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 2 - Level I Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-2.3.3 - Post Anesthesia Care Unit (PACU)

Current through June 25, 2024
1. Level I
					 trauma centers must have a PACU staffed 24 hours/day and available to the
					 postoperative trauma patient. Frequently it is advantageous to bypass the PACU
					 and directly admit to the ICU. In this instance, the ICU may meet these
					 requirements.
2. PACU 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.
3. PACU staffing should
					 be in sufficient numbers to meet the critical needs of the trauma
					 patient.
4. The list of required
					 equipment necessary for PACU can be found on line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.1 - Respiratory Therapy Service

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
						patient.
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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.2 - Radiological Service

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.
					 Sonography, angiography, and MRI must be available to the trauma team. A
					 technician must be in-house and immediately available for computerized
					 tomography (CT) for both head and body. Specialty procedures such as
					 angiography, MRI, and sonography may be covered with a technician on-call. If
					 the technician is not in-house 24 hours/day for special procedures the
					 performance improvement process must document and monitor that the procedure is
					 promptly available.
2. A
					 board-certified radiologist should administer the department and participate
					 actively in the trauma education and PI process. 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 insure the preliminary interpretations are promptly reported
					 to the trauma team and the PI program must monitor all changes in
					 interpretation.
3. Written policy
					 should exist delineating the prioritization/availability of the CT scanner for
					 trauma patients. The PI process must ensure that trauma patients are
					 accompanied by appropriately trained licensed providers and that the
					 appropriate resuscitation and monitoring are provided during transportation to
					 and while in the radiology department.
4. The radiologist must ensure the
					 preliminary interpretations are promptly reported to the trauma team and the PI
					 Program must monitor all changes in interpretation.
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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.3 - Clinical Laboratory Service

Current through June 25, 2024
1. Clinical
					 laboratory service must have the following services available in-house 24
					 hours/day:
a. Access to a 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 screening is required, and drug
					 screening is highly recommended.
e.
					 Coagulation studies.
f.
					 Microbiology
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 4 - Clinical Support Services › Rule 15-12-32-2.4.4 - Acute Hemodialysis

Current through June 25, 2024
Level I Trauma Centers must have services. There must be
						a written protocol to transfer the patient to a facility that provides this
						service if this service if it is not available at the Level I Trauma
						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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.5 - 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 Level I 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 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.6 - Rehabilitation/Social Services

Current through June 25, 2024
1. The
					 rehabilitation of the 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 trauma patient, at the earliest stage possible after
					 admission to the 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. Policies must be in place to address the coordination of
					 transfers between acute care facilities and approved rehabilitation facilities,
					 and shall include a feedback mechanism for the acute care facilities to update
					 the health care team on the patient's progress and outcome for inclusion in the
					 trauma registry. The rehabilitation services should minimally include;
					 Occupational Therapy, Physical Therapy, and Speech Pathology.
2. The nature of traumatic injury requires
					 that the psychological needs of the patient and family are considered and
					 addressed in the acute stages of injury and throughout the continuum of
					 recovery. Adequate number of trained personnel must be readily available to the
					 trauma patients and family. Programs must be available to meet the unique need
					 of the trauma patient.
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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.7 - Prevention/Public Outreach

Current through June 25, 2024
1. Level I 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 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.
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 a
					 Level I trauma center must provide consultation to staff members of other level
					 facilities. For example: Advanced Trauma Life Support (ATLS), Pre Hospital
					 Trauma Life Support (PHTLS), Trauma Nurse Curriculum Course (TNCC), and
					 Transport Nurse Advanced Trauma Course (TNATC) courses can be coordinated by
					 the trauma center. Trauma physicians must provide a formal follow up to
					 referring physicians/designee about specific patients to educate the
					 practitioner for the benefit of further injured 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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.8 - Transfer Guidelines

Current through June 25, 2024
Level I Trauma Centers shall work in collaboration with
						the referral trauma facilities in the system and develop inter-facility
						transfer guidelines. These guidelines must address criteria to identify
						high-risk trauma patients that could benefit from a higher level of trauma
						care. All designated facilities will agree to provide services to the trauma
						victim regardless of his/her 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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.9 - Performance Improvement/Evaluation

