Definitions: For the purposes of the Mississippi Trauma System, the

Definitions: For the purposes of the Mississippi Trauma System, the following abbreviations, acronyms, and terms shall be defined as listed. 1. ACEP – American College of Emergency Physicians. 2. ACLS – Advanced Cardiac Life Support. 3. ACSCOT – American College of Surgeons Committee on Trauma. 4. AIS – Abbreviated Injury Scale. 5. ALS – Advanced life support, including techniques of resuscitation, such as, intravenous access, and cardiac monitoring. 6. APLS – Advanced Pediatric Life Support. 7. ATCN – Advanced Trauma Care for Nurses. A course designed for the registered nurse interested in increasing his/her knowledge in the management of multiple trauma patient. 8. ATLS – Advanced Trauma Life Support. 9. Alpha Patient – A trauma patient meeting the criteria for an Alpha (major trauma or seriously injured) Alert/Activation (refer to Trauma Activation Criteria document maintained on the Department’s website). 10. BACS – Bureau of Acute Care Systems, Mississippi State Department of Health. 11. BEMS – Bureau of Emergency Medical Services, Mississippi State Department of Health. 12. BLS – Basic life support techniques of resuscitation, including simple airway maneuvers, administration of oxygen, and intravenous access. 13. Board Certified – Physicians and oral/maxillofacial surgeons certified by appropriate specialty boards recognized by the American Board of Medical Specialties and the Advisory Board of Osteopathic Specialties and the American Dental Association. 14. Burn Fund – Mississippi Burn Care Fund established under Miss. Code Ann. § 7- 9- 70. 15. BTLS – Basic Trauma Life Support. 16. Bravo Patient – A trauma patient not meeting the criteria for an Alpha Alert/ Activation, however, has received injuries requiring immediate attention (refer to Trauma Activation Criteria document maintained on the Department’s website). 17. CAP – Corrective Action Plan. 18. CCRN – Critical Care Registered Nurse. 19. CEN – Certified Emergency Nurse. 20. Catchment Area – Geographic area served by a designated trauma center for the purpose of trauma system planning, development and operations. 21. Department – also, “the Department” refers to the Mississippi State Department of Health 22. Designation – Formal recognition of hospitals by the Department as providers of specialized trauma services to meet the needs of the severely injured patient. 23. Diversion (trauma center) – Circumstances where a trauma center cannot accept the inter-facility transfer of injured trauma patients due to service or facility limitations. NOTE: This does not include pre-hospital/EMS. 24. E&D Chart – Essential and Desirables Chart for each trauma center designation level. 25. Emergency Department (or Emergency Room) – The area of an acute care hospital where the facility customarily receives patients in need of emergency medical evaluation and/or care. 26. EMS – Emergency Medical Services. 27. EMSAC – Emergency Medical Services Advisory Council. 28. ENA – Emergency Nurses Association. 29. Field Triage – Classification of patients according to medical need at the scene of an injury or onset of an illness. 30. GCS – Glasgow Coma Scale. 31. Immediately (or immediately available) – (a) unencumbered by conflicting duties or responsibilities; (b) responding without delay when notified; and (c) being within the specified resuscitation area of the trauma center when the patient is delivered or when notified by EMS that a patient is enroute, whichever is shorter. Specific times for each physician specialty are in the applicable trauma center level chapter. 32. Inclusive Trauma System – a trauma system incorporating every licensed acute care facility with an emergency department in order to provide a continuum of services for all injured persons who require care; in such a system, the injured patient's needs are matched to appropriate hospital resources. 33. Injury – (a) the result of an act that damages, harms, or hurts; (b) unintentional or intentional damage to the body resulting from acute exposure to thermal, mechanical, electrical or chemical energy or from the absence of essentials such as heat or oxygen. 34. Injury Prevention – efforts to forestall or prevent incidents that might result in injuries. 35. ISS – Injury Severity Score. 36. Level I Trauma Centers – Hospitals that have met the requirements for Level I as stated in Chapter 2 and are designated by the Department. 37. Level II Trauma Centers – Hospitals that have met the requirements for Level II as stated in Chapter 3 and are designated by the Department. 38. Level III Trauma Centers – Hospitals that have met the requirements for Level III as stated in Chapter 4 and are designated by the Department. 