N.M. Admin. Code § 7.27.7.13

Current through Register Vol. 35, No. 23, December 10, 2024

Section 7.27.7.13 - APPENDIX B TRAUMA PATIENT INTERFACILITY TRANSFER CRITERIA

A. Transfer Criteria: All patients from the following categories are at high risk for death or disability and should be considered for transfer to a Level I or Level II Trauma Center.

(1) Central Nervous System

(a) head injury: penetrating injury or depressed skull fracture

(i) open injury with or without CSF(Cerebral Spinal Fluid) leak

(ii) Glasgow Coma Score (GCS) 12 or GCS deterioration of 1 point or more

(iii) lateralizing signs

(b) spinal cord injury

(2) chest

(a) widened mediastinum

(b) major chest wall injury

(c) cardiac injury

(d) patients who may require protracted ventilation

(3) pelvis

(a) unstable pelvic ring disruption

(b) pelvic ring disruption with shock and evidence of continuing hemorrhage

(c) open pelvic injury

(4) multiple system injury

(a) severe face injury with head injury

(b) chest injury with head injury

(c) abdominal or pelvic injury with head injury

(d) burns with associated injuries

(e) multiple fractures

(5) co- morbid factors

(a) age 2 years or 60 years

(b) pregnancy

(c) known cardio-respiratory or metabolic diseases

(6) secondary deterioration (late sequelae)

(a) protracted ventilation required

(b) sepsis

(c) single or multiple organ system failure

(d) major tissue necrosis

B. Transfer Guidelines: prior to transport, the following minimal patient care standards are to be met:

(1) establish and assure an adequate airway and ventilation.

(2) establish and maintain adequate access routes for fluid administration.

(3) initiate adequate fluid and/ or blood replacement.

(4) assure that the patient's vital signs are sufficient to sustain organ perfusion.

(5) initiate control of hemorrhage.

(6) stabilize and splint suspect spinal and extremity fractures.

(7) provide pain management.

(8) establish physician acceptance of patient at receiving facility.

(9) assure personnel are appropriately trained for level of care for transfer.

(10) provide pre- transfer report between nursing staff.

N.M. Admin. Code § 7.27.7.13

7.27.7.13 NMAC - Rp 7 NMAC 27.7.15, 6/14/02