| A. Anesthesia. Anesthesia requirements are as follows: |
|
|
|
|
|
| (1) Board-certified, fellowship trained Anesthesiology Attending in-house, dedicated 24 hours a day to trauma care should be at the bedside upon arrival, and documented at least 80 percent of the time; |
E |
NA |
NA |
NA |
NA |
| (2) Board-certified or board-eligible, in-house attending 24 hours a day; |
NA |
E |
E |
E |
NA |
| (3) Attending anesthesiologist or CRNA taking trauma call shall be at the bedside within 15 minutes of being called with institution-specific criteria defining conditions requiring an immediate response, and present for all operations; and |
NA |
E |
E |
E |
NA |
| (4) A liaison to the trauma QM program with 50 percent attendance. |
E |
E |
E |
E |
E |
| B. Emergency Medicine. Emergency Medicine (EM) requirements are as follows: |
|
|
|
|
|
| (1) Physician Director or designated Director of Trauma Services in Emergency Medicine who: |
|
|
|
|
|
| (a) Is Board certified or board eligible in EM with evidence of active participation in daily emergency care; |
NA |
E |
E |
E |
D |
| (b) Has administrative duties in the Emergency Department (ED); |
NA |
E |
E |
E |
D |
| (c) Demonstrates the successful completion of the ATLS® course, at least once; and |
NA |
E |
E |
E |
E |
| (d) Maintains ATLS® certification; |
NA |
E |
E |
E |
E |
| (2) Emergency physician in-house 24 hours a day who is: |
|
|
|
|
|
| (a) Board certified or board eligible in EM; |
NA |
E |
E |
E |
E |
| (b) Board certified or board eligible in a non-EM specialty with at least 7,000 hours of emergency practice and current ATLS® certification; |
NA |
NA |
NA |
E |
E |
| (c) If certified by boards other than EM and treating trauma patients in the ED, current ATLS® status; or |
NA |
E |
E |
E |
E |
| (d) Has demonstrated special capabilities through commitment, continuing education, and experience; |
NA |
NA |
NA |
NA |
E |
| (3) Advanced Practice Professionals (APP) providing care to the trauma patient who have current ATLS® certification; and |
NA |
E |
E |
E |
E |
| (4) A liaison to the trauma QM program with 50 percent attendance. |
NA |
E |
E |
E |
E |
| C. Critical Care. Critical care requirements are as follows: |
|
|
|
|
|
| (1) Intensive care with a designated surgical director who is fellowship trained and board certified in surgery or critical care; |
E |
E |
D |
NA |
NA |
| (2) A board certified surgeon who serves as director or co-director of the ICU and is actively involved in, and responsible for, setting policies and administrative decisions related to trauma ICU patients; |
NA |
NA |
E |
D |
NA |
| (3) A trauma surgeon who retains responsibility for the patient and coordinates all therapeutic decisions; |
NA |
E |
E |
E |
NA |
| (4) If Telemedicine is used, physician/s who have privileges in critical care and be approved by the TMD; and |
E |
E |
E |
E |
NA |
| (5) A liaison to the trauma QM program with 50 percent attendance. |
E |
E |
E |
E |
NA |