Current through June 25, 2024
1. A key element in
					 trauma system planning is evaluation. All licensed hospitals which have
					 organized emergency services or departments will be required to 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 these data relate to specific trauma patients and are used to evaluate
					 and improve the quality of health care services, this data is confidential as
					 provided in Miss. Code Ann
.
§
											41-59-77.
					 Level I trauma facilities may be responsible for direct assistance to all other
					 levels of referring facilities in providing data for inclusion in the
					 registry.
2. Each trauma center
					 must develop an internal trauma 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 Trauma 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 trauma 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 trauma bypass.
m. Review of times and reasons for trauma
					 transfers.
n. Audit of trauma
					 deaths.
o. Morbidity and Mortality
					 review.
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 4 - Clinical Support Services › Rule 15-12-32-2.4.10 - Education

Current through June 25, 2024
1. Level I Trauma Centers must have medical
					 education programs including educational training in trauma for physicians,
					 nurses and pre-hospital providers. The Level I trauma centers 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).
2. The Level I trauma center
					 is expected to support a 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 consistent with the educational requirements of the
					 American Association for the Surgery of Trauma (AAST). The Level I should
					 provide ATLS courses for the region.
1. A trauma research program must be designed
					 to produce new knowledge applicable to the care of the injured patient. 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. Publication of articles in peer-review journals as well as
					 presentations of results at 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 a 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 any of
					 the four following specialties: emergency medicine, general surgery, orthopedic
					 surgery, and neurosurgery.
Miss. Code Ann.
						§
												41-59-5
Miss. Code Ann.
						§
												41-59-5
						Rule 2.4.11. Research
Miss. Code Ann.
						§
												41-59-5
						Rule 2.4.10. Education
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 4 - Clinical Support Services › Rule 15-12-32-2.4.11 - Research

Current through June 25, 2024
1. A trauma research program must be designed
					 to produce new knowledge applicable to the care of the injured patient. 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. Publication of articles in peer-review journals as well as
					 presentations of results at 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 a 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 any of
					 the four following specialties: emergency medicine, general surgery, orthopedic
					 surgery, and neurosurgery.
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 2 - Level I Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-2.4.12 - Essential and Desirable Chart for Level 1 Trauma Center (Reserved)

Current through June 25, 2024
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 1 - Hospital Organization › Rule 15-12-32-3.1.1 - General

Current through June 25, 2024
A Level II Trauma Center is an acute care facility with
						the commitment, resources and specialty training necessary to provide
						sophisticated trauma care.
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 3 - Level II Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-3.1.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
The Level II Trauma Center must have the following
						departments, divisions, or sections:
1. Emergency Medicine
2. Trauma/General Surgery
3. Orthopedic Surgery
4. Neurological Surgery
5. Anesthesia
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 3 - Level II Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-3.1.3 - Trauma Program

Current through June 25, 2024
1. There must be a
					 written commitment on behalf of the entire facility to the organization of
					 trauma care. The written commitment shall be in the form of a resolution passed
					 by an appropriate quorum of the members of the governing authority. Should the
					 business organization be other than a corporation, a letter explaining such
					 together with a written commitment of the hospital's chief executive officer to
					 the establishment of a trauma care program may be sufficient. The trauma
					 program must be established and recognized by the medical staff and hospital
					 administration. The trauma program must come under the direction of a
					 board-certified surgeon with special interest in trauma care. An identified
					 hospital administrative leader must work closely with the trauma medical
					 director to establish and maintain the components of the trauma program
					 including appropriate financial support. The trauma program location in the
					 organizational structure of the hospital must be placed so that it may interact
					 effectively with at least equal authority with other departments providing
					 patient care. An administrative structure should minimally include an
					 administrator, medical director, trauma program manager (TPM), trauma registrar
					 and the appropriate support staff. Administrative support includes human
					 resources, educational activities, community outreach activities, and research.
					 The trauma program must be multidisciplinary in nature and the performance
					 improvement evaluation of this care should extend to all the involved
					 departments.
2. Compliance with the
					 above 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 trauma patient;
c. Defined trauma team and written roles and
					 responsibilities;
d. Appointed
					 Trauma Medical Director with a written job description;
e. Appointed Trauma Program Manager with a
					 written job description;
f. A
					 written Trauma Performance Improvement plan;
g. Documentation of trauma center
					 representative attendance at the regional trauma advisory committee
					 meetings.
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 1 - Hospital Organization › Rule 15-12-32-3.1.4 - Trauma Service

Current through June 25, 2024
The trauma service must established and recognized by the
						medical staff and be responsible for the overall coordination and management of
						the system of care rendered to the injured patient. The trauma service will
						vary in each organization depending on the needs of the patient and the
						resources available. The trauma service must come under the organization and
						direction of a surgeon who is board certified with special interest in trauma
						care. All patients with multiple system trauma or major injury must be
						evaluated by the trauma service. The surgeon responsible for the overall care
						of the patient must be identified.
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 3 - Level II Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-3.1.5 - Trauma Medical Director (TMD)

