15 Miss. Code. R. 3-2-1.5.2
During the Initial Application for Designation Process and for re-designation STEMI non-PCI Centers shall verify the following resources
* Emergency Department
* STEMI treatment protocols
* Each ED should maintain a standardized reperfusion STEMI care pathway that designates primary PCI as the preferred strategy if transfer to a primary PCI Center can be achieved within ACC/AHA guidelines
* Each ED should maintain a standardized STEMI care pathway that designates fibrinolysis in the ED (for eligible patients) when transfer to a primary PCI Center within ACC/AHA guidelines cannot be achieved
* If reperfusion strategy is for transfer to a primary PCI Center, patients should be transported to the most appropriate PCI Center where the first door-to-balloon time is < 120 minutes
* Emergency Medicine - ECG < 10 minutes
* Personnel
* Designated Physician Director
* Emergency Medicine Specialists (including mid-level practitioners)
* Nursing personnel with expertise (ACLS/ECG interpretation/cardiac arrhythmia monitoring/cardiac drugs) to monitor patient until admission to a hospital unit or transfer
* Equipment
* Airway control and ventilation equipment
* Oxygen/Pulse oximetry
* End-tidal CO2 determination
* Suction devices
* 12-lead ECG capability
* Intravenous fluid administration equipment
* Gastric decompression equipment
* ACLS drugs
* Cardiac rhythm monitoring capability
* Bi-phasic cardiac defibrillator equipment
* Intubation/emergency airway management equipment
* Two-way communication capability with EMS
15 Miss. Code. R. 3-2-1.5.2