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) on exam)
List the characteristics of Trauma Center Designation - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS Basic ED facilities to
implement ATLS protocols
Trauma nurses and physicians available upon patient arrival
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 24 hr immediate coverage by
emergency medicine physicians, prompt availability of general surgeons and anesthesiologists.
Comprehensive quality assessment program.
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 ANSWERS Able to initiate definitive
care for all injured patients.
What are the level 2 trauma criteria? - CORRECT ANSWERS 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.
Quality Management, Staff Safety, Disaster
Management, Critical Incident Stress
Management, Regulations and Standards,
Education and Outreach, Trauma Registry and
Ethical Issues) on exam)
List the characteristics of Trauma Center Designation - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS Basic ED facilities to
implement ATLS protocols
Trauma nurses and physicians available upon patient arrival
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 24 hr immediate coverage by
emergency medicine physicians, prompt availability of general surgeons and anesthesiologists.
Comprehensive quality assessment program.
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 ANSWERS Able to initiate definitive
care for all injured patients.
What are the level 2 trauma criteria? - CORRECT ANSWERS 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.
