Tenn. Comp. R. & Regs. 1200-08-12-.02 - DEFINITIONS
(1) "ACS-COT" means American College of
Surgeons Committee on Trauma.
(2)
"Advisory Council" means the Tennessee Trauma Care Advisory Council.
(3) "ATLS" means Advanced Trauma Life
Support.
(4) "Board" means the
Board for Licensing Health Care Facilities.
(5) "Commissioner" means the Commissioner of
the Tennessee Department of Health.
(6) "Comprehensive Regional Pediatric Center
(CRPC)" means a facility that shall be capable of providing comprehensive
specialized pediatric medical and surgical care to all acutely ill and injured
children. The center shall be responsible for serving as a regional referral
center for the specialized care of pediatric patients or in special
circumstances provide safe and timely transfer of children to other resources
for specialized care. Rules and regulations governing CRPCs are delineated in
Chapter 1200-08-30.
(7) "D" means
desired.
(8) "Data" means the
original information contained on the report required by the regulations,
including, but not limited to, both identifying and non-identifying
information.
(9) "Department" means
the Tennessee Department of Health.
(10) "E" means essential.
(11) "Facility" shall have the same meaning
as defined in T.C.A. §
68-11-201(15).
(12) "FAST" means focused abdominal
sonography for trauma.
(13) "Health
care practitioner" means a physician, surgeon, or other health care
professional licensed under T.C.A. Title 63 or Title 68 who is engaged in
diagnosing and/or treating patients within the trauma care system.
(14) "Identifying information" means any
information that could lead to the identification of a patient who has been
diagnosed or treated within the trauma care system.
(15) "Levels of Care" means the type of
trauma service provided by the facility as shown by the degree of commitment in
personnel and facilities made to the delivery of that service.
(16) "Level I" means a hospital capable of
providing care for the acutely injured patient and which meets all requirements
in these regulations defined as Level of Care I.
(17) "Level II" means a hospital capable of
providing care for the acutely injured patient and which meets all requirements
in these regulations defined as Level of Care II.
(18) "Level III" means a hospital capable of
providing care for the acutely injured patient and which meets all requirements
in these regulations defined as Level of Care III. The Level III facility
generally serves communities without all the resources usually associated with
Level I or II facilities. Planning for care of the injured in small communities
or suburban settings usually calls for transfer agreements and protocols for
the most severely injured patients. Designation of the Level III facility may
also require innovative use of the region's resources. For example, if there is
no neurosurgeon in a large, sparsely populated region it may require that a
general surgeon be prepared to provide the emergency decompression of mass
lesions and arrangement for patient transfer to the most appropriate Level I or
II hospital after the surgeon has carried out the patient's life-saving
operation. Staffing of the Level III hospital is another example of the
innovative use of a region's resources. It will be impractical to require a
general surgeon to be in-house in many instances. With modern communication
systems it seems reasonable that the surgeon should be promptly available and
in a great majority of instances meet the patient in the emergency room on
arrival. When a Level III hospital first receives notification of a critically
injured patient, it can activate on-call personnel to respond promptly to the
hospital. The intent of this flexibility should be clear: to provide the best
possible care even in the most remote circumstances.
(19) "Level IV" means a hospital capable of
providing care for the acutely injured patient and which meets all requirements
in these regulations defined as Level of Care IV. The hospital shall have
treatment protocols for resuscitation, transfer protocols on record, shall
submit trauma data elements to the state trauma registry as outlined in the
Tennessee Trauma Data Dictionary, and participate in system performance
improvement. The Level IV facility will maintain a good working relationship
with the nearest Level I, II, or III trauma center.
(20) "Medical Record" means medical
histories, records, reports, summaries, diagnoses, prognoses, records of
treatment and medication ordered and given, entries, x-rays, radiology
interpretations, and other written, electronic, or graphic data prepared, kept,
made or maintained in a facility that pertains to confinement or services
rendered to patients admitted or receiving care.
(21) "Person" means any member of the
"medical, scientific, and academic research community."
(22) "PGY" means postgraduate year.
(23) "Physician Extender" means a health care
professional, such as an advanced practice registered nurse or a physician
assistant, whose skills have been enhanced by an appropriate course of trauma
specific training e.g. ATLS education.
(24) "Policies and Procedures Manual" means
the document(s) maintained in the offices of the Tennessee Trauma Registry
giving specific written instructions for the implementation of policies and
procedures utilized by the registry and which may be updated from time to
time.
(25) "Trauma Center" shall
have the same definition as provided in T.C.A. §
68-59-102(6).
(26) "Trauma Registry" means a central
registry compiled of injury incidence information supplied by designated trauma
centers and Comprehensive Pediatric Emergency Centers for the purpose of
allowing the Board to analyze data and conduct special studies regarding the
causes and consequences of traumatic injury.
Notes
Authority: T.C.A. §§ 68-11-201, 68-11-202, 68-11-209, and 68-11-259.
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