(a) A local EMS agency that plans to implement or modify a trauma system shall include with the trauma plan, a description of the rationale used for trauma system design planning for number and location of trauma centers including:
(1) projected trauma patient volume and projected number and level of trauma centers necessary to provide access to trauma care;
(A) No more than one (1) Level I or Level II trauma center shall be designated for each 350,000 population within the service area.
(B) Where geography and population density preclude compliance with subsection (a)(1)(A), exemptions may be granted by the EMS Authority with the concurrence of the Commission on EMS on the basis of documented local needs.
(2) resource availability to meet staffing requirements for trauma centers;
(4) distinct service areas; and
(5) coordination with neighboring trauma systems.
(b) The local EMS agency may authorize the utilization of air transport within its jurisdiction to geographically expand the primary service area(s) provided that the expanded service area does not encroach upon another trauma system, or that of another trauma center, unless written agreements have been executed between the involved local EMS agencies and/or trauma centers.
(c) A local EMS agency may require trauma centers to have helicopter landing sites. If helicopter landing sites are required, then they shall be approved by the Division of Aeronautics, Department of Transportation pursuant to Division 2.5, Title 21 of the California Code of Regulations.
(d) All prehospital emergency medical care personnel rendering trauma patient care within an organized trauma system shall be trained in the local trauma triage and patient care methodology.
(e) All trauma patient transport vehicles shall be equipped with two-way telecommunications equipment capable of accessing hospitals, in accordance with local EMS agency policies regarding communication.
(f) All prehospital providers shall have a policy approved by the local EMS agency for the early notification of trauma centers of the impending arrival of a trauma patient.
Credits
Note: Authority cited: Sections 1797.107 and 1798.161, Health and Safety Code. Reference: Sections 1798.161, 1798.162, 1798.163, 1798.165 and 1798.166 of the Health and Safety Code.
1. New section filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of former section 100254 to section 100253, including repositioning of article 2 heading to precede section 100253 and renumbering and amendment of former section 100255 to section 100254, filed 7-13-99; operative 8-12-99 (Register 99, No. 29).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 22, § 100254, 22 CA ADC § 100254
