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.
