Rule 15-12-32-4.2.1 - Required ComponentsLevel III Trauma Centers must maintain published call schedules and have the following physician coverage immediately available 24 hours/day:
1. Emergency Medicine (In-house 24 hours/day). Emergency Physician and/or mid-level provider (Physician Assistant/Nurse Practitioner) must be in the specified trauma resuscitation area upon patient arrival.2. Trauma/General Surgery. It is desirable that a back up surgeon schedule is published. It is desirable that the surgeon on-call is dedicated to the trauma center and not on-call to any other hospital while on trauma call. A system should be developed to assure notification of the on-call surgeon and compliance with these criteria and their appropriateness must be documented and monitored by the PI process. Response time for Alpha Alert/Activations is 30 minutes and starts at patient arrival or EMS notification, whichever is sooner. Response time for Bravo Alerts/Activations is 45 minutes from the time notified to respond.3. Orthopedic Surgery. It is desirable to have the orthopedists dedicated to the trauma center solely while on-call. The maximum response time for all trauma patients is 60 minutes from the time notified to respond.4. Anesthesia. Anesthesia must be immediately available with a mechanism established to ensure early notification of the on-call anesthesiologist. Anesthesia chief residents or Certified Registered Nurse Anesthetist (CRNAs) may fill this requirement. When residents or CRNAs are utilized, the staff anesthesiologist on-call will be advised, promptly available, and present for all operations. Hospital policy must be established to determine when the anesthesiologist must be immediately available for airway control and assisting with resuscitation. The availability of the anesthesiologist 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.5. The following specialists must be on-call and promptly available 24 hours/day: Radiology6. It is desirable (although not required) to have the following specialist available to a Level III Trauma Center: b. Obstetrics/Gynecology Surgeryd. Oral/Maxillofacial Surgeryf. Critical Care Medicineh. Microvascular Surgery *A trauma surgeon is presumed to be qualified and have privileges to provide emergency thoracic surgical care to patients with thoracic injuries. If this is not the case, the facility should have a board-certified thoracic surgeon immediately available (within 30 minutes of the time notified to respond).
7. The staff specialist on-call will be notified at the discretion of the trauma surgeon and will be promptly available. The PI program will continuously monitor this availability.8. Policies and procedures should exist to notify the transferring hospital of the patient's condition.15 Miss. Code. R. 12-32-4.2.1
Miss. Code Ann. § 41-59-5