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 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.2 - Burn Program

Current through June 25, 2024
1. The burn center
					 hospital must formally establish and maintain an organized burn program that is
					 responsible for coordinating the care of burned patients. Compliance 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 burn patient;
c. Defined burn team and written roles and
					 responsibilities;
d. Appointed Burn
					 Center Medical Director with a written job description;
e. Appointed Burn Center Program Manager with
					 a written job description;
f. A
					 written Burn Center Performance Improvement plan;
g. Documentation of burn center
					 representative attendance at the regional trauma care meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.3 - Burn Center Director

Current through June 25, 2024
1. The burn center
					 director must be a surgeon with board certification by the American Board of
					 Surgery or American Board of Plastic Surgery; certification of special
					 qualifications in surgical critical care is desirable. The burn center director
					 must have completed a one-year fellowship in burn treatment or must have
					 experience in the care of patients with acute burn injuries for two or more
					 years during the previous five years. The burn center director must participate
					 in continuing medical education in burn treatment (48 hours of burn/trauma
					 related CME in a 3 year period) and must demonstrate ongoing involvement in
					 burn-related research and community education in burn care and/or
					 prevention.
2. Responsibilities of
					 the burn center director must include, but not be limited to, the following:
a. creation of policies and procedures within
					 the burn center that specify the care of burned patients;
b. Creation of policies and protocols for use
					 throughout the burn care system for referral care, triage, and transport of
					 burn patients;
c. Cooperation with
					 the Trauma Care Region in all aspects of patient treatment;
d. Communications on a regular basis with
					 physicians and other authorities about patients who have been
					 refused;
e. Direction of the burn
					 center administrative functions, including approval of medical staff
					 credentialing;
f. Direction and
					 active participation in the burn center performance improvement
					 program;
g. Liaison with adjacent
					 and regional burn centers; and
h.
					 Development and participation in internal and external continuing medical
					 education programs in the care and prevention of burn injuries.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.4 - Burn Program Manager (BPM)

Current through June 25, 2024
1. Burn Centers
					 must have a registered nurse, with two (2) or more years of experience as a
					 nurse in a burn center, working full time in the role of Burn Program Manager
					 (BPM), who is administratively responsible for the burn center. The BPM must
					 have at least two (2) years or more of experience in acute burn care and six
					 (6) months or more managerial experience. Working in conjunction with the Burn
					 Center Director, the BPM is responsible for organization of the program and all
					 systems necessary for the multidisciplinary approach throughout the continuum
					 of burn care. The BPM is responsible for working with the burn team to assure
					 optimal patient care. There are many requirements for data coordination and
					 performance improvement, education and prevention activities incumbent upon
					 this position.
2. The BPM or
					 his/her designee should offer or coordinate services for burn education. The
					 BPM should liaison with local EMS personnel, the Department, Regional Trauma
					 Care committee(s), trauma centers, and other burn centers.
3. The BPM must participate in 16 or more
					 hours of burn-related education (can be met by attendance at the annual
					 meetings of the American Association for the Surgery of Trauma, ABA, or any
					 ABA-endorsed meetings or continuing education programs, such as ABLS or ABLS
					 Now) each year or 48 hours in a three year period.
4. There must be an organizational chart
					 relating the nurse manager to the burn service and other members of the burn
					 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 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.5 - Burn Team

