1
TCRN Review - Professional Issues (Trauma
Quality Management, Staff Safety, Disaster
Management, Critical Incident Stress
Management, Regulations and Standards,
Education and Outreach, Trauma Registry
and Ethical Issues)
List the characteristics of Trauma Center Designation - Correct answer-
Outlined and developed at the state and local level
Varies from state to state
Requirements outlined through legislative or regulatory authority
List the characteristics of Trauma Center Verification - Correct answer-
Overseen by the American College of Surgeons
Verifies commitment, readiness, resources, policies, patient care and
performance improvement are in place.
What is the definition of level 5 Trauma Care? - Correct answer- Provides
evaluation, stabilization and diagnostic capabilities and prepares patients
for transfer to higher levels of care.
What are the level 5 Trauma Care criteria? - Correct answer- Basic ED
facilities to implement ATLS protocols
Trauma nurses and physicians available upon patient arrival
1
, 2
After-hours activation protocols if facility not open 24-hours a day
May provide surgery and critical-care services if available
Has developed transfer agreements for patients requiring more
comprehensive care a a level 1 through 3.
What is the definition of level 4 Trauma Care? - Correct answer- Provides
evaluation, stabilization and diagnostic capabilities for injured patients
before transferring to a higher level of care.
What are the level 4 Trauma Criteria? - Correct answer- Basic ED
implement ATLS protocols and 24 hour laboratory coverage. Trauma
nurses and doctors available on patient arrival.
May provide surgery and critical care services when available.
Transfer agreements with Level 1 or II.
Comprehensive quality assessment program.
Involved in prevention efforts and must have an active outreach program
for its referring communities.
What is the definition of level 3 trauma care? - Correct answer- Ability to
provide prompt assessment, resuscitation, surgery, intensive care and
stabilization of injured patients and emergency operations.
What are the level 3 trauma criteria? - Correct answer- 24 hr immediate
coverage by emergency medicine physicians, prompt availability of
general surgeons and anesthesiologists.
Comprehensive quality assessment program.
2
, 3
Transfer agreements for patients needing level 1 or 2.
Provides back-up for rural or community hospitals.
Offers continuing education or nursing and allied health personnel or
the trauma team.
Involved with prevention efforts and must have an active outreach
program for its' referring communities.
What is the definition of level 2 trauma care? - Correct answer- Able to
initiate definitive care for all injured patients.
What are the level 2 trauma criteria? - Correct answer- 24 hr immediate
coverage by general surgeons as well as coverage by specialties.
Certain needs (cardiac surgery, hemodialysis, microvascular surgery) may
be referred to level 1
Provides trauma prevention and continuing education programs to staff.
Incorporates a comprehensive quality assessment program.
What is the definition of level 1 trauma care? - Correct answer-
Comprehensive regional resource central to the trauma system. Capable
of providing total care for every aspect of injury from prevention through
rehabilitation.
What are level 1 trauma criteria? - Correct answer- 24 hr in-house
coverage by surgeons; prompt availability of specialties
Referral resource for nearby communities, provides leadership in
prevention and public education to surrounding communities.
3
TCRN Review - Professional Issues (Trauma
Quality Management, Staff Safety, Disaster
Management, Critical Incident Stress
Management, Regulations and Standards,
Education and Outreach, Trauma Registry
and Ethical Issues)
List the characteristics of Trauma Center Designation - Correct answer-
Outlined and developed at the state and local level
Varies from state to state
Requirements outlined through legislative or regulatory authority
List the characteristics of Trauma Center Verification - Correct answer-
Overseen by the American College of Surgeons
Verifies commitment, readiness, resources, policies, patient care and
performance improvement are in place.
What is the definition of level 5 Trauma Care? - Correct answer- Provides
evaluation, stabilization and diagnostic capabilities and prepares patients
for transfer to higher levels of care.
What are the level 5 Trauma Care criteria? - Correct answer- Basic ED
facilities to implement ATLS protocols
Trauma nurses and physicians available upon patient arrival
1
, 2
After-hours activation protocols if facility not open 24-hours a day
May provide surgery and critical-care services if available
Has developed transfer agreements for patients requiring more
comprehensive care a a level 1 through 3.
What is the definition of level 4 Trauma Care? - Correct answer- Provides
evaluation, stabilization and diagnostic capabilities for injured patients
before transferring to a higher level of care.
What are the level 4 Trauma Criteria? - Correct answer- Basic ED
implement ATLS protocols and 24 hour laboratory coverage. Trauma
nurses and doctors available on patient arrival.
May provide surgery and critical care services when available.
Transfer agreements with Level 1 or II.
Comprehensive quality assessment program.
Involved in prevention efforts and must have an active outreach program
for its referring communities.
What is the definition of level 3 trauma care? - Correct answer- Ability to
provide prompt assessment, resuscitation, surgery, intensive care and
stabilization of injured patients and emergency operations.
What are the level 3 trauma criteria? - Correct answer- 24 hr immediate
coverage by emergency medicine physicians, prompt availability of
general surgeons and anesthesiologists.
Comprehensive quality assessment program.
2
, 3
Transfer agreements for patients needing level 1 or 2.
Provides back-up for rural or community hospitals.
Offers continuing education or nursing and allied health personnel or
the trauma team.
Involved with prevention efforts and must have an active outreach
program for its' referring communities.
What is the definition of level 2 trauma care? - Correct answer- Able to
initiate definitive care for all injured patients.
What are the level 2 trauma criteria? - Correct answer- 24 hr immediate
coverage by general surgeons as well as coverage by specialties.
Certain needs (cardiac surgery, hemodialysis, microvascular surgery) may
be referred to level 1
Provides trauma prevention and continuing education programs to staff.
Incorporates a comprehensive quality assessment program.
What is the definition of level 1 trauma care? - Correct answer-
Comprehensive regional resource central to the trauma system. Capable
of providing total care for every aspect of injury from prevention through
rehabilitation.
What are level 1 trauma criteria? - Correct answer- 24 hr in-house
coverage by surgeons; prompt availability of specialties
Referral resource for nearby communities, provides leadership in
prevention and public education to surrounding communities.
3
