The physicians meet
					 all criteria established by the pediatric trauma and emergency medicine
					 directors to serve on the pediatric trauma team.
d. The physician's experience in caring for
					 the pediatric trauma patient must be tracked by the trauma PI
					 program.
e. The pediatric trauma
					 and emergency medicine directors must attend to the physician's experience and
					 quality as part of the recurring granting of pediatric trauma team
					 privileges.
f. Residency in
					 Emergency Medicine is desirable.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.12 - Facility Standards-Emergency Medicine

Current through June 25, 2024
1. The facility
					 must have a dedicated pediatric emergency department so pediatric patients are
					 assured immediate and appropriate initial care. The emergency physician must be
					 in-house 24 hours/day and immediately available at all times. The emergency
					 department medical director must meet the recommended requirements related to
					 commitment, experience, continuing education, ongoing credentialing, and board
					 certification in emergency medicine.
2. The director of the emergency department,
					 along with the pediatric trauma medical director, will establish
					 trauma-specific credentials that should exceed those that are required for
					 general hospital privileges. Examples of credentialing requirements would
					 include skill proficiency, training requirements, conference attendance,
					 education requirements, ATLS verification, and specialty board
					 certification.
3. The emergency
					 medicine physician will be responsible for activating the pediatric trauma team
					 based on predetermined response protocols. He will provide trauma leadership
					 and care for the pediatric trauma patient until the arrival of the surgeon in
					 the resuscitation area. The emergency department must have established
					 standards and procedures to ensure immediate and appropriate care for the
					 pediatric trauma patient. The emergency department medical director, or his/her
					 designee, must act as a liaison and participate with the Multidisciplinary
					 Trauma Committee and the trauma PI process.
4. There should be an adequate number of RN's
					 staffing the trauma resuscitation area in-house 24 hours/day. Emergency nurses
					 staffing the trauma resuscitation area must be a current provider of Trauma
					 Nurse Core Curriculum (TNCC) and participate in the ongoing PI process of the
					 trauma program. Nurses must obtain TNCC within 18 months of assignment to the
					 ER. There must be a written plan ensuring nurses maintain ongoing trauma
					 specific education.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.13 - 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. The Surgical nurses
					 should 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.
3. 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.
4. 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. If this is not the director, an anesthesiologist liaison
					 with the same qualifications should be identified. 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.
5. Anesthesia must be
					 available in-house 24hours/day with a mechanism established to ensure early
					 notification of the on-call anesthesiologist. Anesthesia requirements may be
					 fulfilled by 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. When the CRNA or chief resident is used to
					 meet this requirement, the staff Anesthesiologist will be advised and promptly
					 available at all times and present for operations. Tertiary pediatric trauma
					 centers must document conditions when the anesthesiologist must be immediately
					 available for airway emergencies and operative management of the pediatric
					 trauma patient. The availability of the anesthesiologist and the absence of
					 delays in operative anesthesia must be documents and monitored by the trauma PI
					 process. The anesthesiologist liaison participating on the pediatric trauma
					 team must participate in the Multidisciplinary Trauma Committee and the trauma
					 PI process.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.14 - Facility Standards-PACU

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a PACU staffed 24 hours/day and available to
					 the postoperative pediatric trauma patient. Frequently it is advantageous to
					 bypass the PACU and directly admit to the PICU. In this instance, the pediatric
					 intensive care unit may meet these requirements.
2. PACU nurses must show evidence of
					 completion of a structured in-service program. There must be a written plan
					 ensuring nurses maintain ongoing trauma specific education. PACU staffing
					 should be in sufficient number to meet the critical needs of the pediatric
					 trauma patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.16 - Clinical Support Services-Respiratory Therapy

Current through June 25, 2024
The service must be staffed with qualified personnel
						in-house 24 hours/day to provide the necessary treatment for the injured
						pediatric patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.17 - Clinical Support Services-Radiological Services