Current through June 25, 2024
The team approach is optimal in the care of the multiple
						injured patient. There must be identified members of the burn team. Policies
						should be in place describing the respective role of all personnel on the team.
						The composition of the team in any hospital will depend on 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. Composition of the burn team for an
						injured patient shall include:
1.
					 Emergency Physicians and/or mid-level providers (Physician Assistant/Nurse
					 Practitioner)
2. General/Trauma
					 Surgeon
3. Physician
					 Specialists
4.
					 Anesthesiologist
5. Laboratory
					 Technicians as dictated by clinical needs
6. Nursing: ED, OR, ICU, etc.
7. Auxiliary Support Staff
8. Respiratory Therapist
9. 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 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.6 - Multidisciplinary Burn Care Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire burn
					 program. The exact format will be hospital specific and may be accomplished by
					 collaboration with another designated burn center. Each burn center may choose
					 to have one or more committees as needed to accomplish the task. One committee
					 should be multidisciplinary and focus on program oversight and leadership. The
					 major focus will be on PI activities, policy development, communication among
					 all team members, and establishment of standards of care, and education and
					 outreach programs for injury prevention. The committee has administrative and
					 systematic control and oversees implementation of all program related services,
					 meets regularly, takes attendance, maintains minutes and works to correct
					 overall program deficiencies to optimize patient care. Suggested membership for
					 the committee includes representatives from:
a. Administration
b. Operating Room
c. Anesthesia
d. Plastic Surgery
e. Orthopedics
f. Emergency Medicine
g. General Surgery
h. Pre-hospital providers
i. Intensive Care
j. Radiology
k. Laboratory
l. Rehabilitation
m. Neurosurgery
n. Respiratory Therapy
o. Nursing
p. Burn Program Manager/BPM
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.7 - Policies and Procedures

Current through June 25, 2024
The burn center must maintain an appropriate policy and
						procedure manual that is reviewed annually by the burn center director and the
						nurse manager. The policy and procedure manual must contain, at a minimum, the
						following policies addressing the following: Administration of the burn
						center.
1. Staffing of the burn
					 center.
2. Criteria for admission
					 to the burn center by the burn service.
3. Use of burn center beds by other medical
					 or surgical services.
4. Criteria
					 for discharge and follow-up care.
5. Availability of beds and the transfer of
					 burn patients to other medical or surgical units within the hospital.
6. Care of patients with burns in areas of
					 the burn center hospital other than the burn center.
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 7 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-7.1.8 - Personnel

Current through June 25, 2024
The burn center must be granted the necessary authority
						to direct and coordinate all services for patients admitted to the burn
						service. The burn center director must make sure that medical care conforms to
						the burn center protocols. Privileges for physicians participating in the burn
						service must be determined by the medical staff credentialing process and
						approved by the burn center director. Qualifications for surgeons who are
						responsible for the care of burned patients must conform to criteria
						documenting appropriate training, patient care experience, continuing medical
						education, and commitment to teaching and research in the care of burned
						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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.1 - Trauma Evaluation

Current through June 25, 2024
Patients with burns and trauma must be evaluated and/or
						stabilized at a trauma center before transfer to a burn center. Physician
						judgment will be necessary in such situations and should be in concert with the
						regional medical control plan and triage protocols.
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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.2 - Burn Service Coverage

Current through June 25, 2024
The burn service must maintain an on-call schedule for
						attending staff surgeons who are assigned to the burn service. The staff
						surgeons must be promptly available on a 24-hour basis.
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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.3 - Qualifications of Attending Staff Surgeons

Current through June 25, 2024
The Burn Center Director must appoint qualified attending
						staff surgeons to participate in the care of patients on the burn service.
						Attending staff surgeons must be board-certified or board eligible with current
						Advanced Burn Life Support (ABLS). Certification of special qualifications in
						critical care is desirable. The attending staff surgeon must have demonstrated
						expertise in burn treatment. Attending staff surgeons must participate in
						continuing medical education in burn treatment. Other attending surgeons must
						demonstrate participation in an internal education plan.
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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.4 - Nursing staff

Current through June 25, 2024
There must be a patient care system in effect that is
						used to determine nurse staffing for each patient in the burn center. This
						system must be used to determine daily staffing needs. There must be a burn
						center orientation program that documents nursing competencies specific to the
						care and treatment of burn patients, including critical care, wound care, and
						rehabilitation. Burn center nursing staff must be provided with a minimum of
						two (2) burn-related continuing education opportunities
						annually.
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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.5 - Mid-Level Providers

