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 15-3-1-7.1.9 - Required Clinical Components

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must maintain published call schedules and have the
					 following physician coverage immediately available 24 hours/day:
2. Pediatric Emergency Medicine (in-house 24
					 hours/day). Emergency Physician and/or mid-level provider (Physician
					 Assistant/Nurse Practitioner) must be in the specified trauma resuscitation
					 area upon patient arrival.
3.
					 Trauma/General/Pediatric Surgery (in-house 24 hours/day). The surgeon covering
					 pediatric trauma call must be unencumbered and immediately available to respond
					 to the pediatric trauma patient. The 24 hour-in-house availability of the
					 attending surgeon is the most direct method for providing this involvement. A
					 PGY 4 or 5 resident may be approved to begin the resuscitation while awaiting
					 the arrival of the attending surgeon but cannot be considered a replacement for
					 the attending surgeon in the ED. The surgeon is expected to be in the ED upon
					 arrival of the seriously injured pediatric patient. The surgeon's participation
					 in major therapeutic decisions, presence in the ED for major resuscitation, and
					 presence at operative procedures is mandatory. There must be a back-up surgeon
					 schedule published. A system must be developed to assure early notification of
					 the on-call surgeon and compliance with these criteria and their
					 appropriateness must be documented and monitored by the PI process. Response
					 time for Alpha Activations is 15 minutes and starts at patient arrival or EMS
					 notification, whichever is shorter. Response time for Bravo Activations is 20
					 minutes from patient arrival.
4.
					 Orthopedic Surgery. It is required to have the orthopedic surgeon dedicated to
					 the pediatric trauma center solely while on-call, but if not dedicated, a
					 published back-up call schedule must be available. Response time for all trauma
					 activations is 60 minutes from the time notified to respond.
5. Neurological Surgery. The neurosurgeons on
					 the pediatric trauma team must be board certified. The pediatric neurosurgeon
					 liaison to the pediatric trauma team must attend a minimum of 50% of the peer
					 review committees annually and participate in the Multidisciplinary Trauma
					 Committee. It is required to have the neurosurgeon dedicated to the pediatric
					 trauma center solely while on-call, but if not dedicated, a published back-up
					 call schedule must be available. Response time for all trauma activations is 30
					 minutes from the time notified to respond.
6. It is desirable the following specialists
					 are promptly available 24 hours/day:
a.
					 Cardiac Surgery
b. Cardiology
c. Critical Care Medicine
d. Hand Surgery
e. Infectious Disease
f. Microvascular Surgery
g. Nephrology
h. Nutritional support
i. Obstetrics/Gynecologic Surgery
j. Ophthalmic Surgery
k. Oral/Maxillofacial
l. Pediatrics
m. Pediatric Critical Care Medicine
n. Pediatric Rehabilitation
o. Plastic Surgery
p. Pulmonary Medicine
q. Radiology
r. Thoracic Surgery*
s. Child Life or Family Support Programs
* The trauma surgeon is presumed to be qualified and have
						privileges to provide emergency thoracic surgical care to pediatric patients
						with thoracic injuries. If this is not the case, the facility must have a
						board-certified thoracic surgeon available for the injured pediatric patient
						(within 30 minutes of the time notified to respond).