Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 4 - FACILITY STANDARDS › Section 4-1 - Regional Trauma Centers

Current through July 13, 2024
To be designated a Regional Trauma Center (RTC), a licensed
				  general acute care hospital shall have at least the following:
(a) Hospital Organization.
(i) Trauma Service. The trauma service shall
				be established and recognized by the medical staff and its bylaws and be
				responsible for the overall coordination and management of the system of care
				rendered to the injured patient. The trauma service must come under the
				organization and direction of a general surgeon or emergency physician who is
				trained, experienced, and committed to the care of the injured patient. All
				patients with multiple system trauma or major injury must be evaluated by the
				trauma service. The surgeon or emergency physician responsible for the overall
				care of each patient must be specifically identified.
(ii) Trauma Program Director. The director
				must be a board certified surgeon or a board certified emergency physician with
				demonstrated competency in trauma care. The director shall develop a quality
				improvement process and, through this process, shall be responsible for all
				trauma patients and administrative authority for the hospital's trauma program.
				The director shall be given administrative support to implement the
				requirements specified by the Wyoming Trauma Plan. The director shall work with
				the credentialing process of the hospital and participate with the
				credentialing committee to recommend participation on the trauma team 
				4. The trauma director or his designee
				shall be actively involved with trauma care development at the community,
				state, and national level.
(iii)
				Trauma Team. The hospital shall have a policy describing the respective roles
				of all personnel on the trauma team. The composition of the trauma team in any
				hospital will depend on the characteristics of that hospital and its staff The
				team leader shall be a qualified surgeon or emergency physician who is
				clinically capable in all aspects of trauma care. Suggested composition of the
				trauma team may include:
(A)
				Surgeons;
(B)
				Anesthesiologists;
(C) Emergency
				physicians;
(D) Laboratory
				technicians;
(E) Registered
				nurses;
(F) Physician specialists
				as dictated by clinical needs;
(G)
				Prehospital care providers;
(H)
				Radiology technicians;
(I)
				Respiratory therapists; and
(J)
				Social services/pastoral care.
(iv) Qualifications for Surgeons on the
				Trauma Team. As a general rule, all surgeons on the trauma team shall be board
				certified in a surgical specialty recognized by the American Board of Medical
				Specialties, the Canadian Board or the American Osteopathic Association. An
				exception to this rule is Oral and Maxillofacial Surgery. These physicians
				shall be board certified by the American Board of Oral and Maxillofacial
				Surgery 
				5. The surgeons shall participate in the
				multi disciplinary trauma committee and the quality improvement process. All
				general surgeons participating on the trauma team shall be current in ATLS and
				be involved in continuing education specific to trauma sufficient to maintain
				quality patient care. This includes all residents.
(v) Trauma Nurse Coordinator. A RTC shall
				have a registered nurse working in the role of trauma nurse coordinator.
				Working in conjunction with the trauma director, the trauma nurse coordinator
				shall organize the program and all systems necessary for the multi disciplinary
				approach throughout the continuum of trauma care. The trauma nurse coordinator
				shall coordinate optimal patient care for all injured
				patients6.
(vi) Multi Disciplinary Trauma Committee. The
				purpose of the committee is to provide oversight and leadership to the entire
				trauma program. The major focus shall be quality improvement activities, policy
				development, communication among all team members, development of standards of
				care, education, and outreach programs and working with appropriate groups for
				injury prevention. The clinical managers (or designees) of the organizational
				areas involved with trauma care shall play
(A) Administration;
(B) Anesthesia;
(C) Emergency Department;
(D) Family Practice Residency
				Program;
(E) Intensive
				Care;
(F) General
				Surgery;
(G) Laboratory;
(H) Medical Records;
(I) Neurosurgery;
(J) Nursing;
(K) Operating Room;
(L) Orthopedics;
(M) Pediatrics;
(N) Prehospital care providers;
(O) Radiology;
(P) Rehabilitation;
(Q) Respiratory Therapy; and
(R) Trauma Nurse Coordinator.