Current through June 25, 2024
Appropriate credentialed mid-level providers may be used
						as members of the burn team. These individuals may include, but are not limited
						to, physician assistants, surgical assistants, or nurse practitioners. They may
						augment but do not replace the physician member of the 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 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.6 - Burn Center Referral Criteria

Current through June 25, 2024
1. Burn injuries
					 that should be referred to a burn center include, but are not limited to the
					 following:
a. Partial-thickness burns of
					 greater than 10% of the total body surface area;
b. Burns that involve the face, hands, feet,
					 genitalia, perineum, or major joints;
c. Third-degree burns;
d. Electrical burns, including lightning
					 injury;
e. Chemical
					 burns;
f. Inhalation
					 injury;
g. Burn injury in patients
					 with pre-existing medical disorders that could complicate management, prolonged
					 recovery, or affect mortality;
h.
					 Burn injury in patients who will require special social, emotional, or
					 rehabilitative intervention.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-7.2.7 - Specialty Services

Current through June 25, 2024
The following specialists must be available for
						consultation:
1. General
					 surgery
2. Cardiothoracic
					 surgery
3. Neurological
					 surgery
4.
					 Obstetrics/gynecology
5.
					 Ophthalmology
6.
					 Anesthesiology
7.
					 Pediatrics
8. Orthopedic
					 surgery
9. Otolaryngology
10. Plastic surgery
11. Urology
12. Pulmonary
13. Radiology
14. Nephrology
15. Psychiatry
16. Cardiology
17. Gastroenterology
18. Hematology
19. Neurology
20. Pathology
21. Infectious disease
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 7 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-7.3.1 - Emergency Department

Current through June 25, 2024
The emergency department must have written protocols
						mutually developed with the burn service for the care of acutely burned
						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 7 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-7.3.2 - Surgical Suites

Current through June 25, 2024
The burn center hospital must have operating rooms
						available 24 hours a day.
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 7 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-7.3.3 - Allograft Use

Current through June 25, 2024
The burn center hospital's policies and procedures for
						the use of allograft tissues must be in compliance with all federal, state, and
						the Joint Commission/other recognized accrediting organizations' requirements,
						and with standards of the American Association of Tissue
						Banks.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.1 - Respiratory Therapy Service

Current through June 25, 2024
Respiratory therapists must be available for the
						assessment and management of patients on the burn service on a 24-hour basis.
						Members must participate in an internal education plan.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.2

Current through June 25, 2024
Renal Dialysis, Radiological Services, and Clinical
						Laboratory: Renal dialysis, radiological services (including computed
						tomography scanning), and clinical laboratory services must be available 24
						hours per day.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.3 - Rehabilitation/Social Services

Current through June 25, 2024
1. There must be a
					 rehabilitation program designed for burned patients that identifies specific
					 goals.
2. The primary burn care
					 therapist must have annual participation in 16 hours or more of burn-related
					 education (can be met by attendance at the annual meetings of the American
					 Association for the Surgery of Trauma, American Burn Association (ABA), or any
					 ABA-endorsed meetings or continuing education programs, such as ABLA or ABLS
					 Now) each year or 48 hours over a three (3) year period.
3. Social service consultation must be
					 available to the burn service. Members must participate in an internal
					 education plan.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.4 - Nutritional Support

Current through June 25, 2024
A dietician must be available on a daily basis for
						consultation. Members must participate in an internal education
						plan.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.5 - Pharmacy

Current through June 25, 2024
A pharmacist who has at least six (6) months of
						experience in critical care and the pharmacokenetics implications for patients
						with acute burn injuries must be available on a 24-hour basis. Members must
						participate in an internal education plan.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.6 - Clinical Psychiatry

Current through June 25, 2024
A psychiatrist or clinical psychologist should be
						available for consultation by the burn service on a 24-hour basis. Members must
						participate in an internal education plan.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.7 - Continuity of Care Program