Current through June 25, 2024
1. A radiological service must have a
					 certified radiological technician in-house 24 hours/day and immediately
					 available at all times for general radiological procedures. Sonography,
					 angiography, and MRI must be available to the pediatric trauma team. A
					 technician must be in-house and immediately available for computerized
					 tomography (CT) for both head and body. Specialty procedures such as
					 angiography, MRI, and sonography may be covered with a technician on-call. If
					 the technician is not in-house 24 hours/day for special procedures, the trauma
					 PI process must document and monitor that the procedure is promptly
					 available.
2. A board-certified
					 radiologist should administer the department and participate actively in the
					 trauma education and PI process. A staff radiologist must be promptly
					 available, when requested, for the interpretation of radiographs, performance
					 of complex imaging studies or interventional procedures. The radiologist must
					 ensure the preliminary interpretations are promptly reported to the pediatric
					 trauma team and the trauma PI program must monitor all changes in
					 interpretations.
3. Written policy
					 should exist delineating the prioritization/availability of the CT scanner for
					 pediatric trauma patients. The trauma PI process must ensure that pediatric
					 trauma patients are accompanied by appropriately trained licensed providers and
					 that the appropriate resuscitation and monitoring are provided during transport
					 to and while in the radiology department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.18 - Clinical Support Services-Laboratory Services

Current through June 25, 2024
1.
					 Clinical laboratory service must have the following services available in-house
					 24 hours/day:
a. Access to blood bank and
					 adequate storage facilities. Sufficient quantities of blood and blood products
					 must be maintained at all times. Blood typing and cross-match capabilities must
					 be readily available.
b. Standard
					 analysis of blood, urine and other body fluids including micro-sampling when
					 appropriate.
c. Blood gas and pH
					 determinations (this function may be performed by services other than the
					 clinical laboratory service, when applicable).
d. Alcohol screening is required and drug
					 screening is highly recommended.
e.
					 Coagulation studies.
f.
					 Microbiology.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.19 - Clinical Support Services-Acute Hemodialysis

Current through June 25, 2024
Tertiary pediatric trauma centers must have Acute
						Hemodialysis services.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.20 - Clinical Support Services-Burn Care

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a Burn Center that provides this service if this service if it is not
						available at the tertiary pediatric trauma center. Policies and procedures
						shall be in place to assure the appropriate care is rendered during the initial
						resuscitation and transfer of the patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.21 - Clinical Support Services-Rehabilitation/Social Services

Current through June 25, 2024
1. The rehabilitation of the pediatric trauma
					 patient and the continued support of the family members are an important part
					 of the trauma system. Each facility will be required to address a plan for
					 integration of rehabilitation into the acute and primary care of the pediatric
					 trauma patient, at the earliest stage possible after admission to the tertiary
					 pediatric trauma center. Hospitals will be required to identify a mechanism to
					 initiate rehabilitation services and/or consultation in a timely manner as well
					 as policies regarding coordination of the Multidisciplinary Rehabilitation
					 Team. Policies must be in place to address the coordination of transfers
					 between acute care facilities and approved rehabilitation facilities, and shall
					 include a feedback mechanism for the acute care facilities to update the health
					 care team on the patient's progress and outcome for inclusion in the trauma
					 registry. The rehabilitation services should minimally include: occupational
					 therapy, physical therapy, and speech pathology.
2. The nature of traumatic injury requires
					 that the psychological needs of the pediatric patient and family are considered
					 and addressed in the acute stages of injury and throughout the continuum of
					 recovery. Adequate number of trained personnel must be available to the
					 pediatric trauma patient and family. Programs, such as Child Life, must be
					 available to meet the unique needs of the pediatric trauma patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.22 - Clinical Support Services-Prevention/Public Outreach

Current through June 25, 2024
1. Tertiary pediatric trauma centers will be
					 responsible for taking a lead role in coordination of appropriate agencies,
					 professional groups, and hospitals in their region to develop a strategic plan
					 for public awareness. This plan must take into consideration public awareness
					 of the trauma system, access to the system, public support for the system, as
					 well as specific prevention strategies. Prevention program must be specific to
					 the needs of the region. The trauma registry data must be utilized to identify
					 injury trends and focus prevention needs.
2. Outreach is the act of providing resources
					 to individuals and institutions that do not have the opportunities to maintain
					 current knowledge and skills. Staff members at the tertiary pediatric trauma
					 center must provide consultation to staff members of other level facilities.
					 For example ATLS, Pre-Hospital Trauma Life Support (PHTLS), TNCC, and Transport
					 Nurse Advance Trauma Course (TNATC) courses can be coordinated by the tertiary
					 pediatric trauma center. Trauma physicians must provide a formal follow-up to
					 referring physicians/designee about specific patients to educate the
					 practitioners for the benefit of trauma injured pediatric patients.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.23 - Clinical Support Services-Transfer Guidelines

