Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
criteria for Level V trauma receiving hospitals. A Level V trauma receiving hospital shall meet the following criteria: (1) The hospital organization shall have: (a) A trauma program recognized by the hospital, including a physician medical director and trauma nurse leader; (b) A hospital-specific definition of a trauma team alert patient; (c) A multidisciplinary operational and performance improvement review committee with a defined purpose and meeting format. The committee may be combined with another performance improvement committee established by the hospital; (d) Defined trauma team roles and responsibility; (e) Defined trauma team activation guidelines; and (f) Defined trauma transfer protocols; (2) The hospital's emergency department shall include the following capabilities and equipment: (a) Twenty-four hours a day, seven days a week operation; (b) A designated medical director; (c) Physician, physician assistant, or nurse practitioner on-call coverage with a maximum 30 minute response time. Response time shall be documented and monitored; (d) A registered nurse available in the hospital and promptly available to the emergency department; (e) Airway control and ventilation equipment including laryngoscope and endotracheal tubes of all sizes, other invasive airway adjuncts, bag-mask resuscitator, pocket masks, and oxygen; (f) Pulse oximetry; (g) End-tidal carbon dioxide detectors; (h) Suction devices; (i) Electrocardiograph-oscilloscope-defibrillator; (j) Pediatric resuscitation equipment; (k) Standard intravenous fluids and administration devices, including large bore intravenous catheters; (l) Sterile surgical sets, including: (i) Airway control, cricothyrotomy, tracheostomy trays, or thoracotomy; (ii) Vascular access; and (iii) Needle decompression or chest tubes (various sizes); (m) Gastric decompression or nasal gastric tubes; (n) X-ray availability 24 hours a day, seven days a week; (o) Two-way communication with vehicles of emergency transport; (p) Thermal control equipment for patients; and (q) Vascular Doppler; (3) The hospital's radiology services shall include: (a) A radiology technologist on-call with a maximum 30 minute response time. Response times shall be documented and monitored; and (b) Conventional radiography; (4) The hospital's laboratory services and capabilities shall include: (a) A clinical laboratory available 24 hours a day, seven days a week; (b) Standard analysis of blood, urine, and other body fluids; (c) An O-negative blood supply; and (d) Coagulation studies; (5) The hospital shall have respiratory services available; (6) The hospital's trauma prevention and outreach shall include injury prevention and public awareness activities; (7) The hospital's performance improvement and patient safety shall include: (a) An organized and structured performance improvement program; (b) A multidisciplinary performance improvement review committee. The committee may be combined with another performance improvement committee established by the hospital; (c) The collection and submission of trauma data pursuant to chapter 44:68:04; (d) A hospital and pre-hospital trauma care performance improvement review; (e) A quarterly mortality and morbidity case review; (f) An operation performance improvement review program including notification and arrival times for the following team members: (i) An on-call physician, physician assistant, or nurse practitioner; (ii) A radiology technologist; (iii) A laboratory technician; and (iv) A respiratory therapist, if part of the trauma team; (g) A published on-call schedule for trauma team members; and (h) A collaborative involvement in pre-hospital care protocols; and (8) The hospital's staff educational requirements shall be as follows: (a) The physician medical director shall have current certification in ATLS education; (b) The surgeon, if on staff, shall: (i) Have current certification in ATLS education; or (ii) Have documentation indicating successful completion of ATLS education at least once and a minimum of 16 hours of trauma continuing medical education credits every four years; (c) The physician covering the emergency department shall: (i) Have current certification in ATLS education; or (ii) Have documentation indicating successful completion of ATLS education at least once and a minimum of 16 hours of trauma continuing medical education credits every four years; (d) The physician assistant or nurse practitioner covering the emergency department shall: (i) Have current certification in ATLS education; or (ii) Have documentation indicating successful completion of ATLS education at least once and a minimum of 16 hours of trauma continuing medical education credits every four years; and (e) Each emergency department nurse shall be current in TNCC education.
Source: 35 SDR 304, effective June 29, 2009.