Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-12-32-1.1.4 - Definitions

Current through June 25, 2024
For the purposes of the Mississippi Trauma Care System,
						the following abbreviations, acronyms, and terms shall be defined as
						listed.
1. ACEP - American College of Emergency Physicians
2. ACLS - Advanced Cardiac Life Support.
3. ACSCOT - American College of Surgeons Committee on
						Trauma.
4. AIS - Abbreviated Injury Scale.
5. ALS - Advanced life support, including techniques of
						resuscitation, such as, intravenous access, and cardiac monitoring.
6. APLS - Advanced Pediatric Life Support.
7. ATCN Advanced Trauma Care for Nurses. A course
						designed for the registered nurse interested in increasing his/her knowledge in
						management of the multiple trauma patient.
8. ATLS - Advanced Trauma Life Support.
9. Alpha Patient A trauma patient meeting the criteria
						for an Alpha (major trauma or critically injured) Alert/Activation (refer to
						Appendix B).
10. BEMS Bureau of Emergency Medical Services,
						Mississippi State Department of Health.
11. BLS - Basic life support techniques of resuscitation,
						including simple airway maneuvers, administration of oxygen, and intravenous
						access.
12. Board Certified - Physicians and oral/maxillofacial
						surgeons certified by appropriate specialty boards recognized by the American
						Board of Medical Specialties and the Advisory Board of Osteopathic Specialties
						and the American Dental Association.
13. Burn Fund Mississippi Burn Care Fund established
						under Miss. Code Ann. §
											7-9-70.
14. BTLS - Basic Trauma Life Support.
15. Bravo Patient A trauma patient not meeting the
						criteria for an Alpha Alert/ Activation, however, has received injuries
						requiring immediate attention (refer to Appendix B).
16. Bypass (diversion) - A medical protocol or medical
						order for the transport of a trauma patient past a normally used EMS receiving
						facility to a designated medical facility for the purpose for accessing more
						readily available or appropriate medical care.
17. CAP Corrective Action Plan.
18. CCRN - Critical Care Registered Nurse.
19. CEN - Certified Emergency Nurse.
20. Catchment Area - Geographic area served by a
						designated Trauma Center for the purpose of regional trauma care system
						planning, development and operations.
21. Department - Mississippi State Department of Health,
						Bureau of Emergency Medical Services, Division of Trauma.
22. Designation - Formal recognition of hospitals by the
						Department as providers of specialized trauma services to meet the needs of the
						severely injured patient.
23. E&D Essential and Desirables chart for each
						Trauma Center designation level.
24. Emergency Department (or Emergency Room) - The area
						of an acute care hospital that customarily receives patients in need of
						emergency medical evaluation and/or care.
25. EMS - Emergency Medical Services.
26. EMSAC Emergency Medical Services Advisory
						Council.
27. ENA - Emergency Nurses Association.
28. Field Triage - Classification of patients according
						to medical need at the scene of an injury or onset of an illness.
29. GCS - Glasgow Coma Scale.
30. Immediately (or immediately available) - (a)
						unencumbered by conflicting duties or responsibilities; (b) responding without
						delay when notified; and (c) being within the specified resuscitation area of
						the Trauma Center when the patient is delivered or when notified by EMS that a
						patient is enroute, whichever is shorter. Specific times for each physician
						specialty are in the applicable Trauma Center level chapter.
31. Inclusive Trauma Care System - a trauma care system
						that incorporates every health care facility within a community in a system in
						order to provide a continuum of services for all injured persons who require
						care in an acute care facility; in such a system, the injured patient's needs
						are matched to the appropriate hospital resources.
32. Injury - the result of an act that damages, harms, or
						hurts; unintentional or intentional damage to the body resulting from acute
						exposure to thermal, mechanical, electrical or chemical energy or from the
						absence of such essential as heat or oxygen.
33. Injury Prevention - efforts to forestall or prevent
						incidents that might result in injuries.
34. ISS - Injury Severity Score.
35. Level I Trauma Centers - Hospitals that have met the
						requirements for Level I as stated in Chapter 2 and are designated by the
						Department.
36. Level II Trauma Centers - Hospitals that have met the
						requirements for Level II as stated in Chapter 3 and are designated by the
						Department.
37. Level III Trauma Centers - Hospitals that have met
						the requirements for Level III as stated in Chapter 4 and are designated by the
						Department.
38. Level IV Trauma Centers - Hospitals that have met the
						requirements for Level IV as stated in Chapter 5 and are designated by the
						Department.
