44:68:02:08. Designation
criteria for Level V trauma receiving hospitals. A Level V trauma receiving
hospital shall meet the following criteria:
(1) The hospital
organization shall have:
(a) A trauma program
recognized by the hospital, including a physician medical director and trauma
nurse leader;
(b) A
hospital-specific definition of a trauma team alert patient;
(c) A
multidisciplinary operational and performance improvement review committee with
a defined purpose and meeting format. The committee may be combined with
another performance improvement committee established by the hospital;
(d) Defined trauma
team roles and responsibility;
(e) Defined trauma
team activation guidelines; and
(f) Defined trauma
transfer protocols;
(2) The hospital's
emergency department shall include the following capabilities and equipment:
(a) Twenty-four hours
a day, seven days a week operation;
(b) A designated
medical director;
(c) Physician,
physician assistant, or nurse practitioner on-call coverage with a maximum 30
minute response time. Response time shall be documented and monitored;
(d) A registered nurse
available in the hospital and promptly available to the emergency department;
(e) Airway control and
ventilation equipment including laryngoscope and endotracheal tubes of all
sizes, other invasive airway adjuncts, bag-mask resuscitator, pocket masks, and
oxygen;
(f) Pulse oximetry;
(g) End-tidal carbon
dioxide detectors;
(h) Suction devices;
(i) Electrocardiograph-oscilloscope-defibrillator;
(j) Pediatric
resuscitation equipment;
(k) Standard
intravenous fluids and administration devices, including large bore intravenous
catheters;
(l) Sterile surgical
sets, including:
(i) Airway
control, cricothyrotomy, tracheostomy trays, or thoracotomy;
(ii) Vascular
access; and
(iii) Needle
decompression or chest tubes (various sizes);
(m) Gastric
decompression or nasal gastric tubes;
(n) X-ray
availability 24 hours a day, seven days a week;
(o) Two-way
communication with vehicles of emergency transport;
(p) Thermal
control equipment for patients; and
(q) Vascular
Doppler;
(3) The hospital's
radiology services shall include:
(a) A radiology
technologist on-call with a maximum 30 minute response time. Response times
shall be documented and monitored; and
(b) Conventional
radiography;
(4) The hospital's
laboratory services and capabilities shall include:
(a) A clinical
laboratory available 24 hours a day, seven days a week;
(b) Standard analysis
of blood, urine, and other body fluids;
(c) An O-negative
blood supply; and
(d) Coagulation
studies;
(5) The hospital shall have
respiratory services available;
(6) The hospital's trauma
prevention and outreach shall include injury prevention and public awareness
activities;
(7) The hospital's
performance improvement and patient safety shall include:
(a) An organized and
structured performance improvement program;
(b) A
multidisciplinary performance improvement review committee. The committee may
be combined with another performance improvement committee established by the
hospital;
(c) The collection and
submission of trauma data pursuant to chapter 44:68:04;
(d) A hospital and
pre-hospital trauma care performance improvement review;
(e) A quarterly
mortality and morbidity case review;
(f) An operation
performance improvement review program including notification and arrival times
for the following team members:
(i) An
on-call physician, physician assistant, or nurse practitioner;
(ii) A
radiology technologist;
(iii) A
laboratory technician; and
(iv) A
respiratory therapist, if part of the trauma team;
(g) A published
on-call schedule for trauma team members; and
(h) A collaborative
involvement in pre-hospital care protocols; and
(8) The hospital's staff
educational requirements shall be as follows:
(a) The physician
medical director shall have current certification in ATLS education;
(b) The surgeon, if on
staff, shall:
(i) Have
current certification in ATLS education; or
(ii) Have
documentation indicating successful completion of ATLS education at least once
and a minimum of 16 hours of trauma continuing medical education credits every
four years;
(c) The physician
covering the emergency department shall:
(i) Have
current certification in ATLS education; or
(ii) Have
documentation indicating successful completion of ATLS education at least once
and a minimum of 16 hours of trauma continuing medical education credits every
four years;
(d) The physician
assistant or nurse practitioner covering the emergency department shall:
(i) Have
current certification in ATLS education; or
(ii) Have
documentation indicating successful completion of ATLS education at least once
and a minimum of 16 hours of trauma continuing medical education credits every
four years; and
(e) Each emergency
department nurse shall be current in TNCC education.
Source:
35 SDR 304, effective June 29, 2009.
General
Authority: SDCL 34-12-54.
Law
Implemented: SDCL 34-12-53, 34-12-54.