Current through June 25, 2024
Level II Trauma Centers must have a physician director of
						the trauma program. The trauma program medical director plays an important
						administrative role. The medical director must be a board-certified surgeon
						with special interest in trauma care. The medical director will be responsible
						for developing a performance improvement process and will have overall
						accountability and administrative authority for the trauma program. The medical
						director must be given administrative support to implement the requirements
						specified by the State trauma plan. The director is responsible for working
						with the credentialing process of the hospital, and, in consultation with the
						appropriate service chiefs, recommending appointment and removal of physicians
						from the trauma team. He should cooperate with nursing administration to
						support the nursing needs of the trauma patient and develop treatment protocols
						for the trauma patients. The director in collaboration with the trauma program
						manager/TPM should coordinate the budgetary process for the trauma program. The
						director must be currently certified in Advanced Trauma Life Support (ATLS),
						maintain personal involvement in care of the injured, maintain education in
						trauma care, and maintain involvement in professional organizations. The trauma
						director must be actively involved with the trauma system development at the
						community, regional and state level.
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 3 - Level II Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-3.1.6 - Trauma Program Manager (TPM)

Current through June 25, 2024
1. Level II Trauma
					 Centers must have a registered nurse working full time in the role of Trauma
					 Program Manager (TPM). Working in conjunction with the TMD, the TPM is
					 responsible for organization of the program and all systems necessary for the
					 multidisciplinary approach throughout the continuum of trauma care. The TPM is
					 responsible for working with the trauma 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 TPM or his/hers designee should offer
					 or coordinate services for trauma education. The TPM should liaison with local
					 EMS personnel, the Department, Trauma Care Region(s) and other trauma
					 centers.
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 3 - Level II Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-3.1.7 - Multidisciplinary Trauma Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire trauma
					 program. The exact format will be hospital specific and may be accomplished by
					 collaboration with another designated trauma center in the region. Each trauma
					 center may choose to have one or more committee to accomplish the tasks
					 necessary. 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, establishment of standards
					 of care, education and outreach programs, and 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.
					 Membership for the committee includes representatives from:
a. Emergency Medicine
b. General Surgery
c. Orthopedics
d. Neurosurgery
e. Anesthesia
f. Operating Room
g. Intensive Care
h. Respiratory Therapy
i. Radiology
j. Laboratory
k. Rehabilitation
l. Pre-hospital Care Providers
m. Administration
n. Pediatrics
o. Nursing
p. Trauma Program Manager
q. Trauma Medical Director (Chairman; must be
					 present >50%)
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 1 - Hospital Organization › Rule 15-12-32-3.1.8 - Multidisciplinary Trauma Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire trauma
					 program. The exact format will be hospital specific and may be accomplished by
					 collaboration with another designated trauma center in the region. Each trauma
					 center may choose to have one or more committee to accomplish the tasks
					 necessary. 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, establishment of standards
					 of care, education and outreach programs, and 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.
					 Membership for the committee includes representatives from:
a. Emergency Medicine
b. General Surgery
c. Orthopedics
d. Neurosurgery
e. Anesthesia
f. Operating Room
g. Intensive Care
h. Respiratory Therapy
i. Radiology
j. Laboratory
k. Rehabilitation
l. Pre-hospital Care Providers
m. Administration
n. Pediatrics
o. Nursing
p. Trauma Program Manager
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 2 - Clinical Components › Rule 15-12-32-3.2.2 - Qualifications of Surgeons on the Trauma Team

Current through June 25, 2024
1. Basic to
					 qualification for trauma care for any surgeon is Board Certification in a
					 surgical specialty recognized by the American Board of Medical Specialties, the
					 Advisory Board for Osteopathic Specialties, the American Dental Association,
					 the Royal College of Physicians and Surgeons of Canada or other appropriate
					 foreign board. Many boards require a practice period. Such an individual may be
					 included when recognition by major professional organizations has been received
					 in their specialty. The board certification criteria apply to the general
					 surgeons, orthopedic surgeons, and neurosurgeons.
2. Alternate criteria in lieu of board
					 certification are as follows:
a. A Non-board
					 certified general surgeon must have completed a surgical residency
					 program.
b. He/she must be licensed
					 to practice medicine.
c. He/she
					 must be approved by the hospital's credentialing committee for surgical
					 privileges.
d. The surgeon must
					 meet all criteria established by the TMD to serve on the trauma team.
e. The surgeon's experience in caring for the
					 trauma patient must be tracked by the PI program.
f. The TMD must attest to the surgeon's
					 experience and quality as part of the recurring granting of trauma team
					 privileges.
g. The TMD, using the
					 trauma PI program, is responsible for determining each general surgeon's
					 ability to participate on the trauma team.
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 2 - Clinical Components › Rule 15-12-32-3.2.3 - Qualifications of Emergency Physicians

