N.J. Admin. Code § 8:43G-12.17

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-12.17 - Trauma services staff time and availability

(a) For Level I and Level II trauma centers there shall be present in-hospital at all times personnel who meet the following qualifications:

1. At least one general surgeon who is credentialed to provide trauma care and, in consultation with the chief of neurosurgery, credentialed to initiate neurosurgical stabilization of patient; and

2. An emergency physician in accordance with requirements at 8:43G-12.3, who is credentialed in accordance with 8:43G-12.16(b); and

3. Anesthesia personnel in accordance with requirements at 8:43G-6.3.

(b) For Level II trauma centers only, the in-hospital requirements specified in (a)1 or 2 above may be fulfilled by senior residents (post-graduate year 4 or 5) in the hospital's accredited surgical training program who are credentialed for trauma surgery by the physician director of the trauma service. When a senior resident is used to fulfill the availability requirement, a surgeon credentialed in trauma care shall be in the hospital at the time of the patient's arrival.

(c) For Level II trauma centers only, the in-hospital requirement specified in (a)3 above may be fulfilled by an anesthesiology chief resident (post-graduate year 4 or clinical anesthesia post-graduate year 4) or a certified registered nurse anesthetist (CRNA), provided that an anesthesiologist will be in the hospital at the time of the patient's arrival.

(d) For Level I and Level II trauma centers, there shall be physicians on call and promptly available in each of the following specialties:

1. Neurologic surgery;

2. Orthopedic surgery;

3. Urologic surgery;

4. Ophthalmic surgery;

5. Obstetric-gynecologic surgery;

6. Plastic surgery;

7. Oral/maxillofacial surgery;

8. Thoracic surgery;

9. Cardiology;

10. Internal medicine;

11. Pulmonary medicine;

12. Pediatrics; and

13. Radiology.

(e) For Level I trauma centers, there shall be physicians on call and promptly available in each of the following additional specialties:

1. Microvascular surgery (replant/flaps);

2. Hand surgery;

3. Cardiac surgery;

4. Pediatric surgery; and

5. Infectious disease.

N.J. Admin. Code § 8:43G-12.17

New Rule, R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).