Current through June 25, 2024
Tertiary pediatric trauma centers should work in
						collaboration with the referral facilities in the system and develop
						interfacility transfer guidelines. These guidelines must address criteria to
						identify high-risk pediatric trauma patients that could benefit from a higher
						level of trauma care. All designated facilities will agree to provide services
						to the pediatric trauma patient regardless of his/her ability to
						pay.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.24 - Clinical Support Services-Performance Improvement/Evaluation

Current through June 25, 2024
1. A key element in trauma system planning is
					 evaluation. All licensed hospitals which have organized emergency services or
					 departments will be required to participate in the statewide trauma registry
					 for the purpose of supporting peer review and performance improvement
					 activities at the local, regional, and state levels. Since these data relate to
					 the specific trauma patients and are used to evaluate and improve the quality
					 of health care services, the data is confidential as provided in Miss. Code An.
					 41-59-77.
2. The tertiary pediatric
					 trauma center must develop an internal trauma specific Performance Improvement
					 (PI) plan that is pediatric specific and must minimally address the following
					 key components. The pediatric PI plan must be fully integrated into the
					 hospital wide PI program:
3. An
					 organized structure that facilitates performance improvement.
					 (Multidisciplinary Trauma Committee)
a.
					 Clearly defines authority and accountability for the program.
b. Clearly stated goals and objectives one of
					 which should be reduction of inappropriate variations in care.
c. Development of expectations (criteria)
					 from evidence based guidelines, pathways and protocols.
d. These should be appropriate, objectively
					 defined standards to determine quality of care.
e. Explicit definitions of outcomes derived
					 from institutional standards.
f.
					 Documentation system to monitor performance, corrective action, and the result
					 of the actions taken.
g. A process
					 to delineate credentialing of all trauma service physicians.
h. An informed peer review process utilizing
					 a multidisciplinary method.
i. A
					 method of comparing patient outcomes with computed survival
					 probability.
j. Autopsy information
					 on all deaths when available.
k.
					 Review of pre-hospital care.
l.
					 Review of times and reasons for trauma bypass.
m. Review of times and reasons for trauma
					 transfers.
n. Morbidity and
					 mortality review.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.25 - Clinical Support Services-Education

Current through June 25, 2024
Tertiary pediatric trauma centers must have medical
						education programs including educational training in pediatric trauma for
						physicians, nurses, and pre-hospital providers. The tertiary pediatric trauma
						center must take a leadership role in providing educational activities.
						Education can be accomplished via many mechanisms (i.e., classic CME,
						preceptorships, fellowships, clinical rotations, telecommunications or
						providing locum tenens, etc.)
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-12-32-6.1.26 - Clinical Support Services-Research

Current through June 25, 2024
1. The trauma
					 research program must be designated to produce new knowledge applicable to the
					 care of the injured patients. The research may be conducted in a number of ways
					 including traditional laboratory and clinical research, reviews of clinical
					 series, and epidemiological or other studies. Publications of articles in
					 peer-review journals as well as presentations of results in local, regional,
					 and national meetings and ongoing studies approved by human and animal research
					 review boards are expected from productive programs. The program should have an
					 organized structure that fosters and monitors ongoing productivity.
2. The research program must be balanced to
					 reflect the number of different interests. There must be a research committee,
					 and identifiable Institutional Review Board process, active research protocols,
					 surgeons involved in extramural educational presentations and adequate number
					 of peer reviewed scientific publications. Publications should appear in
					 peer-reviewed journals. In a three-year cycle, the suggested minimum activity
					 is ten publications (per review cycle) from the physicians representing the
					 membership of the Trauma Team.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-12-32-6.2.1 - General

Current through June 25, 2024
1. A secondary pediatric trauma center is an
					 acute care facility with the commitment, medical staff, personnel and specialty
					 training necessary to provide initial resuscitation of the pediatric trauma
					 patient. Pediatric patients should remain at the secondary pediatric trauma
					 center only for orthopedic injuries. The decision to transfer a pediatric
					 patient rests with the physician attending the pediatric trauma patient. All
					 secondary pediatric trauma centers will work collaboratively with other trauma
					 facilities to develop transfer protocols and a well-defined transfer
					 sequence.
2. As a minimum, only
					 Level III or higher adult trauma centers may qualify as a Secondary Pediatric
					 Trauma Center. All pediatric trauma admissions will be reviewed by the PI
					 process.
3. The list of required
					 equipment for Secondary Pediatric Trauma Centers can be found on-line at
http://msdh.ms.gov/msdhsite/static/49.html
.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-12-32-6.2.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
The secondary pediatric trauma center must have the
						following departments, divisions, or sections:
1. Emergency Medicine
2. General Surgery
3. Orthopedic Surgery
4. Anesthesia
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-12-32-6.2.3 - Pediatric Trauma Program

