Or. Admin. R. 333-200-0010 - Definitions
As used in OAR 333-200-0000 through 333-200-0295:
(1) "Area Trauma Advisory Board " (ATAB) means
an advisory group appointed by the Authority for each established trauma area
to represent providers of trauma care and members of the public.
(2) "Authority " means the Oregon Health
Authority .
(3) "Categorization "
means a process for determining the level of a hospital 's trauma care
capability and commitment which allows any hospital which meets criteria to
receive trauma patients.
(4)
"Communications coverage area " means a geographic region representing a primary
radio service area for emergency medical communications. When primary service
areas substantially overlap they will be considered as one coverage
area.
(6) "Designation " means a competitive process
for determining the level of a hospital 's trauma care capability and
commitment, allowing the Authority to select a limited number of hospitals
which meet criteria to receive trauma patients.
(7) "Emergency medical condition" means a
medical condition that manifests itself by symptoms of sufficient severity that
a prudent layperson possessing an average knowledge of health and medicine
would reasonably expect that failure to receive immediate medical attention
would place the health of a person , or a fetus, in the case of a pregnant
woman, in serious jeopardy.
(8)
"Emergency Medical Responder" means a person who is licensed by the Authority
as an Emergency Medical Responder.
(9) "Emergency Medical Services provider "
(EMS provider ) means a person who is licensed by the Authority as an Emergency
Medical Responder or an Emergency Medical Technician.
(10) "Emergency Medical Technician" (EMT)
means a person who is licensed by the Authority as an Emergency Medical
Technician.
(11) "Glasgow Coma
Scale " (GCS) means an internationally recognized scoring system for the
assessment of head injury severity and degree of coma.
(12) "Hospital " has the meaning set forth in
ORS
442.015(15).
(13) "Injury Severity Score " (ISS) means a
method for quantifying the degree of anatomic injury. As described in Baker,
S.P., O'Neill B., Haddon W. Jr., et al: The Injury Severity Score , Journal of
Trauma, 1974, 14: 187-196.
(14)
"Level I (regional) trauma hospital " means a hospital which is categorized or
designated by the Authority as having met the trauma hospital resource
standards for a Level I hospital , as described in Exhibit 4. Level I hospitals
manage severely injured patients, provide trauma related medical education and
conduct research in trauma care.
(15) "Level II (area) trauma hospital " means
a hospital categorized or designated by the Authority as having met the trauma
hospital resource standards for a Level II hospital , as described in Exhibit 4.
Level II hospitals manage the severely injured patient.
(16) "Level III (local) trauma hospital "
means a hospital categorized or designated by the Authority as having met the
trauma hospital resource standards for a Level III hospital , as described in
Exhibit 4. Level III hospitals provide resuscitation, stabilization, and
assessment of the severely injured patient and provide either treatment or
transfer the patient to a higher level trauma system hospital as described in
Exhibit 5.
(17) "Level IV
(community) trauma hospital " means a hospital categorized or designated by the
Authority as having met the hospital resource standards for a Level IV
hospital , as described in Exhibit 4. Level IV hospitals provide resuscitation
and stabilization of the severely injured patient prior to transferring the
patient to a higher level trauma system hospital .
(18) "Managed health care organization " means
a health care provider or a group or organization of medical service providers
that provide for the delivery of an agreed upon set of medical or referral
services for an enrolled group of individuals and families in a defined
geographic area at a fixed periodic rate paid per enrolled individual or
family.
(19) "Medical direction "
means physician responsibility for the operation and evaluation of prehospital
emergency medical care performed by emergency care providers.
(20) "Off-line medical direction " means the
direction provided by a physician to prehospital emergency medical care
providers through communications such as written protocols, standing orders,
education and quality improvement reviews.
(21) "On-line medical direction " means the
direction provided by a physician to prehospital emergency medical care
providers through radio, telephone, or other real time communication.
(22) "Oregon Trauma Registry " means the
trauma data collection and analysis system operated by the Authority .
(23) "Prehospital response time " means the
length of time between the notification of a provider and the arrival of that
provider 's emergency medical service unit(s) at the incident scene.
(24) "Stabilization " means that, within
reasonable medical probability, no material deterioration of an emergency
medical condition is likely to occur.
(25) "State Trauma Advisory Board " (STAB)
means an advisory group appointed by the Authority to represent providers of
trauma care.
(26) "Trauma patient "
means a person who at any time meets field triage criteria for inclusion in the
Oregon Trauma System, as described in Exhibit 2 of these rules.
(27) "Trauma system hospital " means a
hospital categorized or designated by the Authority to receive and provide
services to trauma patients.
(28)
"Trauma system plan " means a document which describes the policies, procedures
and protocols for a comprehensive system of prevention and management of
traumatic injuries.
(29) "Triage
criteria " means the parameters established to identify trauma patients for
treatment in accordance with the trauma system plan . These criteria are set
forth in Exhibit 2.
Notes
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Statutory/Other
Statutes/Other Implemented: ORS 431A.065
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