reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.14 - Facility Standards-PACU

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a PACU staffed 24 hours/day and available to
					 the postoperative pediatric trauma patient. Frequently it is advantageous to
					 bypass the PACU and directly admit to the PICU. In this instance, the Pediatric
					 ICU may meet these requirements.
2.
					 PACU staffing must be in sufficient number to meet the critical needs of the
					 pediatric trauma patient.
3. The
					 list of required equipment necessary for PACU can be found on line at the
					 Department's website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.15 - Facility Standards-Pediatric ICU (PICU)

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a PICU that meets the needs of the pediatric
					 trauma patient.
2. The surgical
					 director or co-director must be the TMD or general/pediatric surgeon taking
					 trauma call. The director is responsible for the quality of care and
					 administration of the PICU and will set policy and establish standards of care
					 to meet the unique needs of the pediatric trauma patient.
3. The pediatric trauma surgeon assumes and
					 maintains responsibility for the care of the serious or multiple injured
					 pediatric patient. A surgically directed PICU physician team is essential. The
					 team will provide in-house physician coverage for all PICU pediatric trauma
					 patients at all times. This service can be staffed by appropriately trained
					 physicians from different specialists, but must be led by a qualified surgeon
					 consistent with the medical staff privileging process of the institution. The
					 pediatric trauma surgeon must maintain control over all aspects of care,
					 including but not limited to respiratory care and management of the mechanical
					 ventilation; placement and use of pulmonary catheters; management of fluid and
					 electrolytes, antimicrobials, and enteral and parenteral nutrition.
4. There must be in-house physician coverage
					 for the PICU at all times. A physician credentialed by the facility must be
					 available to the pediatric trauma patient in the PICU 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. Tertiary pediatric trauma centers must
					 provide staffing in sufficient numbers to meet the critical needs of the
					 pediatric trauma patient. Critical care nurses must be available 24 hours per
					 day. PICU nurses are an integral part of the pediatric trauma team and as such,
					 shall be represented on the Multidisciplinary Trauma Committee and participate
					 in the PI process of the trauma program at least 50% of the time.
6. The list of required equipment necessary
					 for the PICU can be found on line at the Department's website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.16 - Clinical Support Services-Respiratory Therapy

Current through June 25, 2024
The service must be staffed with qualified personnel
						in-house 24 hours/day to provide the necessary treatment for the injured
						pediatric patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.17 - Clinical Support Services-Radiological Services

Current through June 25, 2024
1.
					 A radiological service must have a certified radiological technician in-house
					 24 hours/day and immediately available at all times for general radiological
					 procedures. A technician must be in-house and immediately available for
					 computerized tomography (CT) for both head and body.
2. Sonography, angiography and MRI must be
					 available to the trauma team and may be covered with a technician on
					 call.
3. The radiology liaison must
					 attend at least 50% of the committee meetings and should educate and guide the
					 entire trauma team in the appropriate use of radiologic services.
4. A staff radiologist must be promptly
					 available, when requested, for the interpretation of radiographs, performance
					 of complex imaging studies or interventional procedures. The radiologist must
					 ensure the preliminary interpretations are promptly reported to the pediatric
					 trauma team and the trauma PI program must monitor all changes in
					 interpretations.
5. Written policy
					 must exist delineating the prioritization/availability of the CT scanner for
					 pediatric trauma patients.
6. The
					 trauma center must have policies designated to ensure the trauma patients who
					 may require resuscitation and monitoring are accompanied by appropriate trauma
					 providers during transportation to, and while in the radiology
					 department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.18 - Clinical Support Services-Laboratory Services

Current through June 25, 2024
1.
					 Clinical laboratory service must have the following services available in-house
					 24 hours/day:
a. Access to blood bank and
					 adequate storage facilities. Sufficient quantities of blood and blood products
					 must be maintained at all times. Blood typing and cross-match capabilities must
					 be readily available.
b. Standard
					 analysis of blood, urine and other body fluids including micro-sampling when
					 appropriate.
c. Blood gas and pH
					 determinations (this function may be performed by services other than the
					 clinical laboratory service, when applicable).
d. Alcohol and drug screening
e. Coagulation studies
f. Microbiology
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.19 - Clinical Support Services-Acute Hemodialysis

Current through June 25, 2024
Tertiary pediatric trauma centers must have Acute
						Hemodialysis services.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.20 - Clinical Support Services-Burn Care

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a Burn Center that provides this service if this service if it is not
						available at the tertiary pediatric trauma center. Policies and procedures
						shall be in place to assure the appropriate care is rendered during the initial
						resuscitation and transfer of the patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.21 - Clinical Support Services-Rehabilitation/Social Services

Current through June 25, 2024
1. Recognizing that early rehabilitation is
					 imperative for the trauma patient, a physical medicine and rehabilitation
					 specialist must be available for the trauma program.
2. The rehabilitation of the pediatric trauma
					 patient and the continued support of the family members are an important part
					 of the trauma system. Each facility will be required to address a plan for
					 integration of rehabilitation into the acute and primary care of the pediatric
					 trauma patient, at the earliest stage possible after admission to the tertiary
					 pediatric trauma center. Hospitals will be required to identify a mechanism to
					 initiate rehabilitation services and/or consultation in a timely manner as well
					 as policies regarding coordination of the Multidisciplinary Rehabilitation
					 Team. The rehabilitation services must minimally include:
a. Occupational Therapy
b. Physical Therapy
c. Speech Pathology
d. Social Work,
e. Psychological
f. Nutritional support
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.22 - Clinical Support Services-Prevention/Public Outreach

