TNS EMS/Trauma Systems

Which law provides the authority to establish and regulate Trauma Systems in Illinois?

Emergency Medical System Acts

Which state agency is invested with the authority to designate, inspect and monitor trauma centers in Illinois?

Illinois Department of Public Health

Ideally, at a minimum, how many Level I trauma centers should be designated in each Trauma Region?

1

What is responsible for coordinating and managing trauma care in the EMS/Trauma Region?

Level 1 trauma center

Can a level I trauma center's general surgery service also be their trauma service?

No

What is the maximum response time for a trauma surgeon for a Category I trauma patient at a level II trauma center?

30 minutes

What is the maximum response time for a trauma surgeon for a Category I trauma patient at a level I trauma center?

in house/immediate response

What is the maximum response time for a neurosurgeon when requested by a level II trauma center for a category I patient?

60 minutes with a fully staffed team

When the trauma advisory committee uses ED records to determine outcome analyses, general trends in care and to evaluate the patient's care against written standards of practice with an eye to improving performance, what is that function called?

Focused outcome analysis

What specialty services are available at a level I trauma center that are not available at a level II?

- CT tech 24hrs

- anesthesia

- ICU

- trauma surgeon in house 24hrs day/7 days a week

- surgery team

What is the staffing requirement per shift plus backup plan requirements with respect to TNS at level I and level II centers?

- two TNS

or

- 1 TNS and 1 TNCC

What are the state requirements to become TNS certified in Illinois?

- pass practical

- pass written exam

- pay fees

- 1 year critical care experience

For how many years is a TNS license in effect? How often must a TNS renew their certification?

4 years or 64 hours

To who and how soon after a change must TNS report a change in name or address?

30 days

If a TNS is going to relicense by continuing education, how many and what type of CE hours must a TNS accrue during the licensure period? Where can a TNS find the form on which to log the hours?

- 64 hours

- local TNS at hospital

To whom and how soon in advance of their expiration date should a TNS submit their relicensure materials?

TNS care coordinator

What resource does a TNS have if their license has lapsed for 3 weeks?

- pay $50

- take the exam again

What resource does a TNS have if their license has lapsed for 3 months?

- challenge x1

- or take course again

Physicians on call to arrive within 30 minutes after notification:

- cardiothoracic surgeon or trauma/general surgeon with experience in cardiothoracic surgery for life saving procedures

- OB

- pediatric surgery

Physicians on call to arrive within 60 minutes after notification:

- orthopedic

- vascular

- ophthalmologic

- oral/dental

- plastic/maxillofacial

- urologic

- reimplantation service

- neurosurgery

Continuous Quality Improvement

- trauma and emergency centers perform routine audits and analysis of trauma care and outcomes to monitor performance