Current through June 25, 2024
The burn center must provide the following
						services:
1. Patient and family
					 education in rehabilitation programs;
2. Support for family members or other
					 significant persons;
3. Coordinated
					 discharge planning;
4. Follow-up
					 after hospital discharge;
5. Access
					 to community resources;
6.
					 Evaluation of the patient's physical, psychological, developmental, and
					 vocational status;
7. Planning for
					 future rehabilitative and reconstructive needs.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.8 - Weekly Patient Care Conferences

Current through June 25, 2024
Patient care conferences must be held at least weekly to
						review and evaluate the status of each patient admitted to the burn center.
						Each clinical discipline should be represented to appropriately contribute to
						the treatment plan for each patient. Patient care conferences must be
						documented in the progress notes of each patient and/or in minutes of the
						conference.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.9 - Infection Control Program

Current through June 25, 2024
The burn center must have effective means of isolation
						that are consistent with principles of universal precautions and barrier
						techniques to decrease the risk of cross-infection and cross-contamination. The
						burn center hospital must provide ongoing review and analysis of nosocomial
						infection data and risk factors that relate to infection prevention and control
						for burn patients. This data must be available to the burn team to assess
						infection risk factors that relate to infection prevention and control for burn
						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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.10 - Mass Casualty Plan

Current through June 25, 2024
The burn center must have a written multiple-casualty
						plan for the triage and treatment of patients burned in a multiple casualty
						incident occurring within its service area. The multiple casualty plan must be
						reviewed and updated as needed, and on an annual basis by EMS representatives
						and the burn center director.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.11 - Burn Prevention

Current through June 25, 2024
The burn center 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 burn system, access to the
						system, public support for the system, as well as specific prevention
						strategies. Prevention programs must be specific to the needs of the region.
						The trauma registry data must be utilized to identify injury trends and focus
						prevention needs.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.12 - Trauma Registry

Current through June 25, 2024
1. All facilities
					 designated as burn centers in Mississippi must 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 this
					 data relates to specific trauma patients and are used to evaluate and improve
					 the quality of health care services, this data is confidential and will be
					 governed by the Miss. Code Ann. §
											41-59-77.
2. This database must include all patients
					 who are admitted to the burn center hospital for acute burn care treatment.
					 Compliance with the above will be evidenced by:
3. Documentation of utilization of the Trauma
					 Registry data in the trauma/burn performance improvement process.
4. Timely submission of Trauma Registry Data
					 to the Department and the appropriate Trauma Region.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.13 - 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 accept and provide service to
						the trauma/burn 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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.14 - Performance Improvement/Evaluation

Current through June 25, 2024
1. The burn program
					 must have a performance improvement program that is multidisciplinary. The burn
					 center director must be responsible for the performance improvement program.
					 The burn center multi-disciplinary committee, which oversees the performance
					 improvement program, must meet at least quarterly. Sufficient documentation
					 must be maintained to verify problems, identify opportunities for improvement,
					 take corrective actions, and resolve problems. Morbidity and mortality
					 conferences must be held at least monthly with physicians other than the
					 immediate burn care team to ensure objective review of the presentations.
					 Attendees at this conference must include specialist staff members other than
					 those practicing in the burn center. All significant complications and deaths
					 must be discussed. Actions recommended must also be documented, and there must
					 be documentation of loop closure. Records of this conference must be
					 kept.
2. The burn center must
					 develop an internal, specific Performance Improvement (PI) plan that minimally
					 addresses the following key components and is fully integrated into the
					 hospital wide program:
a. An organizational
					 structure that facilitates performance improvement (Multidisciplinary
					 Committee).
b. Clearly defined
					 authority and accountability for the program.
c. Clearly stated goals and objectives one of
					 which should be reduction of inappropriate variations in care.
d. Development of expectations (criteria)
					 from evidenced based guidelines, pathways and protocols. 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 burn service physicians.
h. An
					 informed peer review process utilizing a multidisciplinary method.
i. A method for 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 burn bypass.
m. Review of times and reasons for burn
					 transfers.
n. Audit of burn
					 deaths.
o. Morbidity and Mortality
					 review.
p. Feedback process with
					 the referring hospital/physician.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.15 - Education