Current through June 25, 2024
1.
					 Tertiary pediatric trauma centers 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 trauma system, access to the
					 system, public support for the system, as well as specific prevention
					 strategies. Prevention program must be specific to the needs of the region. A
					 Tertiary Pediatric Trauma Center's prevention program must include and track
					 partnerships with other community organizations. At a minimum, trauma registry
					 data must be utilized to identify injury trends and focus prevention
					 needs.
2. Outreach is the act of
					 providing resources to individuals and institutions that do not have the
					 opportunities to maintain current knowledge and skills. Staff members at the
					 tertiary pediatric trauma center must provide consultation to staff members of
					 other level facilities. For example ATLS, Pre-Hospital Trauma Life Support
					 (PHTLS), TNCC, and Transport Nurse Advance Trauma Course (TNATC) courses can be
					 coordinated by the tertiary pediatric trauma center.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.23 - Clinical Support Services-Transfer Guidelines

Current through June 25, 2024
Tertiary pediatric trauma centers shall work in
						collaboration with the referral facilities in the system and develop
						inter-facility transfer guidelines. These guidelines must address criteria to
						identify high-risk pediatric trauma patients that could benefit from a higher
						level of trauma care. All designated facilities will agree to provide services
						to the pediatric trauma patient regardless of his/her ability to
						pay.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.24 - Clinical Support Services-Education

Current through June 25, 2024
1. Tertiary
					 Pediatric Trauma Centers must have a written trauma education plan.
2. Tertiary pediatric trauma centers must
					 have internal trauma education programs including educational training in
					 pediatric trauma for physicians, nurses, and pre-hospital providers. The
					 tertiary pediatric trauma center must take a leadership role in providing
					 educational activities. Education can be accomplished via many mechanisms
					 (i.e., classic CME, preceptorships, fellowships, clinical rotations,
					 telecommunications or providing locum tenens, etc.).
3. The Tertiary Pediatric Trauma Center is
					 expected to support a pediatric surgical residency program. Additionally, there
					 should be a senior resident rotation in at least one of the following
					 disciplines: emergency medicine, general surgery, orthopedic surgery,
					 neurosurgery or support a trauma fellowship. The Level I should provide ATLS
					 courses for the region system.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.25 - Clinical Support Services-Research

Current through June 25, 2024
1. The trauma
					 research program must be designated to produce new knowledge applicable to the
					 care of the injured patients. The research may be conducted in a number of ways
					 including traditional laboratory and clinical research, reviews of clinical
					 series, and epidemiological or other studies. Publications of articles in
					 peer-review journals as well as presentations of results in local, regional,
					 and national meetings and ongoing studies approved by human and animal research
					 review boards are expected from productive programs. The program should have an
					 organized structure that fosters and monitors ongoing productivity.
2. The research program must be balanced to
					 reflect the number of different interests. There must be a research committee,
					 and identifiable Institutional Review Board process, active research protocols,
					 surgeons involved in extramural educational presentations and adequate number
					 of peer reviewed scientific publications. Publications should appear in
					 peer-reviewed journals. In a three-year cycle, the suggested minimum activity
					 is ten publications (per review cycle) from the physicians representing the
					 membership of the Trauma Team.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 2 - Secondary Pediatric Trauma Center › Rule 15-3-1-7.2.1 - General

Current through June 25, 2024
1. A secondary pediatric trauma center is an
					 acute care facility with the commitment, medical staff, personnel and specialty
					 training necessary to provide care of the pediatric trauma patient. The
					 decision to transfer a pediatric patient rests with the physician attending the
					 pediatric trauma patient. All secondary pediatric trauma centers will work
					 collaboratively with other trauma facilities to develop transfer protocols and
					 a well-defined transfer sequence.
2. As a minimum, only Level III or higher
					 adult trauma centers may qualify as a Secondary Pediatric Trauma
					 Center.
3. Surgeons and ED
					 physicians must be credentialed by the hospital for pediatric trauma
					 care.
4. The list of required
					 equipment for Secondary Pediatric Trauma Centers can be found on-line at the
					 Department's website.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 3 - Primary Pediatric Trauma Center › Rule 15-3-1-7.3.1 - General

Current through June 25, 2024
1. Primary pediatric trauma centers are
					 facilities with a commitment to the initial resuscitation of the pediatric
					 trauma patient and have written transfer protocols in place to assure those
					 patients who require a higher level of care are appropriately
					 transferred.
2. All designated
					 Trauma Centers shall, as a minimum, be designated as a Primary Pediatric Trauma
					 Center as a condition of designation in the Mississippi Trauma Care
					 System.
3. The list of required
					 equipment for Primary Pediatric Trauma Centers can be found on-line at the
					 department's website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.1 - General

