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Trauma Program Level Designation

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Yolawnda Stutzman

on 18 June 2016

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Transcript of Trauma Program Level Designation

62
ECG
bpm
Thank You!
What is Trauma Program Designation?
"Levels"
The different levels (Level I, II, III, IV or V) refer to the kinds of resources available in a trauma center and the number of patients admitted yearly.
What does designation give a hospital?
LEVEL I
Only found in a Teaching Hospital because criteria requires the existence of a Residency Program in Traumatology
24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care.
Referral resource for communities in nearby regions.
Provides leadership in prevention, public education to surrounding communities.
Provides continuing education of the trauma team members.
Incorporates a comprehensive quality assessment program.
Operates an organized teaching and research effort to help direct new innovations in trauma care.
Program for substance abuse screening and patient intervention.
Meets minimum requirement for annual volume of severely injured patients.
Level II
24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care.

Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center.

Provides trauma prevention and continuing education programs for staff.

Incorporates a comprehensive quality assessment program.
How are they designated?
HS425 Yolawnda Stutzman
Trauma Program Level Designation
References:
http://www.amtrauma.org/?page=traumalevels
http://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/EmergencyMedicalServicesEMSSystems/TraumaSystem/TraumaDesignation
https://www.facs.org/~/media/files/quality%20programs/trauma/hospitallevels.ashx
http://www.facs.org/trauma/verified.html
http://airmedical.net/resource/types-air-ambulances/
http://www.amtrauma.org/

An evaluation process done by the American College of Surgeons (ACS) to evaluate and improve trauma care.


The ACS does
not
designate trauma centers; it verifies the presence of the resources listed in Resources for Optimal Care of the Injured Patient.

Trauma categories vary from state to state

Facilities are designated/verified as Adult and/or Pediatric Trauma Centers.
The
ACS- American College of Surgeons
,
The
American Hospital Association,
along with the
Joint Commission
established the criteria upon which hospital accreditation is measured.
Where do these "standards" to designate Trauma Programs come from?
Every three years, hospitals may apply and compete for trauma service designation.
All applicants complete a written application.
Based on an assessment of the written application and the results of the clinical on-site survey, the department selects the most qualified applicants.
Establishes minimum standards for hospital-based trauma services

Designates hospitals to provide trauma services

Provides clinical consultation to trauma services and providers

Develops trauma clinical care guidelines

Adds hospital to Trauma registry which collects data on seriously injured patients and provides data reporting and analysis
tertiary care facility capable of providing total care for every aspect of injury – from prevention through rehabilitation.
able to initiate 'definitive care' for all injured patients.
Level III
ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.
24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists.
Incorporates a comprehensive quality assessment program
Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center.
Provides back-up care for rural and community hospitals.
Offers continued education of the nursing and allied health personnel or the trauma team.
Involved with prevention efforts and must have an active outreach program for its referring communities.
Level IV
ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center. It provides evaluation, stabilization, and diagnostic capabilities for injured patients.

Basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Available trauma nurse(s) and physicians available upon patient arrival.
May provide surgery and critical-care services if available.
Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center.
Incorporates a comprehensive quality assessment program
Involved with prevention efforts and must have an active outreach program for its referring communities.
Level V
provides initial evaluation, stabilization and diagnostic capabilities and prepares patients for transfer to higher levels of care.
Basic emergency department facilities to implement ATLS protocols
Available trauma nurse(s) and physicians available upon patient arrival.
After-hours activation protocols if facility is not open 24-hours a day.
May provide surgery and critical-care services if available.
Has developed transfer agreements for patients requiring more comprehensive care at a Level I though III Trauma Centers.
Level 1 Trauma Video
19 min
Full transcript