Cal. Code Regs. tit. 22 § 100260

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Current through Register 2024 Notice Reg. No. 23, June 7, 2024

Section 100260 - Additional Level I Criteria

In addition to the above requirements, a Level I trauma center shall have:

(a) One of the following patient volumes annually:

(1) a minimum of 1200 trauma program hospital admissions, or

(2) a minimum of 240 trauma patients per year whose Injury Severity Score (ISS) is greater than 15, or

(3) an average of 35 trauma patients (with an ISS score greater than 15) per trauma program surgeon per year.

(b) Additional qualified surgical specialists or specialty availability on-call and promptly available:

(1) cardiothoracic; and

(2) pediatrics;

(c) A surgical service that has at least the following:

(1) operating staff who are immediately available unless operating on trauma patients and back-up personnel who are promptly available.

(2) cardiopulmonary bypass equipment: and

(3) operating microscope.

(d) Anesthesiology immediately available. This requirement may be fulfilled by senior residents or certified registered nurse anesthetists who are capable of assessing emergent situations in trauma patients and of providing treatment and are supervised by the staff anesthesiologist.

(e) An intensive care unit with a qualified specialist in-house and immediately available to care for trauma patients in the intensive care unit. The qualified specialist may be a resident with two (2) years of training who is supervised by the staff intensivist or attending surgeon who participates in all critical decision making.

(f) A Trauma research program; and

(g) An ACGME approved surgical residency program.

Cal. Code Regs. Tit. 22, § 100260

1. New section filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Repealer of article 5 (sections 100260-100262) and section and new section filed 7-13-99; operative 8-12-99 (Register 99, No. 29).

Note: Authority cited: Sections 1797.107 and 1798.161, Health and Safety Code. Reference: Sections 1798.161 and 1798.165, Health and Safety Code.