S.D. Admin. R. 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.

Notes

S.D. Admin. R. 44:68:02:08

35 SDR 304, effective 6/29/2009.

General Authority: SDCL 34-12-54.

Law Implemented: SDCL 34-12-53, 34-12-54.