Current through June 25, 2024
1. For those
					 physicians providing emergency medicine coverage, board certification in
					 Emergency Medicine is desirable. However, career emergency medicine physicians
					 who are board certified in a specialty recognized by the American Board of
					 Medical Specialties, a Canadian Board or other equivalent foreign board meets
					 the requirements.
2. Alternative
					 criteria for the non-boarded physician working in the Emergency Department are
					 as follows:
a. He/she must be licensed to
					 practice medicine.
b. He/she must
					 be approved by the hospital's credentialing committee for emergency medicine
					 privileges.
c. The physician must
					 meet all criteria established by the trauma and emergency medical director to
					 serve on the trauma team.
d. The
					 physician's experience in caring for the trauma patient must be tracked by the
					 PI program.
e. The trauma and
					 emergency medical director must attest to the physician's experience and
					 quality as part of the recurring granting of trauma team privileges.
f. Residency in Emergency Medicine is
					 desirable.
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 15-12-32-3.3.1 - Emergency Department

Current through June 25, 2024
1. The facility
					 must have an emergency department, division, service, or section staffed so
					 trauma patients are assured immediate and appropriate initial care. The
					 emergency physician must be in-house 24 hours/day and immediately available at
					 all times. The emergency department medical director must meet the recommended
					 requirements related to commitment, experience, continuing education, ongoing
					 credentialing, and board certification in emergency medicine.
2. The director of the emergency department,
					 along with the trauma director, will establish trauma-specific credentials that
					 should exceed those that are required for general hospital privileges. Examples
					 of credentialing requirements would include skill proficiency, training
					 requirements, conference attendance, education requirements, ATLS verification
					 and specialty board certification. ATLS requirements are waived for Board
					 Certified Emergency Medicine and Board Certified General Surgery
					 Physicians.
3. The emergency
					 medicine physician or designee will be responsible for activating the trauma
					 team based on predetermined response protocols. He will provide team leadership
					 and care for the trauma patient until the arrival of the surgeon in the
					 resuscitation area. The emergency department must have established standards
					 and procedures to ensure immediate and appropriate care for the adult and
					 pediatric trauma patient. The emergency department medical director, or his/her
					 designee, must act as a liaison and participate with the Multidisciplinary
					 Trauma Committee and the trauma PI process.
4. There should be an adequate number of RN's
					 staffed for the trauma resuscitation area in-house 24 hours/day. Emergency
					 nurses staffing the trauma resuscitation area must be a current provider of
					 Trauma Nurse Core Curriculum (TNCC) and participate in the ongoing PI process
					 of the trauma program. There must be a written plan ensuring nurses maintain
					 ongoing trauma specific education. Nurses must obtain TNCC within 18 months of
					 assignment to the ER.
5. The list
					 of required equipment necessary for the ED can be found on line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
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 3 - Level II Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-3.3.3 - Post Anesthesia Care Unit (PACU)

Current through June 25, 2024
1. It is
					 essential to have a PACU staffed 24 hours/day and available to the
					 postoperative trauma patient. If the staff is not in-house, Hospital policy
					 must be written to assure early notification and prompt response. The PI
					 process must document and monitor the ongoing availability of OR crews and
					 absence of delay. Frequently it is advantageous to bypass the PACU and directly
					 admit to the ICU. In this instance, the ICU may meet these
					 requirements.
2. PACU 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.
3. PACU staffing should
					 be in sufficient numbers to meet the critical needs of the trauma
					 patient.
4. The list of required
					 equipment necessary for the PACU can be found on line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.1 - Respiratory Therapy Service

Current through June 25, 2024
The service should be staffed with qualified personnel
						in-house 24 hours/day to provide the necessary treatments for the injured
						patient.
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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.2 - Radiological Service

