Section 100137.06 - [Operative 1/1/2025] Level IV Trauma CenterA Level IV trauma center is a licensed hospital which has been designated as a Level IV trauma center by the local EMS agency. A Level IV trauma center shall include equipment and resources necessary for initial stabilization and personnel knowledgeable in the treatment of adult and pediatric trauma. A Level IV trauma center shall have at least the following:
(a) A trauma program medical director who is a qualified specialist whose responsibilities include, but are not limited to, factors that affect all aspects of trauma care, including pediatric trauma care, such as: (1) recommending trauma team physician privileges;(2) working with nursing administration to support the nursing needs of trauma patients;(3) developing treatment protocols;(4) having authority and accountability for the quality improvement peer review process;(5) correcting deficiencies in trauma care or excluding from trauma call those trauma team members who no longer meet the standards of the quality improvement program; and(6) assisting in the coordination of the budgetary process for the trauma program.(b) A trauma nurse coordinator/manager who is a registered nurse with qualifications including evidence of educational preparation and clinical experience in the care of adult and/or pediatric trauma patients, administrative ability, and responsibilities that include, but are not limited to: (1) organizing services and systems necessary for the multidisciplinary approach to the care of the injured patient;(2) coordinating day-to-day clinical process and performance improvement as it pertains to nursing and ancillary personnel; and(3) collaborating with the trauma program medical director in carrying out the educational, clinical, research, administrative and outreach activities of the trauma program.(c) A trauma service which can provide for the implementation of the requirements specified in this Section and provide for coordination with the local EMS agency.(d) The capability of providing prompt assessment, resuscitation and stabilization to trauma patients.(e) The ability to provide treatment or arrange transportation to higher level trauma center as appropriate.(f) An emergency department, division, service, or section staffed so that trauma patients are assured of immediate and appropriate initial care.(g) A trauma team, which will be a multidisciplinary team responsible for the initial resuscitation and management of the trauma patient.(h) The following service capabilities: (1) Radiological service. The radiological service shall have a radiological technician promptly available.(2) Clinical laboratory service. A clinical laboratory service shall have: (A) a comprehensive blood bank or access to a community central blood bank; and(B) clinical laboratory services promptly available.(i) Written transfer agreements with Level I, II or III trauma centers, Level I or II pediatric trauma centers, or other specialty care centers, for the immediate transfer of those patients for whom the most appropriate medical care requires additional resources.(j) An outreach program, to include: (1) capability to provide both telephone and on-site consultations with physicians in the community and outlying areas; and(2) trauma prevention for the general public.(k) Continuing education. Continuing education in trauma care, shall be provided for: (3) staff allied health personnel;(5) other community physicians and health care personnel.Cal. Code Regs. Tit. 22, § 100137.06
Note: Authority cited: Sections 1797.107 and 1798.161, Health and Safety Code. Reference: Sections 1798.161 and 1798.165, Health and Safety Code.
1. Renumbering of section 100264 to section 100137.06 filed 9-5-2024; operative 1/1/2025 (Register 2024, No. 36).