Current through June 25, 2024
1. The burn center must be actively engaged
					 in promoting Advanced Burn Life Support (ABLS) courses in its region. It is
					 desirable for the director to be an ABLS instructor and essential that the
					 director is current in ABLS. The unit should have one or more employees who are
					 ABLS instructors.
2. The burn
					 center must offer education on the current concepts in emergency and inpatient
					 burn care treatment to pre-hospital and hospital care providers within its
					 service area.
3. The burn center
					 must have an internal burn education plan for the staff.
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 7 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-7.4.16 - Research

Current through June 25, 2024
The burn center must participate in basic, clinical, and
						health sciences research. The medical director must demonstrate ongoing
						involvement in burn-related research.
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 7 - Burn Centers › Appendix 15-12-32-7-3 - EMS DRIVER TRANING PROGRAMS

Current through June 25, 2024
State Approval Process
Each EMS Driver Training Program must be formally approved
					 by the Mississippi State Board of Health. The Mississippi EMS Advisory Council
					 and the BEMS jointly reviews all proposals for BEMS training. Affirmative
					 reviews are submitted as recommendations to the Board for adoption (state
					 approval). All inquiries relative to EMS Driver Training and/or requests for
					 state approval for the establishment of EMS Driver Training programs should be
					 submitted in triplicate as follows:
Address
Mississippi State Department of Health
Bureau of Emergency Medical Services
P. O. Box 1700
Jackson, Mississippi 39215-1700
Format (application content)
As governed by state regulations, all applications for the
					 establishment of Emergency Medical Services Driver Training Programs must
					 demonstrate adherence to the Department of Transportation's Training Program
					 for Operation of Emergency Vehicles as a minimum. The skid pad requirement is
					 not required. The proposal for training must include as a minimum the following
					 requirements:
Faculty profile - Provide names and resumes of all faculty
					 (include instructor training obtained); indicate whether faculty are full-time,
					 part-time, or consultants; and indicate those that are classroom vs. field
					 preceptors.
Entry requirements - Taking all applicable state
					 requirements into consideration, list all additional student selection
					 criteria.
Class size - Indicate minimum and maximum numbers of
					 students per class.
Facilities - Name and describe all facilities used for
					 classroom and field training.
Course Implementation - Provide copies of all instructor
					 lesson plans; provide testing and evaluation of student competencies and
					 skills.
Budget - List sources of funds supporting the training
					 program.
Equipment - Identify equipment and training materials
					 available.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Appendix 15-12-32-7-5 - EMERGENCY TRANSPORT TO MEDICAL FACILITIES

Current through June 25, 2024
Emergency Ambulance Transport To Medical
					 Facilities
Patients who are transported under the direction of an
					 emergency medical service system should be taken whenever possible to an in
					 hospital facility that meets the Emergency Care Guidelines of the American
					 College of Emergency Physicians.
The EMS Medical Control Authority should have the
					 discretion to authorize transport to non-in hospital medical facilities that
					 meet the Emergency Care Guidelines under that extraordinary circumstance when
					 lack of timely availability of such an in hospital facility necessitates
					 earlier patient stabilization.
If an area does not have a facility that meets the
					 Emergency Care Guidelines, it may be necessary for the responsible EMS Medical
					 Control Authority to designate some medical facility to receive patients by
					 ambulance. The American College of Emergency Physicians strongly encourages the
					 modification of such facilities to meet the Emergency Care Guidelines of the
					 College, so that every area has a facility capable of providing emergency
					 care.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Appendix 15-12-32-7-10 - DEATHS - PRONOUNCEMENTS/REPORTING/MOVING BODIES/PENALTIES FOR VIOLATIONS

