TITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION
Proposed Rule
LSA Document #10-628
DIGEST
Amends
836 IAC 1-2.1 to add provisions concerning trauma protocols for field triage and transportation decision making. Effective 30 days after filing with the Publisher.
Rule 2.1. Certification of Ambulance Service Providers; Trauma Field Triage and Transport Destination Protocol
Authority:
IC 16-31-2-7
Sec. 1. The purpose of this article is to provide a regulatory plan to ensure that injured patients in the prehospital setting are transported to the most appropriate hospital facility within the Indiana state trauma system based on field assessment by emergency medical services personnel of the potential severity of injury, available transportation, and hospital resources.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-1)
Authority:
IC 16-31-2-7
Sec. 2. This article does not apply to emergency medical services provider organizations that are transporting trauma patients from one (1) acute care hospital to another acute care hospital.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-2)
Authority:
IC 16-31-2-7
Sec. 3. The following definitions apply throughout this article:
(1) "ACS" means the American College of Surgeons, 633 North Saint Clair Street, Chicago, IL 60611-3211.
(2) "Acute care hospital" means a hospital that provides inpatient services and has an emergency room staffed twenty-four (24) hours per day by an in-house physician with an unrestricted Indiana medical license.
(3) "Field triage decision scheme" means the version of the National Trauma Triage Protocol as originally published in Centers for Disease Control and Prevention, Guidelines for Field Triage of Injured Patients-Recommendations of the National Expert Panel on Field Triage, MMWR 2009;58 (No. RR-1):1-35, as recommended by the ACS, in effect on the date that the patient was provided with emergency medical services.
(4) "Hospital" means an institution, a place, a building, or an agency that holds out to the general public that it is operated for hospital purposes and that it provides care, accommodations, facilities, and equipment, in connection with the services of a physician, to individuals who may need medical or surgical services
(5) "Protocol" means a written guidance, prepared by the provider's medical director, detailing trauma field triage and transport destination procedures that shall be based on the field triage decision scheme.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-3)
836 IAC 1-2.1-4 Creation of protocol for trauma field triage and transport destination
Authority:
IC 16-31-2-7
Sec. 4. The medical director of each ambulance provider certified by the commission shall establish a protocol.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-4)
Authority:
IC 16-31-2-7
Sec. 5. The patient has the right to determine to which hospital they choose to be taken. If the patient is a minor or incompetent, the parent or legal guardian has the right to make that choice on the patient's behalf. If the protocol provides for transport to a specific facility, the patient, or parent or guardian where applicable, has the right to choose to be transported to a different facility.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-5)
836 IAC 1-2.1-6 Notification to nontransport providers
Authority:
IC 16-31-2-7
Sec. 6. Each provider that provides emergency medical services transportation services shall provide a copy of its protocol to every emergency medical services nontransport provider in the transportation provider's response area.
(Indiana Emergency Medical Services Commission; 836 IAC 1-2.1-6)
Posted: 03/02/2011 by Legislative Services Agency
DIN: 20110302-IR-836100628PRA
Composed: Apr 23,2024 2:03:43AM EDT
A
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