Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-3-1-1.1.4 - Definitions

Current through June 25, 2024
For the purposes of the Mississippi Trauma Care System,
						the following abbreviations, acronyms, and terms shall be defined as
						listed.
1. ACEP - American College of
					 Emergency Physicians.
2. ACLS -
					 Advanced Cardiac Life Support.
3.
					 AC SCOT - American College of Surgeons Committee on Trauma.
4. AIS - Abbreviated Injury Scale.
5. ALS - Advanced life support, including
					 techniques of resuscitation, such as, intravenous access, and cardiac
					 monitoring.
6. APLS - Advanced
					 Pediatric Life Support.
7. ATCN -
					 Advanced Trauma Care for Nurses. A course designed for the registered nurse
					 interested in increasing his/her knowledge in management of the multiple trauma
					 patient.
8. ATLS - Advanced Trauma
					 Life Support.
9. Alpha Patient - A
					 trauma patient meeting the criteria for an Alpha (major trauma or seriously
					 injured) Alert/Activation (refer to Trauma Activation Criteria document on the
					 Department's website).
10. BACS -
					 Bureau of Acute Care Systems, Mississippi State Department of Health.
11. BEMS - Bureau of Emergency Medical
					 Services, Mississippi State Department of Health.
12. BLS - Basic life support techniques of
					 resuscitation, including simple airway maneuvers, administration of oxygen, and
					 intravenous access.
13. Board
					 Certified - Physicians and oral/maxillofacial surgeons certified by appropriate
					 specialty boards recognized by the American Board of Medical Specialties and
					 the Advisory Board of Osteopathic Specialties and the American Dental
					 Association.
14. Burn Fund -
					 Mississippi Burn Care Fund established under Miss. Code Ann. §
											7-9-70.
15. BTLS - Basic Trauma Life
					 Support.
16. Bravo Patient - A
					 trauma patient not meeting the criteria for an Alpha Alert/ Activation;
					 however, has received injuries requiring immediate attention (refer to Trauma
					 Activation Criteria document on the Department's website).
17. CAP - Corrective Action Plan.
18. CCRN - Critical Care Registered Nurse.
19. CEN - Certified Emergency
					 Nurse.
20. Catchment Area -
					 Geographic area served by a designated trauma center for the purpose of trauma
					 care system planning, development and operations.
21. Department - also, "the Department"
					 refers to the Mississippi State Department of Health.
22. Designation - Formal recognition of
					 hospitals by the Department as providers of specialized trauma services to meet
					 the needs of the severely injured patient.
23. Diversion (trauma center) - Circumstances
					 where a trauma center cannot accept the inter-facility transfer of injured
					 trauma patients due to service or facility limitations. NOTE: This does not
					 include pre-hospital/EMS.
24.
					 E&D Chart - Essential and Desirables chart for each trauma center
					 designation level.
25. Emergency
					 Department (or Emergency Room) - The area of an acute care hospital where the
					 facility customarily receives patients in need of emergency medical evaluation
					 and/or care.
26. EMS - Emergency
					 Medical Services.
27. EMSAC -
					 Emergency Medical Services Advisory Council.
28. ENA - Emergency Nurses
					 Association.
29. Field Triage -
					 Classification of patients according to medical need at the scene of an injury
					 or onset of an illness.
30. GCS -
					 Glasgow Coma Scale.
31. Immediately
					 (or immediately available) - (a) unencumbered by conflicting duties or
					 responsibilities; (b) responding without delay when notified; and (c) being
					 within the specified resuscitation area of the trauma center when the patient
					 is delivered or when notified by EMS that a patient is enroute, whichever is
					 shorter. Specific times for each physician specialty are in the applicable
					 trauma center level chapter.
32.
					 Inclusive Trauma Care System - a trauma care system that incorporates every
					 health care facility within a community in a system in order to provide a
					 continuum of services for all injured persons who require care in an acute care
					 facility; in such a system, the injured patient's needs are matched to the
					 appropriate hospital resources.
33.
					 Injury - (a) the result of an act that damages, harms, or hurts; (b)
					 unintentional or intentional damage to the body resulting from acute exposure
					 to thermal, mechanical, electrical or chemical energy or from the absence of
					 essentials such as heat or oxygen.
34. Injury Prevention - efforts to forestall
					 or prevent incidents that might result in injuries.
35. ISS - Injury Severity Score.
36. Level I Trauma Centers - Hospitals that
					 have met the requirements for Level I as stated in Chapter 3 and are designated
					 by the Department.
37. Level II
					 Trauma Centers - Hospitals that have met the requirements for Level II as
					 stated in Chapter 4 and are designated by the Department.
