Appendix
4 (Part 1 - Part 2)
Recommended
Role Delineation Guidelines—Major
Trauma Service and Metropolitan Trauma Service
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Radiology |
Major Trauma Service |
Metropolitan Trauma Service |
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Plain XR-stat 24 hours |
Essential (in-house radiographer) |
Essential |
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|
Angiography-within 30 min |
Essential |
Desirable |
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CT scan |
Essential <15 min (5) |
Desirable within 15 min |
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|
CT scan within 1 hour |
Not applicable |
Essential |
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|
Ultrasound within 30 min (6) |
Essential |
Desirable |
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Ultrasound within 1 hr |
Not applicable |
Essential |
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|
Echocardiography |
Essential < 60 min |
Desirable |
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|
Pathology |
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ABGs stat 24 hrs |
Essential |
Essential |
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|
Blood delivery within 1 hour |
Uncrossmatched O -ve & +ve immediately available |
Uncrossmatched O -ve & +ve immediately available |
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Group and X-match within 30 min |
Group and X-match within 1 hr |
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Electrolytes stat 24 hours |
Essential |
Essential |
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|
Coag. studies within 1 hour |
Essential |
Essential |
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|
Operating and Recovery Room |
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|
Staff immediately available 24 hours |
In-house |
Desirable in-house |
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Emergency OR available 24 hours: |
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|
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within 1 hour |
Not applicable |
Essential |
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Specialised equipment: |
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Neurosurgical capability |
Essential |
As required |
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Image Intensifier |
Essential |
Essential |
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|
Operating microscope |
Essential |
As required |
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Portable X-Ray |
Essential |
Essential |
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|
Cardiopulmonary bypass |
Essential |
Not applicable |
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|
Quality Assurance, Training and Research |
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|
General criteria as established by ACHS |
Essential |
Essential |
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|
QA organisational structure |
Essential |
Essential |
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|
Trauma outcome studies |
Essential participation in statewide programs |
Essential participation in statewide programs |
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Trauma research programs |
Essential participation in statewide programs |
Essential participation in statewide programs |
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Trauma training programs: |
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- staff medical officers |
Active training program |
Active training program |
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|
- nurses |
Active training program |
Active training program |
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- visiting Medical Officers (7) |
Educational programs essential |
Not applicable |
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- allied health personnel |
Active training program |
Active training program |
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|
Community Education |
Essential participation in health promotion campaigns |
Essential participation in health promotion campaigns |
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|
Disaster Plan |
Essential |
Essential |
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(5) A CT
scanner must be available for emergency use. It is preferable for the
location of the CT scanner to be within the Emergency Department. If not,
it should be readily accessible from the ED. Full resusitation equipment
should be available within the CT scanning area.
(6) In time, ultrasonography may be performed in the Emergency Department
by appropriately trained non-radiologists.
(7) Funding of training positions should be considered by the relevant
funding bodies. These positions could be either a component of the hospital
staffing numbers or supernumerary by arrangement.