Trauma Center DesignationOverviewThe Statewide Trauma System is a network of definitive care facilities that provides a spectrum of care for all injured patients. An ideal trauma system would include all the components identified with optimal trauma care, such as prevention, education, communication, access, definitive care, rehabilitation, and research activities. Essential to the development of a trauma care system is the designation of definitive trauma care facilities. The goal is to create an integrated trauma care system that includes health care providers and facilities throughout the state and to match each patient's needs to the resources of the facilities, from activation of the Emergency Medical Services system until their return home. The Designation ProcessTo begin the designation process, please contact Sherri Wren, Trauma Program Manager EMS/Trauma Program, Lincoln Phone: (402) 471-0539 (800) 422-3460, #2-8 E-mail: sherri.wren@nebraska.gov for assistance. How to PrepareLevels of State Trauma Center Designation
Basic Level
The role of the basic trauma center is to stabilize, prepare and transfer all patients with potentially life threatening injuries. These facilities are hospitals or medical clinics based in rural areas. They should have trauma-trained physicians, physician assistants, or nurse practitioners available within 30-minutes, and basic equipment for resuscitation and stabilization. The hospitals involved at the basic trauma level may also provide some limited surgical intervention based upon expertise or available on-site staff. The hospital will provide in-house trauma trained nurses, and physicians or physician surrogate within 30-minutes, and will have personnel available for patient stabilization, as well as appropriate equipment and diagnostic capabilities. At a minimum, a trauma team includes an emergency physician or qualified physician surrogate and a trauma trained nurse.
General Level
The role of the General Trauma Center is to provide initial evaluation and stabilization (surgical if appropriate), to provide general medical and surgical inpatient service to those patients who can be maintained in a stable or improving condition without specialized care. They also need to prepare and transfer patients meeting predetermined criteria to Comprehensive or Advanced Centers.
Advanced Level
In addition to the capabilities of the levels above, the role of the Advanced Trauma Center is to provide definitive care for complex and severe trauma. Emergency physicians and nurses are in-house, 24-hours a day, with personnel who can initiate surgery available. Neurological assessment and stabilization will be started immediately and a Neurosurgeon is available. There is a broad range of specialists available for consultation or care, and comprehensive diagnostic capabilities and support equipment are available.
Comprehensive Level
The role of a Comprehensive Trauma Center is to provide the highest level of definitive, comprehensive care for patients with complex traumatic injury. Personnel who can initiate surgery are in-house and immediately available. In addition to direct patient care, Comprehensive trauma services are also responsible for research, education and outreach programs for trauma. Appropriate equipment for pediatrics should be maintained in Emergency Departments, ICUs, and Operating Rooms for facilities at the General, Advanced and Comprehensive levels of Trauma Centers. © Copyright 2013 , All rights reserved.
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