Current through June 25, 2024
When to resuscitate
The statute in no way attempts to define when resuscitation
					 should be initiated or withheld. This always has been and still is a medical
					 and not a legal decision. The American Heart Association has established
					 guidelines on decision-making and CPR, and the National Registry of Emergency
					 Medical Technicians recognizes these as acceptable standards. They are as
					 follows:
Few reliable criteria exist by which death can be defined
					 immediately.
Decapitation, rigor mortis, and evidence of tissue
					 decomposition and dependent lividity are reliable criteria. In the absence of
					 such findings, CPR generally should be initiated immediately unless there is an
					 acceptable reason to withhold it. If the decision not to initiate CPR is made
					 by medical professional functioning in his professional capacity, the basis of
					 the decision should not be arbitrary. The reason to withhold CPR should be
					 sufficiently firm so that, should it later be subject to question, a decision
					 can be effectively supported. Contact Medical Control in any questionable
					 decision.
Laws As They Relate To Emergency Medical
					 Services
The source of the laws which pertain to death is the
					 Medical Examiners Act of 1986 and its revisions. For the purpose of this
					 appendix only the portions of the laws that directly effect EMS will be
					 quoted.
It should be pointed out that in any case and under any
					 circumstances, if it is felt by EMS personnel that the patient is resuscitable,
					 neither the Medical Examiner nor Law Enforcement personnel can force the
					 withholding of treatment.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 1 - Purpose › Rule 15-13-74-1.1.1

Current through June 25, 2024
This regulation prescribes sanitary practices relating
						to the transport, processing, packaging, storage and distribution of frozen
						desserts. The ultimate concern of this regulation is the quality of frozen
						dessert offered to the consuming public.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 1 - Purpose › Rule 15-13-74-1.1.2 - Authority of Regulation

Current through June 25, 2024
The State Board of Health is authorized to promulgate
						these rules and regulations and exercise control over the processing and sale
						of frozen desserts under and by virtue of sections 75-31-41 through 75-31-49 of
						the Mississippi Code of 1972, Annotated.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 1 - Purpose › Rule 15-13-74-1.1.3 - Permits

Current through June 25, 2024
It shall be unlawful for any person who does not possess
						a permit from the Mississippi State Department of Health to bring into, send
						into or receive into the state of Mississippi or its jurisdiction, for sale, or
						to sell, or offer for sale therein or to have in storage any frozen dessert
						products defined in this regulation. Provided, that grocery stores,
						restaurants, soda fountains and similar establishments where frozen dessert
						products are served or sold at retail, may be exempt from the requirements of
						this section.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 1 - Purpose › Rule 15-13-74-1.1.4

Current through June 25, 2024
Each frozen dessert manufacturer shall obtain an annual
						permit. An application for a permit shall be made to the Health Authority upon
						forms provided by the Health Authority and shall contain such information as
						the Health Authority may require. Each application for a permit shall be
						accompanied by a permit fee in the amount set forth in Chapter 4 of this
						Subpart. When the Health Authority is in receipt of all required information
						and the permit fee, the annual permit shall be issued.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 1 - Purpose › Rule 15-13-74-1.1.6

Current through June 25, 2024
Only a person who complies with the requirements of this
						regulation shall be entitled to receive and retain such a permit. Permits shall
						not be transferable with respect to persons and/or locations.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 2 - Suspension/Revocation of Permit › Rule 15-13-74-1.2.1

Current through June 25, 2024
When any requirement(s) of this regulation is violated,
						the permit holder is subject to the suspension of his/her permit. The
						regulatory agency may forego suspension of the permit, provided the product or
						products in violation are not sold or offered for sale.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 2 - Suspension/Revocation of Permit › Rule 15-13-74-1.2.2

