Level V trauma designation standards

The following standards must be met to achieve level V designation: 1. Trauma team activation plan. 2. Trauma team leader must be on call and available within twenty minutes. The trauma team leader must be one of the following: a. A physician who is current in advanced trauma life support. b. A physician assistant, whose supervising physician has delegated to the physician assistant the authority to provide care to trauma patients and is current in advanced trauma life support. c. A nurse practitioner whose scope of practice entails the care of trauma patients, is current in advanced trauma life support, and whose scope of practice is approved by the state board of nursing. d. If the trauma team leader is not current in advanced trauma life support, the facility must provide a backup team leader that is current in advanced trauma life support to assess and evaluate the trauma patients meeting step one, two, or three of the field triage decision scheme, provided by the current edition of the American college of surgeons Resources for Optimal Care of the Injured Patient when the noncertified provider is on call. If backup cannot be provided, the facility must go on diversion and notify the surrounding emergency medical services and the department. 3. The facility must have transfer agreements with facilities capable of caring for major trauma patients, burn care, pediatric trauma management, acute spinal cord and traumatic brain injury management, and rehabilitation services for long-term care. 4. Equipment for resuscitation and life support as determined by the department. 5. Quality improvement programs to include: a. Focused audit of selected criteria. b. Trauma registry in accordance with section 33-38-01-08. c. Focused audit for all trauma deaths. d. Morbidity and mortality review. e. Medical nursing audit, utilization review, and issue review. f. Current advanced trauma life support certified physician review of all trauma codes managed by a physician assistant or nurse practitioner within seventy-two hours. This may be either the consulting or transfer receiving physician. 6. Trauma transfer protocols to identify trauma patients whose condition may require care which exceeds current resources available.