N.J. Admin. Code § 8:43G-12.13

Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:43G-12.13 - Trauma services; definitions

The following words and terms, when used in N.J.A.C. 8:43G-12.12 through 12.23, shall have the following meanings, unless the context clearly indicates otherwise:

"Advanced life support" means an advanced level of prehospital, interhospital, and emergency service care which includes basic life support functions, cardiac monitoring, cardiac defibrillation, telemetered electrocardiography, intravenous therapy, administration of specific medications, drugs and solutions, use of adjunctive ventilation devices, trauma care, and other techniques and procedures authorized by the Commissioner.

"Basic life support" means a level of prehospital care which includes patient stabilization, airway clearance, external closed chest cardiopulmonary resuscitation, control of hemorrhage, initial wound care, fracture stabilization, victim extrication, and other techniques and procedures authorized by the Commissioner.

"Commissioner" means Commissioner of Health and Senior Services.

"Department" means New Jersey Department of Health and Senior Services.

"Emergency medical technician" (EMT) means an individual who has completed a course of instruction and who has been issued certification by the Commissioner to provide basic life support services, in accordance with N.J.A.C. 8:41.

"In-hospital" means present at all times and immediately available to the trauma center. On call personnel are not considered to be in-hospital.

"Major trauma" means an injury to a trauma patient who sustains a sudden injury, due to violence or other forces, that requires medical/surgical intervention to prevent death or disability. Patients included are those with both injuries in the ICD-9 CM diagnosis or injury code range of 800.00 through 959.9 and an associated E (external cause of injury) code, with the exception of drowning or suffocation. Patients must also meet, as a result of such injury rather than another disease or condition, one or more of the following criteria:

1. Transfer to a designated trauma or burn center from a community hospital;
2. Admission to intensive or critical care or another monitored setting;
3. Hospitalization for three or more days;
4. Injury score of 3 or more on the Abbreviated Injury Scale;
5. Survival probability of 90 percent or less according to the Trauma Score/Injury Severity Score (TRISS) method; or
6. Death (including deaths in the emergency department).

"Medical control" means direction by a hospital-based physician of basic and/or advanced life support services delivered in the field by authorized personnel from a licensed emergency department.

"Mobile intensive care unit (MICU) means a specialized emergency medical service vehicle staffed by mobile intensive care paramedics or mobile intensive care nurses trained in advanced life support nursing and operated for the provision of advanced life support services under the direction of an authorized hospital, in accordance with the provisions of N.J.A.C. 8:41.

"On call" means that personnel are responsible for attendance at the trauma center when their presence is required. An on call roster shall be maintained for scheduling these personnel.

"Promptly available" means that personnel can be attending patients at the trauma center within a maximum of 30 minutes from the time they are called.

"Trauma" means a physical wound or injury.

N.J. Admin. Code § 8:43G-12.13

Amended by 50 N.J.R. 552(b), effective 1/16/2018