Rule 15-12-32-6.2.9 - Required Clinical Components1. Secondary pediatric trauma centers must have published on-call schedules and have the following medical specialists immediately available 24 hours/day to the injured pediatric patient:2. Pediatric Emergency Medicine (in-house 24 hours/day). Emergency Physician and/or mid-level provider (Physician Assistant/Nurse Practitioner) must be in the specified trauma resuscitation area upon patient arrival.3. Trauma/General or Pediatric Surgery. It is desirable that a back up surgeon schedule is published. It is desirable that the surgeon on-call is dedicated to the pediatric trauma center and not on-call to any other hospital while on pediatric trauma call. A system should be developed to assure notification of the on-call surgeon and compliance with these criteria and their appropriateness must be documented and monitored by the PI process. Response time for Alpha Alert/Activations is 30 minutes and starts at patient arrival or EMS notification, whichever is shorter. Response time for Bravo Alerts/Activations is 45 minutes from patient arrival.4. Orthopedic Surgery. It is desirable that a back up surgeon schedule is published. It is desirable that the surgeon on-call is dedicated to the pediatric trauma center and not on-call to any other hospital while on pediatric trauma call. A system should be developed to assure notification of the on-call surgeon and compliance with these criteria and their appropriateness must be documented and monitored by the PI process. Response time for all trauma activations is 60 minutes from the time notified to respond.5. Anesthesia. Anesthesia must be immediately available with a mechanism established to ensure early notification of the on-call anesthesiologist. Anesthesia must be available 24 hours/day. Anesthesia chief residents or certified nurse anesthetist (CRNA) may fill this requirement. When residents or CRNAs are utilized, the staff anesthesiologist on-call will be advised, promptly available, and present for all operations. Hospital policy must be established to determine when the anesthesiologist must be immediately available for airway control and assisting with resuscitation. The availability of the anesthesiologist and the absence of delays in airway control or operative anesthesia must be documented and monitored by the PI process. The maximum response time for all trauma patients is 30 minutes from the time notified to respond.6. The following specialists must be on-call and promptly available: 7. It is desirable (although not required) to have the following specialists available to the secondary pediatric trauma center: b. Obstetrics/Gynecology Surgeryd. Oral/Maxillofacial Surgeryf. Critical Care Medicineg. Thoracic Surgery* * The trauma surgeon is presumed to be qualified and have privileges to provide emergency thoracic surgical care to pediatric patients with thoracic injuries. If this is not the case, the facility should have a board-certified thoracic surgeon immediately available for the injured pediatric patient (within 30 minutes of the time notified to respond).
8. The staff specialist on-call will be notified at the discretion of the trauma surgeon and will be promptly available. The PI program will continuously monitor this availability.9. Policies and procedures should exist to notify the transferring hospital of the patient's condition.15 Miss. Code. R. 12-32-6.2.9
Miss. Code Ann. § 41-59-5