39. Medical Control - Physician direction over
						pre-hospital activities to ensure efficient trauma triage, transportation, and
						care, as well as ongoing quality management.
40. Mid-level Providers/Practitioners Physician Assistant
						(PA) and/or Nurse Practitioners (NP)
41. Mississippi Trauma Care System Plan - A formally
						organized plan developed by the Department which sets out a comprehensive
						system of prevention and management of major traumatic injuries. The plan is
						published on a three year cycle.
42. Multidisciplinary Trauma Committee - committee
						composed of the trauma service Director, other physician members and other
						members appointed by the Trauma Medical Director that reviews trauma deaths in
						a system or hospital.
43. MTAC - Mississippi Trauma Advisory Committee.
44. Non-Designated Hospital - A licensed acute care
						hospital that has applied for designation as a Trauma Center, but has not been
						designated by the Department.
45. Non-Participating Hospital A licensed acute care
						hospital that has informed the Department that they do not desire to
						participate in the Trauma Care System, or a hospital that does not have a
						current designation or application for designation on file with the
						Department.
46. On-Call - Available to respond to the Trauma Center
						in order to provide a defined service.
47. PALS - Pediatric Advanced Life Support.
48. Pediatric Trauma Center - Hospitals that have met the
						requirements for Primary, Secondary, or Tertiary Pediatric Trauma Center as
						stated in Chapter 6 and has been designated by the Department.
49. PHTLS Pre-Hospital Trauma Life Support.
50. Promptly (or promptly available) Arrival of on-call
						physician specialists within the trauma receiving resuscitation area, emergency
						department, operating room, or other specified area of the Trauma Center within
						a maximum of 60 minutes from the time of notification to respond.
51. Performance Improvement (PI or Quality Improvement) -
						A method of evaluating and improving processes of patient care which emphasizes
						a multi-disciplinary approach to problem solving, and focuses not on
						individuals, but systems of patient care which might cause variations in
						patient outcome.
52. Regional Trauma Plan - A document developed by the
						various Trauma Care Regions, and approved by the Department, which describes
						the policies, procedures and protocols for a comprehensive system of prevention
						and management of major traumatic injuries in a specific geographic
						region.
53. Rehabilitation - Services that seek to return a
						trauma patient to the fullest physical, psychological, social, vocational, and
						educational level of functioning of which he or she is capable, consistent with
						physiological or anatomical impairments and environmental limitations.
54. Research - Clinical or laboratory studies designed to
						produce new knowledge applicable to the care of injured patients.
55. Residency Program - A residency program of the Trauma
						Center or a residency program formally affiliated with the Trauma Center where
						senior residents can participate in educational rotations.
56. RTC Rural Trauma Course.
57. RTS - Revised Trauma Score, a pre-hospital/trauma
						center scoring system in which numerical values are assigned to differing
						levels of Glasgow Coma Scale, systolic blood pressure, and respiratory
						rate.
58. Senior Resident (or "senior level resident") - A
						physician licensed in the State of Mississippi who has completed at least two
						years of the residency under consideration and has the capability of initiating
						treatment, when the clinical situation demands, and who is in training as a
						member of the residency program, as defined in regulation, at a designated
						Trauma Center. Residents in general surgery shall have completed three clinical
						years of general surgery residency in order to be considered a senior
						resident.
59. Service Area (or "catchment area") - Geographic area
						defined by the local EMS agency in its Regional Trauma Plan as the area served
						by a designated Trauma Center.
60. SHO State Health Officer.
61. TCR - Trauma Care Region; a geographic area of the
						state formally organized, in accordance with standards promulgated by the
						department and has received designation from the department, for purposes of
						developing and inclusive care system.
62. TCTF Trauma Care Trust Fund.
63. TMD - Trauma Medical Director; a physician designated
						by the Trauma Center to coordinate trauma care.
64. TNCC Trauma Nursing Core Course.
65. TPM - Trauma Program Manager; a designated RN with
						responsibility for coordination of all activities on the trauma service and
						works in collaboration with the TMD.
66. Trauma Registry - a database program managed by the
						Department that hospitals use to track treatment of trauma victims.
67. Trauma Team - A group of health care professionals
						organized to provide care to the trauma patient in a coordinated and timely
						fashion. The composition of a trauma team is delineated by hospital
						policy.
68. Triage - the process of sorting injured patients on
						the basis of the actual or perceived degree of injury and assigning them to the
						most effective and efficient trauma care resources, in order to insure optimal
						care and the best chance of survival (refer to Appendix C).
69. TSA Trauma System Administrator.
Miss. Code Ann.
						§
												41-59-5