15 MAC Pt. 3, R. 4.3.2
Surgical Suites/Anesthesia
Cite as 15 Miss. Admin. Code Pt. 3, R. 4.3.2
Surgical Suites/Anesthesia
1.
An operating room must be adequately staffed and available within 30 minutes of
time of notification, Availability of the operating room personnel and timeliness
of starting operations must be continuously evaluated by the trauma performance
improvement process, and measures must be implemented to ensure optimal care.
2.
If the staff is not in-house, hospital policy must be written to assure
notification and prompt response.
3.
The OR nurses should participate in the care of the trauma patient and
be competent in the surgical stabilization of the major trauma patient.
4.
The surgical nurses are an integral member of the trauma team and must
participate in the ongoing PI process of the trauma program and must be
represented on the multidisciplinary trauma committee.
5.
The OR supervisor must be able to demonstrate a prioritization scheme to
assure the availability of an operating room for the emergent trauma patient
during a busy operative schedule. There must be an on-call system for
additional personnel for multiple patient admissions.
6.
The anesthesia department in a Level II Trauma Center must be organized and
run by an anesthesiologist who is experienced and devoted to the care of the
injured patient.
7.
A licensed anesthesia provider must be immediately available with a mechanism
established to ensure early notification of the on-call provider. Anesthesiologists
or Certified Registered Nurse Anesthetist (CRNAs) may fill this requirement.
Hospital policy must be established to determine when the licensed anesthesia
provider must be immediately available for airway control and assisting with
resuscitation. The availability of the licensed anesthesia provider and the absence
of delays in airway control or operative anesthesia must be documented and
monitored by the PI process. The maximum response time for all trauma patients
is 30 minutes from the time notified to respond.
8.
The list of required equipment for Surgery and Anesthesia can be found
online at the Department’s website.