Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-2.3.4 - Intensive Care Unit (ICU)

Current through June 25, 2024
1. Level I trauma
					 centers must have an Intensive Care Unit (ICU) that meets the needs of the
					 adult trauma patient.
2. The
					 surgical director for the ICU which houses trauma patients must have obtained
					 critical care training during residency or fellowship and must have expertise
					 in the preoperative and post injury care of the injured patient. This is best
					 demonstrated by a certificate of added qualification in surgical critical care
					 from the American Board of Surgery and may also be fulfilled by documentation
					 of active participation during the preceding 12 months in trauma patients' ICU
					 care and ICU administration and critical care-related continuing medical
					 education. The director is responsible for the quality of care and
					 administration of the ICU and will set policy and establish standards of care
					 to meet the unique needs of the trauma patient.
3. The trauma service assumes and maintains
					 responsibility for the care of the multiple injured patient. A surgically
					 directed ICU physician team is essential. The team will provide in-house
					 physician coverage for all ICU trauma patients at all times. This service can
					 be staffed by appropriately trained physicians from different specialties, but
					 must be led by a qualified surgeon as determined by critical care credentials
					 consistent with the medical staff privileging process of the
					 institution.
4. There must be
					 in-house physician coverage for the ICU at all times. A physician credentialed
					 by the facility for critical care should be promptly available to the trauma
					 patient in the ICU 24 hours/day. This coverage is for emergencies only and is
					 not intended to replace the primary surgeon but rather is intended to ensure
					 that the patient's immediate needs are met while the surgeon is
					 contacted.
5. The trauma service
					 should maintain the responsibility for the care of the patient as long as the
					 patient remains critically ill. The trauma service must remain in charge of the
					 patient and coordinate all therapeutic decisions. The responsible trauma
					 surgeon or designee should write all orders. The trauma surgeon should maintain
					 control over all aspects of care, including but not limited to respiratory care
					 and management of mechanical ventilation; placement and use of pulmonary
					 catheters; management of fluid and electrolytes, antimicrobials, and enteral
					 and parenteral nutrition.
6. Level
					 I Trauma Centers must provide staffing in sufficient numbers to meet the
					 critical needs of the trauma patient. Critical care 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. ICU nurses are
					 integral part of the trauma team and as such, should be represented on the
					 Multidisciplinary Trauma Committee and participate in the PI process of the
					 trauma program.
7. The list of
					 required equipment necessary for the ICU can be found on line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
Miss. Code Ann.
						§
												41-59-5