Current through June 25, 2024
The burn center must be an acute care facility licensed
						in Mississippi or associated with a designated Level I Trauma Center in the MS
						Trauma Care System. The burn center must have a medical and an administrative
						commitment to the care of patients with burns. There must be a written
						commitment on behalf of the entire facility to the organization of burn care.
						The written commitment shall be in the form of a resolution passed by an
						appropriate quorum of the members of the governing authority. The burn center
						must have written guidelines for the triage, treatment, and transfer of burned
						patients from other facilities. The burn center must maintain an organizational
						chart relating personnel within the burn center and the hospital. The burn
						center must maintain current accreditation by the Joint Commission (TJC) or
						other recognized accrediting organization(s). The list of required equipment
						for Burn centers can be found on-line at the Department's
						website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.2 - 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.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.3 - 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. Communications on
					 a regular basis with physicians and other authorities about patients who have
					 been refused;
d. Direction of the
					 burn center administrative functions, including approval of medical staff
					 credentialing;
e. Direction and
					 active participation in the burn center performance improvement
					 program;
f. Liaison with adjacent
					 and regional burn centers; and
g.
					 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.4 - 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, 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.5 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.6 - 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. Attendance from the list
					 below must be at least 50% or greater and reported at least quarterly.
					 Membership for the committee should include representatives from:
a. Administration
b. Operating Room
c. Anesthesia
d. Burn and/or Plastic Surgery
e. Burn Emergency/Emergency Medicine
f. Pre-hospital providers
g. Intensive Care
h. Radiology
i. Laboratory
j. Rehabilitation
k. Respiratory Therapy
l. Nursing
m. Burn Program Manager/BPM
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.7 - 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
						Burn Program Manager. The policy and procedure manual must contain, at a
						minimum, the following policies addressing the following:
1. Administration of the burn center.
2. Staffing of the burn center.
3. Criteria for admission to the
					 burn center by the burn service.
4.
					 Use of burn center beds by other medical or surgical services.
5. Criteria for discharge and follow-up
					 care.
6. Availability of beds and
					 the transfer of burn patients to other medical or surgical units within the
					 hospital.
7. 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-8.1.8 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.1 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.2 - 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. Patients with >20%
						TBSA 2nd or 3rd degree
						burns and any patient with signs of airway injury must be seen by the attending
						on call for burn surgery or by the Burn ICU Physician within 2 hours of
						admission. All other inpatient admissions for burn injuries must be seen by the
						attending on call for burn surgery within 24 hours.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.3 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.4 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.5 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.6 - 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;
i. Burns and
					 concomitant trauma (such as fractures) when the burn injury poses the greatest
					 risk of morbidity or mortality. If the trauma poses the greater immediate risk,
					 the patient's condition may be stabilized initially in a trauma center before
					 transfer to a burn center;
j. Burns
					 in children; children with burns should be transferred to a burn center
					 designated to treat children. In the absence of a regional designated pediatric
					 burn center, an adult burn center may serve as a second option for the
					 management of pediatric burns.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-8.2.7 - 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 (if applicable)
8. Orthopedic surgery
9. Plastic surgery
10. Urology
11. Pulmonary
12. Radiology
13. Nephrology
14. Psychiatry
15. Cardiology
16. Gastroenterology
17. Hematology and/or Pathology
18. Neurology
19. Pathology
20. Infectious disease
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-8.3.1 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-8.3.2 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-8.3.3 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.1 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.2 - Renal Dialysis, Radiological Services, and Clinical Laboratory

Current through June 25, 2024
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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.3 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.4 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.5 - Pharmacy

Current through June 25, 2024
A pharmacist who has at least six (6) months of
						experience in critical care and the pharmacokinetics 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.6 - 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.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.7 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.8 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.9 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.10 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.11 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.12 - 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:
a. Documentation of utilization of the Trauma
					 Registry data in the trauma/burn performance improvement process.
b. Timely submission of Trauma Registry Data
					 to the Department and the appropriate Trauma Region.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.13 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.14 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-8.4.15 - 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 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 8 - Burn Centers › Subchapter 4 - Clinical Support Services › Appendix 15-3-1-8-4-B - Trauma Team Activation Criteria

Current through June 25, 2024
Click
						Here To View Image
1 The criteria for Alpha
						Activation, which is defined as full trauma team activation, follow the Minimum
						Criteria for Full Trauma Team Activation as recommended by the American College
						of Surgeons in (
Resources for Optimal Care of the Injured
						Patient
, 2014).
2 Systolic Blood Pressure
						(SBP): < 1 year old with SBP < 60 mmHg; 1 year to 10 years old with SBP
						< 70 + (2 times age in years); > 10 years old with SBP < 90
						mmHg.
3 Respiratory Compromise: <
						16 years old with respiratory distress or signs of impending respiratory
						failure, including airway obstruction or intubation in the field; 16 years and
						older with respiratory rate less than 10 or greater than 29 breaths per minute
						or need for ventilation support.
4 Bravo Activation is defined
						as limited trauma team activation based on anatomic and mechanism of injury
						criteria.