D.C. Mun. Regs. tit. 22, r. 22-B2707

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B2707 - TRAUMA RESUSCITATION AREA

2707.1

The emergency department of each adult trauma care facility 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 a portable X-ray machine.

2707.2

Equipment 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 for airway control, cricothyrotomy, thoracostomy, venous cutdown, central line insertion, thoracotomy, and 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 the patient, fluids, and blood;

(p) Rapid infuser system;

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

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

2707.3

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

2707.4

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

2707.5

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

(a) Pre-hospital to hospital link for direct medical command and early hospital notification;

(b) Trauma team alert and activation;

(c) Pre-hospital provider and trauma team information transfer;

(d) Trauma team and intrafacility personnel communication; and

(e) Interfacility communication.

2707.6

In each adult trauma care facility, the resuscitation 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) Critical care nurse;

(j) Security officer;

(k) Surgical and emergency residents;

(l) Chaplain; and

(m) Social worker.

2707.7

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

D.C. Mun. Regs. tit. 22, r. 22-B2707

Notice of Final Rulemaking published at 46 DCR 8741 (October 29, 1999); as amended by Notice of Emergency and Proposed Rulemaking published at 51 DCR 3915 (April 16, 2004) [EXPIRED]; as amended by Final Rulemaking published at 51 DCR 7260 (July 23, 2004)