Current through June 25, 2024
The regulatory agency shall suspend such permit,
						whenever it has reason to believe that a public health hazard exists; or
						whenever the permit holder has violated any of the requirements of this
						regulation; or whenever the permit holder has interfered with the regulatory
						agency in the performance of its duties: provided, that the regulatory agency
						shall, in all cases except where the frozen dessert product involved creates,
						or appears to create, an imminent hazard to the public health; or whenever
						adulterated or misbranded frozen dessert products are found: or in any case of
						a willful refusal to permit authorized inspection, serve upon the holder a
						written notice of intent to suspend permit, which notice shall specify with
						particularity the violation(s) in question and afford the holder such
						reasonable opportunity to correct such violation(s) as may be agreed to by the
						parties, or in the absence of agreement, fixed by the regulatory agency before
						making any order of suspension effective. A suspension of permit shall remain
						in effect until the violation(s) has been corrected to the satisfaction of the
						regulatory agency.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 2 - Suspension/Revocation of Permit › Rule 15-13-74-1.2.3

Current through June 25, 2024
Upon repeated violation(s), the regulatory agency may
						revoke such permit following reasonable notice to the permit holder and an
						opportunity for a hearing.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.1

Current through June 25, 2024
If requested in writing, a hearing shall be scheduled
						within the State Department of Health not less than ten days nor more than 30
						days following receipt of the request. On the basis of such hearing, the State
						Department of Health shall make a decision with the respect to proposed action.
						This decision, together with the finding of the hearing officer and reasons for
						the decision, shall be forwarded to the owner/applicant within 30 days of the
						hearing.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.2 - Reinstatement of Permits

Current through June 25, 2024
Any frozen dessert manufacturer whose permit has been
						suspended may make written application for the reinstatement of his/her permit.
						Within one (1) week of the receipt of notification of any person whose permit
						has been suspended, the Health Authority shall make such inspection(s) and/or
						take samples as deemed necessary to determine compliance with the requirements
						of this regulation.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.3

Current through June 25, 2024
Whenever the permit suspension has been due to a
						violation of a requirement other than bacteriological, coliform, drug residue
						test, or cooling temperature standards, the notification shall indicate that
						the violation(s) has been corrected. Within one week of the receipt of such
						notification, the regulatory agency shall make an inspection of the applicant's
						establishment, and as many additional inspections thereafter as are deemed
						necessary, to determine that the applicant's establishment is complying with
						the requirements. When the findings justify, the permit shall be
						reinstated.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.4 - Examination or Sampling of Frozen Desserts

Current through June 25, 2024
Frozen dessert samples for laboratory analysis may be
						collected by the Health Authority as often as necessary for the enforcement of
						the regulation.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.5 - Labeling

Current through June 25, 2024
Prior to an issuance of a permit to a manufacturer of
						frozen desserts regulated by the State Department of Health, labels shall be
						submitted to the Health Authority for review and approval. All containers and
						packages enclosing frozen dessert products defined in this regulation shall be
						labeled in accordance with the applicable requirements of the Federal Food,
						Drug and Cosmetic Act as amended, the Nutrition Labeling and Education Act of
						1990 and 21 CFR Part 101.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 1 - REGULATION GOVERNING THE MANUFACTURE AND SALE OF FROZEN DESSERTS › Subchapter 3 - Hearings › Rule 15-13-74-1.3.6

Current through June 25, 2024
The FDA - Milk Safety Branch Frozen Dessert Processing
						Guidelines shall become requirements of this regulation.
Miss. Code
						Ann.§
												75-31-65
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 13 - Food Protection › Subpart 74 - Milk and Dairy › Chapter 2 - REGULATION GOVERNING THE PRODUCTION AND SALE OF MILK AND MILK PRODUCTS › Subchapter 1 - Authority of Regulation › Rule 15-13-74-2.1.1

Current through June 25, 2024
Section
						41-3-15,
						(5) (a) and (ix), Mississippi Code of 1972, Annotated, gives the Mississippi
						State Board of Health (MSBH) the authority, in its discretion, to establish
						programs to promote public health in Milk Sanitation. Section
						41-3-17
						gives the MSBH "Power to make and publish rules and
						regulations".
Miss. Code
						Ann.§
												75-31-65