6 Colo. Code Regs. § 1015-4-102

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1015-4-102 - Transport Protocols

1. When an air or ground ambulance service transports a trauma patient to a receiving facility, its determination of what constitutes the most appropriate receiving facility must conform with:

A. The applicable RETAC plan assessment of regional considerations as required by Chapter Four, 6 CCR 1015-4, Section 405.3.B.(1); and

B. The RETAC trauma destination protocol as required by 6 CCR 1015-4, Chapter Four, Section 406 and Chapter One, Exhibits A and B.

2. Each designated and nondesignated facility shall meet the transfer requirements, including transfer agreements as required by statute and in rule, appropriate to its designation level, as set forth in 6 CCR 1015-4, Chapter Three.

3. Every licensed health care facility that participated in the trauma system shall develop and implement protocols that, at a minimum, address the following components of the trauma system as set forth in 6 CCR 1015-4, Chapter Three:

A. When a patient arrives at a facility, the facility will provide the patient with the appropriate available care based on the patient's injury, which may include stabilization before transferring to a higher level of care or specialty care;

B. If the patient requires a higher level of care or specialty care that is not available, the facility shall transfer the patient as soon as medically feasible to the appropriate facility, which may be in or out of state; and

C. When determining what receiving facility is the most appropriate trauma facility for the injured person, the sending facility shall consider, at a minimum:

(1) Accessibility to the receiving facility by ground or air transport,

(2) Transport time to the receiving facility by ground or air transport,

(3) Treatment options and transport modes that best meet the needs of the patient during ground or air transport, and

(4) Whether the best interests of the patient require the attending physician at the sending facility to exercise his or her discretion to bypass a closer facility.

6 CCR 1015-4-102

39 CR 02, January 25, 2016, effective 2/14/2016

40 CR 08, April 25, 2017, effective 5/15/2017

41 CR 22, November 25, 2018, effective 12/15/2018

42 CR 10, May 25, 2019, effective 6/14/2019

43 CR 09, May 10, 2020, effective 6/14/2020

44 CR 10, May 25, 2021, effective 7/1/2021