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. It is
					 desirable to have a technician in-house and immediately available for
					 computerized tomography (CT) for both head and body. If the technician is not
					 in-house 24 hours/day for special procedures the performance improvement
					 process must document and monitor that the procedure is promptly
					 available.
2. Sonography and
					 Angiography must be available to the trauma team. It is desirable that MRI
					 services be available to the trauma team. Specialty procedures such as
					 angiography and sonography may be covered with a technician on-call.
3. A board-certified radiologist should
					 administer the department and participate actively in the trauma education and
					 PI process. 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 insure the preliminary
					 interpretations are promptly reported to the trauma team and the PI program
					 must monitor all changes in interpretation.
4. Written policy should exist delineating
					 the prioritization/availability of the CT scanner for trauma patients. The PI
					 process must endure that trauma patients are accompanied by appropriately
					 trained licensed providers and that the appropriate resuscitation and
					 monitoring are provided during transportation to and while in the radiology
					 department.
5. The radiologist must
					 ensure the preliminary interpretations are promptly reported to the trauma team
					 and the PI Program must monitor all changes in interpretation.
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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.3 - Clinical Laboratory Service

Current through June 25, 2024
1. A clinical
					 laboratory service must have the following services available in-house 24
					 hours/day:
a. Access to a blood bank and
					 adequate storage facilities. Sufficient quantities of blood and blood products
					 should 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
					 microsampling 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 screening is required and drug
					 screening is highly recommended.
e.
					 Coagulation studies
f.
					 Microbiology
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 4 - Clinical Support Services › Rule 15-12-32-3.4.4 - Acute Hemodialysis

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a facility that provides this service if this service if it is not available
						at the Level II Trauma 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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.5 - 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 Level II 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 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.6 - Rehabilitation/Social Services

Current through June 25, 2024
1. The
					 rehabilitation of the 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 trauma patient, at the earliest stage possible after
					 admission to the 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. Policies must be in place to address the coordination of
					 transfers between acute care facilities and approved rehabilitation facilities,
					 and shall include a feedback mechanism for the acute care facilities to update
					 the health care team on the patient's progress and outcome for inclusion in the
					 trauma registry. The rehabilitation services should minimally include;
					 Occupational Therapy, Physical Therapy, and Speech Pathology.
2. The nature of traumatic injury requires
					 that the psychological needs of the patient and family are considered and
					 addressed in the acute stages of injury and throughout the continuum of
					 recovery. Adequate numbers of trained personnel should be readily available to
					 the trauma patients and family. Programs must be available to meet the unique
					 needs of the trauma patient.
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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.7 - Prevention/Public Outreach

Current through June 25, 2024
1. Level II Trauma
					 Centers will be responsible for participating with 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 programs must be specific to
					 the needs of the region. The trauma registry data should 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 Level II trauma center
					 should provide consultation to staff members at other facilities in the region.
					 Advanced Trauma Life Support (ATLS), Pre Hospital Trauma Life Support (PHTLS),
					 Trauma Nurse Curriculum Course (TNCC), and Transport Nurse Advanced Trauma
					 Course (TNATC) courses for example can be coordinated by the trauma center.
					 Trauma physicians should provide a formal follow up to referring
					 physicians/designee about specific patients to educate he practitioner for the
					 benefit of further injured 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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.8 - Transfer Guidelines

Current through June 25, 2024
Level II Trauma Centers shall work in collaboration with
						the referral trauma facilities in the system and develop interfacility transfer
						guidelines. These guidelines must address criteria to identify high-risk trauma
						patients that could benefit from a higher level of trauma care. All designated
						facilities will agree to provide services to the trauma victim regardless of
						his/her 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 3 - Level II Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-12-32-3.4.9 - Performance Improvement/Evaluation

Current through June 25, 2024
1. A key element in
					 trauma system planning is evaluation. All licensed hospitals which have
					 organized emergency services or departments will be required to 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 these data relate to specific trauma patients and are used to evaluate
					 and improve the quality of health care services, this data is confidential as
					 provided in Miss. Code Ann.§
											41-59-77.
					 Level II trauma facilities may be responsible for direct assistance to all
					 other levels of referring facilities in providing data for inclusion in the
					 registry.
2. Each trauma center
					 must develop an internal Performance Improvement 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 Trauma
					 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 privileges
					 credentialing all trauma 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 prehospital care.
l.
					 Review of times and reasons for trauma bypass.
m. Review of times and reasons for trauma
					 transfers.
n. Audit all trauma
					 deaths.
o. Morbidity and Mortality
					 review.
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 4 - Clinical Support Services › Rule 15-12-32-3.4.10 - Education

Current through June 25, 2024
Level II Trauma Centers must have medical education
						programs including educational training in trauma for physicians, nurses and
						prehospital providers. The Level II trauma centers assist and cooperate with
						the Level I trauma center in providing educational activities. may be
						accomplished via many mechanisms (i.e. classic CME, preceptorships,
						fellowships, clinical rotations, telecommunications or providing locum tenens,
						etc.)
Miss. Code Ann.
						§
												41-59-5