New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 12 - EMERGENCY DEPARTMENT AND TRAUMA SERVICES › Section 8:43G-12.13 - Trauma services; definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in
N.J.A.C.
				  8:43G-12.12
through
12.23
, shall have the following meanings, unless the context
				  clearly indicates otherwise:
"Advanced life support" means an advanced level of prehospital,
				  interhospital, and emergency service care which includes basic life support
				  functions, cardiac monitoring, cardiac defibrillation, telemetered
				  electrocardiography, intravenous therapy, administration of specific medications,
				  drugs and solutions, use of adjunctive ventilation devices, trauma care, and other
				  techniques and procedures authorized by the Commissioner.
"Basic life support" means a level of prehospital care which
				  includes patient stabilization, airway clearance, external closed chest
				  cardiopulmonary resuscitation, control of hemorrhage, initial wound care, fracture
				  stabilization, victim extrication, and other techniques and procedures authorized by
				  the Commissioner.
"Commissioner" means Commissioner of Health and Senior
				  Services.
"Department" means New Jersey Department of Health and Senior
				  Services.
"Emergency medical technician" (EMT) means an individual who has
				  completed a course of instruction and who has been issued certification by the
				  Commissioner to provide basic life support services, in accordance with N.J.A.C.
				  8:41.
"In-hospital" means present at all times and immediately available
				  to the trauma center. On call personnel are not considered to be in-hospital.
"Major trauma" means an injury to a trauma patient who sustains a
				  sudden injury, due to violence or other forces, that requires medical/surgical
				  intervention to prevent death or disability. Patients included are those with both
				  injuries in the ICD-9 CM diagnosis or injury code range of 800.00 through 959.9 and
				  an associated E (external cause of injury) code, with the exception of drowning or
				  suffocation. Patients must also meet, as a result of such injury rather than another
				  disease or condition, one or more of the following criteria:
1. Transfer to a designated trauma or burn center
				from a community hospital;
2. Admission
				to intensive or critical care or another monitored setting;
3. Hospitalization for three or more
				days;
4. Injury score of 3 or more on
				the Abbreviated Injury Scale;
5.
				Survival probability of 90 percent or less according to the Trauma Score/Injury
				Severity Score (TRISS) method; or
6.
				Death (including deaths in the emergency department).
"Medical control" means direction by a hospital-based physician of
				  basic and/or advanced life support services delivered in the field by authorized
				  personnel from a licensed emergency department.
"Mobile intensive care unit (MICU) means a specialized emergency
				  medical service vehicle staffed by mobile intensive care paramedics or mobile
				  intensive care nurses trained in advanced life support nursing and operated for the
				  provision of advanced life support services under the direction of an authorized
				  hospital, in accordance with the provisions of N.J.A.C. 8:41.
"On call" means that personnel are responsible for attendance at
				  the trauma center when their presence is required. An on call roster shall be
				  maintained for scheduling these personnel.
"Promptly available" means that personnel can be attending
				  patients at the trauma center within a maximum of 30 minutes from the time they are
				  called.
"Trauma" means a physical wound or injury.