Current through Register Vol. 51, No. 19, September 20, 2024
A. A designated and dedicated ED physician director and nurse manager;
B. A sufficient number of registered nurses and other clinicians who:
(1) Have the necessary knowledge and skills to provide care during trauma resuscitation;
(2) Are present to manage projected caseloads; and
(3) Immediately reinforce the number of staff upon notice of multiple admissions;
C. Defined and agreed upon roles and responsibilities approved by the TMD to ensure availability of ED resources;
D. Verification of functioning life-safety emergency equipment and supplies organized for trauma resuscitation present and immediately available 24 hours a day;
E. An identified pediatric trauma resuscitation room with dedicated staff, equipment, and supplies 24 hours a day;
F. Designation by MIEMSS as a pediatric base station;
G. Policies and protocols for trauma team response and roles in ED trauma resuscitation in accordance with Regulation .20 of this chapter; and
H. Equipment for resuscitation of patients of all ages, including:
(1) Airway management equipment and supplies including a "difficult airway cart";
(2) Emergency equipment located in the resuscitation area/ED for:
(a) Thoracotomy;
(b) Vascular access;
(c) Thoracostomy or chest decompression;
(d) Bedside ultrasound;
(e) Extremity hemorrhage control devices/tourniquet; and
(f) Rapid infuser and warmer;
(3) Medications necessary for the resuscitation and emergency care of children with immediate capability for appropriate pediatric dosages based on weight in kilograms;
(4) Printed pre-calculated pediatric drug dosage reference materials, including, but not limited to, charts, wall posters, and length-based dosage tapes;
(5) The following monitoring devices:
(a) ECG monitor/defibrillator capable of providing a hard copy rhythm strip, and with internal and external pediatric paddles capable of delivering from 0 to 360 joules;
(b) Pulse oximeter with adult and pediatric probes;
(c) Blood pressure cuffs in infant, child, adult, and thigh sizes;
(d) Thermometer probe capable of reading from 28 to 42 degrees centigrade;
(e) Otoscope;
(f) Ophthalmoscope;
(g) Transport monitor with pediatric capabilities;
(h) Doppler and noninvasive blood pressure monitoring devices for infant, child, and adult;
(i) End-tidal carbon dioxide monitor; and
(j) Pressure monitor for central venous pressure and arterial line pressure;
(6) Standard intravenous fluids and administration devices, including large-bore intravenous catheters;
(7) Newborn resuscitation supplies;
(8) Compartmental pressure measuring devices immediately available; and
(9) Cervical and skeletal traction devices immediately available.
