15 Miss. Code. R. 12-32-6.1.13

Current through December 10, 2024
Rule 15-12-32-6.1.13 - Facility Standards-Surgical Suites/Anesthesia
1. The operating room (OR) must be staffed and available in-house 24 hours/day.
2. The Surgical nurses should participate in the care of the pediatric trauma patient and be competent in the surgical stabilization of the major pediatric trauma patient. The Surgical nurses are an integral member of the trauma team and must participate in the ongoing PI process of the pediatric trauma program and be represented on the Multidisciplinary Trauma Committee.
3. The OR supervisor must be able to demonstrate a prioritization scheme to assure the availability of an operating room for the emergency pediatric patient during a busy operative schedule. There must be an on-call system for additional personnel for multiple patient admissions.
4. The anesthesia department in a tertiary pediatric trauma center must be organized and run by an anesthesiologist who has a special interest in the care of the injured pediatric patient. If this is not the director, an anesthesiologist liaison with the same qualifications should be identified. Anesthesiologist on the pediatric trauma team must have successfully completed an anesthesia residency program approved by the Accreditation Council of Graduate Medical Education or the American Board of Osteopathic Specialists and have board certification in anesthesia.
5. Anesthesia must be available in-house 24hours/day with a mechanism established to ensure early notification of the on-call anesthesiologist. Anesthesia requirements may be fulfilled by anesthesia chief residents or Certified Registered Nurse Anesthetist (CRNAs) who are capable of assessing emergency situations in pediatric trauma patient and of providing indicated treatment, including initiation of surgical anesthesia. When the CRNA or chief resident is used to meet this requirement, the staff Anesthesiologist will be advised and promptly available at all times and present for operations. Tertiary pediatric trauma centers must document conditions when the anesthesiologist must be immediately available for airway emergencies and operative management of the pediatric trauma patient. The availability of the anesthesiologist and the absence of delays in operative anesthesia must be documents and monitored by the trauma PI process. The anesthesiologist liaison participating on the pediatric trauma team must participate in the Multidisciplinary Trauma Committee and the trauma PI process.

15 Miss. Code. R. 12-32-6.1.13

Miss. Code Ann. § 41-59-5