Current through June 25, 2024
1. There must be a
					 written commitment on behalf of the entire facility to the organization of
					 pediatric trauma care. The written commitment shall be in the form of a
					 resolution passed by an appropriate quorum of the members of the governing
					 authority. Should the business organization be other than a corporation, a
					 letter explaining such together with a written commitment of the hospital's
					 chief executive officer to the establishment of a pediatric trauma care program
					 may be sufficient. The pediatric trauma program must be established and
					 recognized by the medical staff and hospital administration. The pediatric
					 trauma program must come under the direction of a board-certified surgeon with
					 a special interest in trauma care. An administrative structure should ideally
					 include an administrator, medical director, trauma program manager, trauma
					 registrar, and other appropriate staff. As minimum, an identified hospital
					 administrative leader should work closely with the pediatric trauma medical
					 director to establish and maintain the components of the pediatric trauma
					 program including appropriate financial support. The pediatric trauma program
					 location in the organizational structure of the hospital should be placed so
					 that it may interact effectively with at least equal authority with other
					 departments providing patient care. The pediatric trauma program should be
					 multidisciplinary in nature and the performance improvement evaluation of this
					 care must extend to all the involved departments.
2. Compliance with the above will be
					 evidenced by but not limited to:
a. Governing
					 authority and medical staff letter of commitment in the form of a
					 resolution;
b. Written policies and
					 procedures and guidelines for care of the pediatric trauma patient;
c. Defined trauma team and written roles and
					 responsibilities;
d. Appointed
					 Trauma Medical Director with a written job description;
e. Appointed Trauma Program Manager with a
					 written job description;
f. A
					 written Trauma Performance Improvement plan;
g. Documentation of trauma center
					 representative attendance at the Trauma Care Region(s) meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-12-32-6.2.4 - Pediatric Trauma Service

Current through June 25, 2024
A is an organized structure of care for the pediatric
						patient. The must be established and recognized by the medical staff. The
						service includes personnel and resources necessary to ensure the appropriate
						efficient care delivery. The composition of the service will vary depending on
						the nature of the medical center, available resources and personnel and patient
						clinic need. The must come under the organization and direction of a surgeon
						who is board certified with special interest in pediatric trauma care. All
						pediatric patients with multiple system trauma or major injury must be
						evaluated by the . Injured pediatric patients may be admitted to individual
						surgeons.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 6 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-12-32-6.2.5 - Pediatric Trauma Medical Director

Current through June 25, 2024
1. Secondary
					 pediatric trauma centers must have a physician director of the pediatric trauma
					 program. The pediatric trauma medical director plays an important
					 administrative role. The pediatric trauma medical director must be a
					 board-certified surgeon with special interest in pediatric trauma care. The
					 pediatric trauma medical director will be responsible for developing a
					 performance improvement process and, through this process, will have overall
					 accountability for all pediatric trauma patients and administrative authority
					 for the hospital's pediatric trauma program. The pediatric trauma medical
					 director must be given administrative support to implement the requirements
					 specified by the State Trauma Plan. The director is responsible for working
					 with the credentialing process of the hospital and, in consultation with the
					 appropriate service chiefs, recommending appointment and removal of physicians
					 from the pediatric trauma team. He/she should cooperate with nursing
					 administration to support the nursing needs of the pediatric trauma patient and
					 develop treatment protocols for the pediatric trauma patients. The director in
					 collaboration with the Trauma Program Manager/TPM should coordinate the
					 budgetary process for the pediatric trauma program.
2. The pediatric trauma medical director must
					 be currently certified by the American College of Surgeons Advanced Trauma Life
					 Support (ATLS), maintain personal involvement in the care of the inured
					 pediatric patient. The pediatric trauma medical director, or designee, must be
					 actively involved with the trauma system development at the community, regional
					 and state level.
Miss. Code Ann.
						§
												41-59-5