38. Level III Trauma Centers - Hospitals that
					 have met the requirements for Level III as stated in Chapter 5 and are
					 designated by the Department.
39.
					 Level IV Trauma Centers - Hospitals that have met the requirements for Level IV
					 as stated in Chapter 6 and are designated by the Department.
40. Medical Control - Physician direction
					 over pre-hospital activities to ensure efficient trauma triage, transportation,
					 and care, as well as ongoing quality management.
41. Mid-level Providers/Practitioners -
					 Physician Assistant (PA) and/or Nurse Practitioners (NP).
42. Mississippi Trauma Care System Plan - A
					 formally organized plan developed by the Department which sets out a
					 comprehensive system of prevention and management of major traumatic injuries.
					 The plan is published on a three year cycle.
43. Multidisciplinary Trauma Committee -
					 Hospital committee composed of the trauma service Director, other physician
					 members and other members appointed by the Trauma Medical Director that reviews
					 trauma deaths in a hospital.
44.
					 MTAC - Mississippi Trauma Advisory Committee.
45. Non-Designated Hospital - A licensed
					 acute care hospital that has applied for designation as a trauma center, but
					 has not been designated by the Department.
46. Non-Participating Hospital - A licensed
					 acute care hospital that has informed the Department that they do not desire to
					 participate in the Trauma Care System, or a hospital that does not have a
					 current designation or application for designation on file with the
					 Department.
47. On-Call - Available
					 to respond to the Trauma Center in order to provide a defined
					 service.
48. PALS - Pediatric
					 Advanced Life Support.
49.
					 Pediatric Trauma Center - Hospitals that have met the requirements for Primary,
					 Secondary, or Tertiary Pediatric Trauma Center designation as stated in Chapter
					 7 and has been designated by the Department.
50. PHTLS - Pre-Hospital Trauma Life
					 Support.
51. Promptly (or promptly
					 available) - Arrival of on-call physician specialists within the trauma
					 receiving resuscitation area, emergency department, operating room, or other
					 specified area of the trauma center within a maximum of 60 minutes from the
					 time of notification to respond.
52. Performance Improvement (PI or Quality
					 Improvement) - A method of evaluating and improving processes of patient care
					 which emphasizes a multi-disciplinary approach to problem solving, and focuses
					 not on individuals, but on systems of patient care which might cause variations
					 in patient outcome.
53.
					 Rehabilitation - Services that seek to return a trauma patient to the fullest
					 physical, psychological, social, vocational, and educational level of
					 functioning of which he or she is capable, consistent with physiological or
					 anatomical impairments and environmental limitations.
54. Research - Clinical or laboratory studies
					 designed to produce new knowledge applicable to the care of injured
					 patients.
55. Residency Program - A
					 residency program of the trauma center or a residency program formally
					 affiliated with the trauma center where senior residents can participate in
					 educational rotations.
56. RTTC -
					 Rural Trauma Team Course.
57. RTS -
					 Revised Trauma Score, a pre-hospital/trauma center scoring system in which
					 numerical values are assigned to differing levels of Glasgow Coma Scale,
					 systolic blood pressure, and respiratory rate.
58. Senior Resident (or "senior level
					 resident") - A physician licensed in the State of Mississippi who has completed
					 at least two years of the residency under consideration and has the capability
					 of initiating treatment, when the clinical situation demands, and who is in
					 training as a member of the residency program, as defined in regulation, at a
					 designated Trauma Center. Residents in general surgery shall have completed
					 three clinical years of general surgery residency in order to be considered a
					 senior resident.
59. Service Area
					 (or "catchment area") - Geographic area defined by the local EMS agency as the
					 area served by a designated trauma center.
60. SHO - State Health Officer.
61. TCTF - Trauma Care Trust Fund.
62. TMD - Trauma Medical Director; a
					 physician designated by the trauma center to coordinate trauma care.
63. TNCC - Trauma Nursing Core
					 Course.
64. TPM - Trauma Program
					 Manager; a designated RN with responsibility for coordination of all activities
					 on the trauma service and works in collaboration with the TMD.
65. TSMD - state Trauma System Medical
					 Director.
66. Trauma Registry - a
					 database program managed by the Department that hospitals use to track
					 treatment of trauma victims.
67.
					 Trauma Team - A group of health care professionals organized to provide care to
					 the trauma patient in a coordinated and timely fashion. The composition of a
					 trauma team is delineated by hospital policy.
68. Triage - the process of sorting injured
					 patients on the basis of the actual or perceived degree of injury and assigning
					 them to the most effective and efficient trauma care resources, in order to
					 ensure optimal care and the best chance of survival.
Miss. Code Ann.
						§
												41-59-5