Re-Triage of Trauma Patients.

(1)

Identification of critically injured trauma patients who are eligible for re-triage;

(2)

Processes for selecting the appropriate partner trauma center(s);

(3)

Clinical criteria for automatic acceptance of qualifying patients by the appropriate partner trauma center;

(4)

Specific processes for re-triage that ensure continuous (twenty-four (24) hours per day, seven (7) days per week, 365 days per year) access to trauma center surgeons or other appropriate physicians at partner trauma centers for timely notification and coordination of incoming re-triage patient referrals;

(5)

Standardized communication language to be used between the referring GACH and the receiving partner trauma center, including the minimum required patient information to be exchanged to facilitate rapid transfer;

(6)

Guidance for selecting the appropriate transport service to match meet each patient's needs. Considerations shall include transport personnel scope of practice and identification of patients for whom more rapid departure to the destination trauma center (such as via emergency ambulance through the 911 response system) outweighs the benefit of delaying transport to await providers with broader scope of practice, such as a critical care transport registered nurse;

(7)

Process for the transfer of patient consent forms, emergency department medical records, initial electronic patient care record, and personal belongings for the re-triaged patient;

(8)

Process for providing information relating to the receiving trauma center, pediatric trauma receiving center, or trauma receiving hospital, including location and/or directions, to the re-triaged patient's family, care givers, or legal guardian.

(1)

Criteria for automatic trauma center acceptance, as supported by LEMSA policies.

(2)

Special considerations, including patient selection and destination for pediatric trauma patients.