Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 3 - Level I Trauma Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-3.2.1 - Required Components

Current through June 25, 2024
Level I trauma centers must maintain published call
						schedules and have the following physician coverage immediately available 24
						hours/day:
1. Emergency Medicine
					 (In-house 24 hours/day). Emergency Physician and/or mid-level provider
					 (Physician Assistant/Nurse Practitioner) must be in the specified trauma
					 resuscitation area upon patient arrival.
2. Trauma/General Surgery (In-house
					 24/hours). The trauma surgeon on-call must be unencumbered and immediately
					 available to respond to the trauma patient. The 24 hour-in-house availability
					 of the attending surgeon is the most direct method for providing this
					 involvement. A PGY 4 or 5 residents may be approved to begin the resuscitation
					 while awaiting the arrival of the attending surgeon but cannot be considered a
					 replacement for the attending surgeon in the ED. The general surgeon is
					 expected to be in the emergency department upon arrival of the seriously
					 injured patient. The trauma surgeon's participation in major therapeutic
					 decisions, presence in the emergency department for major resuscitation and
					 presence at operative procedures is mandatory. There must be a back-up surgeon
					 schedule published. A system must be developed to assure notification of the
					 on-call surgeon and compliance with these criteria and their appropriateness
					 must be documented and monitored by the PI process. Response time for Alpha
					 Activations is 15 minutes and starts at patient arrival or EMS notification,
					 whichever is shorter. Response time for Bravo Activations is 20 minutes from
					 the time notified to respond.
3.
					 Orthopedic Surgery. It is required to have the orthopedists dedicated to the
					 trauma center solely while on-call. The maximum response time for all trauma
					 patients is 60 minutes from the time notified to respond.
4. Neurologic Surgery. It is required to have
					 the neurosurgeon dedicated to the trauma center solely while on-call or a
					 backup schedule must be available. The maximum response time for all trauma
					 patients is 30 minutes from the time notified to respond.
5. It is desirable the following specialists
					 are promptly available 24 hours/day:
a.
					 Cardiac Surgery*
b. Cardiology
c. Critical Care Medicine
d. Hand Surgery
e. Infectious Disease
f. Micro-vascular Surgery
g. Nephrology
h. Nutritional Support
i. Obstetrics/Gynecologic Surgery
j. Ophthalmic Surgery
k. Oral/Maxillofacial
l. Pediatrics
m. Plastic Surgery
n. Pulmonary Medicine
o. Radiology
p. Thoracic Surgery*
*A trauma surgeon is presumed to be qualified and have
						privileges to provide emergency thoracic surgical care to patients with
						thoracic injuries. If this is not the case, the facility must have a
						board-certified cardiac/thoracic surgeon immediately available (within 30
						minutes of the time notified to respond).