Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 3 - Level II Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-3.3.2 - Surgical Suites/Anesthesia

Current through June 25, 2024
1. It is
					 recommended that the OR be staffed and available in-house 24 hours/day. If the
					 staff is not in-house, hospital policy must be written to assure notification
					 and prompt response. The PI process must document and monitor the ongoing
					 availability of OR crews and absence of delay.
2. The OR nurses should participate in the
					 care of the trauma patient and be competent in the surgical stabilization of
					 the major trauma patient.
3. The
					 surgical nurses are an integral member of the trauma team and must participate
					 in the ongoing PI process of the trauma program and must be represented on the
					 Multidisciplinary Trauma Committee.
4. The OR supervisor must be able to
					 demonstrate a prioritization scheme to assure the availability of an operating
					 room for the emergent trauma patient during a busy operative schedule. There
					 must be an on-call system for additional personnel for multiple patient
					 admissions.
5. The anesthesia
					 department in a Level II trauma center should be ideally organized and run by
					 an anesthesiologist who is experienced and devoted to the care of the injured
					 patient. If this is not, the director, an anesthesiologist liaison with the
					 same qualifications should be identified. Anesthesiologists on the trauma team
					 must have successfully completed an anesthesia residency program approved by
					 the Accreditation Council for Graduate Medical Education, the American Board of
					 Osteopathic Specialties, or the American Osteopathic Board and should have
					 board certification in anesthesia. One anesthesiologist should maintain
					 commitment to education in trauma related anesthesia. Anesthesiologists must
					 demonstrate evidence of participation in the internal trauma education
					 plan.
6. Anesthesia must be
					 available 24 hours/day with a mechanism established to ensure notification of
					 the on-call anesthesiologist. Anesthesia requirements may be fulfilled by
					 anesthesia chief residents or Certified Registered Nurse Anesthetists (CRNAs)
					 who are capable of assessing emergent situations in trauma patients and of
					 providing an 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. Trauma centers must document conditions when the
					 anesthesiologist must be immediately available for airway emergencies and
					 operative management of the trauma patient. The availability of the
					 anesthesiologist and the absence of delays in operative anesthesia must be
					 documented and monitored by the PI process. The anesthesiologist participating
					 on the trauma team should have the necessary educational background in the care
					 of the trauma patient; participate in the Multidisciplinary Trauma Committee
					 and the trauma PI process.
7. The
					 list of required equipment necessary for Surgery and Anesthesia can be found on
					 line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
Miss. Code Ann.
						§
												41-59-5