39. Level IV Trauma Centers – Hospitals that have met the requirements for Level IV as stated in Chapter 5 and are designated by the Department. 40. Medical Control – Physician direction over pre-hospital activities to ensure efficient trauma triage, transportation and care, as well as ongoing quality management. 41. Mid-level Providers/Practitioners – Physician Assistants (PA) and/or Nurse Practitioners (NP) 42. Mississippi Trauma System of Care Plan – The plan developed by the Department which sets out a comprehensive system of prevention, management and rehabilitation of major traumatic injuries. The plan is published on a three-year cycle. 43. Multidisciplinary Trauma Committee – Hospital committee composed of the trauma service Director, other physician members and other members appointed by the Trauma Medical Director that reviews trauma deaths in a hospital. 44. MTAC – Mississippi Trauma Advisory Committee. 45. Non-Designated Hospital – A licensed acute care hospital that has applied for designation as a trauma center but has not been designated by the Department. 46. Non-Participating Hospital – A licensed acute care hospital that has informed the Department that they do not desire to participate in the Trauma System, or a hospital that does not have a current designation or application for designation on file with the Department. 47. On-Call – Available to respond to the trauma center in order to provide a defined service. 48. PALS – Pediatric Advanced Life Support. 49. Pediatric Trauma Center – Hospitals that have met the requirements for Primary, Secondary, or Tertiary Pediatric Trauma Center designation as stated in Chapter 6 and has been designated by the Department. 50. PHTLS – Pre-Hospital Trauma Life Support. 51. Promptly (or promptly available) – Arrival of on-call physician specialists within the trauma receiving resuscitation area, emergency department, operating room, or other specified area of the trauma center within a maximum of 60 minutes from the time of notification to respond. 52. Performance Improvement (PI or Quality Improvement) – A method of evaluating and improving processes of patient care which emphasizes a multi-disciplinary approach to problem solving and focuses not on individuals but on systems of patient care which might cause variations in patient outcome. 53. Rehabilitation – Services that seek to return a trauma patient to the fullest physical, psychological, social, vocational, and educational level of functioning of which he or she is capable, consistent with physiological or anatomical impairments and environmental limitations. 54. Research – Clinical or laboratory studies designed to produce new knowledge applicable to the care of injured patients. 55. Residency Program – A residency program of the trauma center or a residency program formally affiliated with the trauma center where senior residents can participate in educational rotations. 56. RTTC – Rural Trauma Team Course. 57. RTS – Revised Trauma Score, a pre-hospital/Trauma Center scoring system in which numerical values are assigned to differing levels of Glasgow Coma Scale, systolic blood pressure, and respiratory rate. 58. Senior Resident (or "senior level resident") – A physician licensed in the State of Mississippi who has completed at least two years of the residency under consideration and has the capability of initiating treatment, when the clinical situation demands, and who is in training as a member of the residency program, as defined in regulation, at a designated trauma center. Residents in general surgery shall have completed three clinical years of general surgery residency in order to be considered a senior resident. 59. Service Area (or "catchment area") – Geographic area defined by the local EMS agency as the area served by a designated trauma center. 60. SHO – State Health Officer. 61. TCTF – Trauma Care Trust Fund. 62. TMD – Trauma Medical Director; a physician designated by the trauma center to coordinate trauma care. 63. TNCC – Trauma Nursing Core Course. 64. TPM – Trauma Program Manager; a designated RN with responsibility for coordination of all activities on the trauma service and works in collaboration with the TMD. 65. TSMD – state Trauma System Medical Director. 66. Trauma Registry – a database program managed by the Department that hospitals use to track treatment of trauma victims. 67. Trauma Team – A group of health care professionals organized to provide care to the trauma patient in a coordinated and timely fashion. The composition of a trauma team is delineated by hospital policy. 68. Triage – the process of sorting injured patients on the basis of the actual or perceived degree of injury and assigning them to the most effective and efficient trauma care resources, in order to ensure optimal care and the best chance of survival.