Notice of Intended Action
Trauma education and training, ch 137
ARC 8515C
PUBLIC HEALTH DEPARTMENT[641]
Notice of Intended Action
Proposing rulemaking related to trauma education and training
and providing an opportunity for public comment
The Department of Health and Human Services hereby proposes to rescind Chapter 137, “Trauma Education and Training,” Iowa Administrative Code, and to adopt a new chapter with the same title.
Legal Authority for Rulemaking
This rulemaking is proposed under the authority provided in Iowa Code section 147A.27.
State or Federal Law Implemented
This rulemaking implements, in whole or in part, Iowa Code section 147A.23.
Purpose and Summary
This chapter was reviewed and is proposed to be rescinded and adopted new as part of the Red Tape Review process laid out by Executive Order 10. Licensed health care providers (i.e., registered nurses, licensed practical nurses, physicians, advanced registered nurse practitioners, and physician assistants) must be prepared with knowledge and skills to provide optimal care to injured patients. Proposed Chapter 137 provides guidance to hospitals regarding the minimum educational requirements for health care providers to deliver high-quality trauma care, which will support the well-coordinated statewide trauma system to reduce the incidence of inadequate trauma care and preventable deaths, minimize human suffering, and decrease the costs associated with preventable mortality and morbidity.
Regulatory Analysis
A Regulatory Analysis for this rulemaking was published in the Iowa Administrative Bulletin on October 16, 2024. A public hearing was held on the following date(s):
●November 6, 2024
Fiscal Impact
This rulemaking has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rulemaking, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 441—Chapter 6.
Public Comment
Any interested person may submit written comments concerning this proposed rulemaking, which must be received by the Department no later than 4:30 p.m. on January 21, 2025. Comments should be directed to:
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Joe Campos |
Public Hearing
Public hearings at which persons may present their views orally or in writing will be held as follows:
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January 15, 2025 |
Microsoft Teams |
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January 21, 2025 |
Microsoft Teams |
Persons who wish to make oral comments at a public hearing may be asked to state their names for the record and to confine their remarks to the subject of this proposed rulemaking.
Any persons who intend to attend a public hearing and have special requirements, such as those related to hearing or mobility impairments, should contact the Department and advise of specific needs.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
The following rulemaking action is proposed:
ITEM 1.Rescind 641—Chapter 137 and adopt the following new chapter in lieu thereof:
CHAPTER 137
TRAUMA EDUCATION AND TRAINING
641—137.1(147A) Definitions. For the purposes of these rules, the following definitions apply:
“Advanced registered nurse practitioner” or “ARNP” means a nurse as defined inrule 655—7.1(152).
“Formal education” means education in standardized educational settings with a curriculum.
“Licensed practical nurse” or “LPN” means an individual licensed pursuant to Iowa Code chapter 152.
“Physician” means an individual licensed under Iowa Code chapter 148, 150 or 150A.
“Physician assistant” or “PA” means an individual licensed pursuant to Iowa Code chapter 148C.
“Practitioner” means a person who practices medicine or one of the associated health care professions.
“Registered nurse” or “RN” means an individual licensed pursuant to Iowa Code chapter 152.
“Trauma” means the same as defined in Iowa Code chapter 147A.
“Trauma care facility” means the same as defined in Iowa Code chapter 147A.
“Trauma patient” means a victim of an external cause of injury that results in major or minor tissue damage or destruction caused by intentional or unintentional exposure to thermal, mechanical, electrical or chemical energy, or by the absence of heat or oxygen.
“Verification” means the same as defined in Iowa Code chapter 147A.
641—137.2(147A) Initial trauma education requirements.
137.2(1) Trauma education is required of physicians, physician assistants, advanced registered nurse practitioners, registered nurses, and licensed practical nurses who are identified or defined as trauma team members by a trauma care facility and who participate directly in the initial resuscitation of the trauma patient.
137.2(2) Requirements for initial trauma education. Specific requirements for initial trauma education for each provider category are as follows:
a.Physicians, PAs and ARNPs shall comply with education criteria specific to the level for which the trauma care facility is verified. Physicians, PAs and ARNPs at verified level I, II, and III trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of Injured Patients 2022 Standards” published by the American College of Surgeons. Physicians, PAs and ARNPs at verified level IV trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of the Injured Patient 2014” published by the American College of Surgeons.
b.RNs and LPNs shall comply with education criteria specific to the level for which the trauma care facility is verified. RNs and LPNs at verified level I, II, and III trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of Injured Patients 2022 Standards” published by the American College of Surgeons. RNs and LPNs at verified level IV trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of the Injured Patient 2014” published by the American College of Surgeons.
641—137.3(147A) Continuing trauma education requirements. Specific requirements for continuing trauma education for each provider category are as follows:
137.3(1) Physicians, PAs and ARNPs shall comply with education criteria specific to the level for which the trauma care facility is verified. Physicians, PAs and ARNPs at verified level I, II, and III trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of Injured Patients 2022 Standards” published by the American College of Surgeons. Physicians, PAs and ARNPs at verified level IV trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of the Injured Patient 2014” published by the American College of Surgeons.
137.3(2) RNs and LPNs shall comply with education criteria specific to the level for which the trauma care facility is verified. RNs and LPNs at verified level I, II, and III trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of Injured Patients 2022 Standards” published by the American College of Surgeons. RNs and LPNs at verified level IV trauma care facilities shall comply with criteria according to the “Resources for Optimal Care of the Injured Patient 2014” published by the American College of Surgeons.
These rules are intended to implement Iowa Code chapter 147A.
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Open For Comments
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Public Hearing
Official Document
- Trauma education and training, ch 137
- Published on 12/11/2024
- 27 Views , 0 Comments
- Notice of Intended Action
The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.
View the Iowa Administrative Bulletin for 12/11/2024.
Administrative Rule References
The following administrative rule references were added to this document. You may click a reference to view related notices.
Rule 641-137.1 Rule 641-137.2 Rule 641-137.3 Rule 655-7.1Iowa Code References
The following Iowa code references were added to this document. You may click a reference to view related notices.
Iowa Code 147A Iowa Code 148 Iowa Code 148C Iowa Code 150 Iowa Code 150A Iowa Code 152Keywords
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Continuing trauma education requirements Definitions Initial trauma education requirementsAbout
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