Section 22-B2807. PEDIATRIC TRAUMA RESUSCITATION AREA

 

2807.1In each pediatric trauma care facility, the emergency department shall have a large space designated and dedicated as the trauma resuscitation area. The space shall be large enough to allow assembly of the full trauma team plus necessary equipment including ventilators and/or portable X-ray machine.

 

2807.2Equipment may include ultrasound. Equipment or procedure trays to perform invasive treatments shall be available as follows:

 

(a)Airway control and ventilation equipment;

 

(b)Pulse oximetry;

 

(c)Suction devices;

 

(d)Electrocardiograph-oscilloscope-defibrillator;

 

(e)Internal paddles;

 

(f)Central venous pressure (CVP) monitoring equipment;

 

(g)Standard intravenous (IV) fluids and administration sets;

 

(h)Large-bore intravenous catheters;

 

(i)Sterile surgical sets airway control/cricothyrotomy, thoracostomy, venous cutdown, central line insertion, thoracotomy, peritoneal lavage;

 

(j)Arterial catheters;

 

(k)Drugs necessary for emergency care;

 

(l)X-ray availability twenty-four (24) hours per day;

 

(m)Cervical traction devices;

 

(n)Broselow tape;

 

(o)Thermal control equipment for patient, fluids, and blood;

 

(p)Rapid infuser system;

 

(q)Qualitative end-tidal Carbon Dioxide (CO2) determination; and

 

(r)Communication with Emergency Medical Service (EMS) vehicles.

 

2807.3The pediatric trauma resuscitation area shall contain adequate telephones, telephone lines, and intercoms.

 

2807.4In Level I facilities, dedicated phone lines shall be used between the resuscitation area and the blood bank and/or operating room. Large wallboards shall display team members' names and roles, as well as key hospital phone numbers and on-call personnel.

 

2807.5Each adult trauma care facility, shall have the following communication capabilities:

 

(a)Prehospital to hospital link for direct medical command and carly hospital notification;

 

(b)Trauma team alert and activation;

 

(c)Prehospital provider and trauma team information transfer;

 

(d)Trauma team and intrafacility personnel communication; and

 

(e)Interfacility communication.

 

2807.6In each pediatric trauma care facility, the pediatric resuscitation area trauma team shall consist of at least the following personnel:

 

(a)Surgeon (Trauma team leader);

 

(b)Emergency physician;

 

(c)Anesthesia personnel;

 

(d)Nurses;

 

(e)Respiratory therapist;

 

(f)Radiologic technologist;

 

(g)Blood bank or laboratory personnel;

 

(h)Operating room staff;

 

(i)Surgical and emergency residents;

 

(j)Critical care nurse;

 

(k)Security officer;

 

(l)Chaplain; and

 

(m)Social worker.

 

2807.7Each individual trauma team member shall assist on the assessment of the patient with simultaneous life support, diagnosis of injuries, acquisition of laboratory specimens, initial radiographic survey, and communication and mobilization of any and all necessary hospital resources.

 

source

Notice of Final Rulemaking published at 46 DCR 8779 (October 29, 1999); as amended by Notice of Emergency and Proposed Rulemaking published at 51 DCR 3933 (April 16, 2004) [EXPIRED]; as amended by Final Rulemaking published at 51 DCR 7277 (July 23, 2004).