Notice of Intended Action
Trauma triage and transfer protocols, ch 135
ARC 8526C
PUBLIC HEALTH DEPARTMENT[641]
Notice of Intended Action
Proposing rulemaking related to trauma triage and transfer protocols
and providing an opportunity for public comment
The Department of Health and Human Services hereby proposes to rescind Chapter 135, “Trauma Triage and Transfer Protocols,” 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This chapter was reviewed and is proposed to be rescinded and adopted anew as part of the Red Tape Review process laid out by Executive Order 10. The purpose of the proposed chapter is to provide written directives that support decision making by emergency medical services (EMS) clinicians in transport destination determinations for injured patients, which will improve survival after injury. The chapter will ensure that seriously injured patients are transported to the most clinically appropriate higher-level trauma centers, and patients with minor to moderate injuries can be cared for in lower-level trauma centers.
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 17, 2025. Comments should be directed to:
|
Joe Campos |
Public Hearing
Public hearings at which persons may present their views orally or in writing will be held as follows:
|
January 15, 2025 |
Via Microsoft Teams |
|
January 21, 2025 |
Via 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 135 and adopt the following new chapter in lieu thereof:
CHAPTER 135
TRAUMA TRIAGE AND TRANSFER PROTOCOLS
641—135.1(147A) Definitions. For the purposes of these rules, the following definitions apply:
“Out-of-Hospital Trauma Triage Destination Decision Protocols” means written directives to assist in trauma and triage decision-making, established and approved by the department, to be followed by the service program.
“Service program” or “service” means the same as defined in Iowa Code section 147A.1.
“Transfer” means the process of a patient being transferred from the scene of an injury to a trauma care facility or from one trauma care facility to another.
“Trauma care facility” means the same as defined in Iowa Code section 147A.21.
“Trauma triage and transfer” means to determine the trauma care facility destination.
641—135.2(147A) Trauma triage and transfer protocols. Trauma triage and transfer protocols approved by the department assist personnel from each service program and trauma care facility. These protocols do not preclude service programs or trauma care facilities from making emergency revisions of the approved triage and transfer protocols when an incident overburdens medical care resources, causing an unnecessary delay in patient care.
135.2(1) Adoption by reference. The 2021 National Guideline for the Field Triage of Injured Patients, as amended to August 1, 2024, is incorporated by reference and adopted as the Out-of-Hospital Trauma Triage Destination Decision Guideline for the state of Iowa.
135.2(2) Revisions and modifications to the protocols adopted by reference in subrule 135.2(1) may be made upon recommendation to and approval of the department.
641—135.3(147A) Offenses and penalties. The department may deny verification as a trauma care facility or deny authorization as a service program or may give a citation and warning, place on probation, suspend, or revoke existing trauma care facility verification or service program authorization if the department finds reason to believe that the facility or service program has not been or will not be operated in compliance with Iowa Code section 147A.27 and these administrative rules. The denial, citation and warning, period of probation, suspension, or revocation shall be effected and may be appealed in accordance with the requirements of 441—Chapter 7.
These rules are intended to implement Iowa Code section 147A.23.
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Open For Comments
This notice is open for comments for 27 more day(s). If you'd like to comment, select or click the text you wish to comment on in the document, or click the button below to make a general comment about the document. Comments will be collected through 1/17/2025
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Public Hearing
Official Document
- Trauma triage and transfer protocols, ch 135
- 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 -135.2(1) Rule 641-135.1 Rule 641-135.2 Rule 641-135.3Iowa Code References
The following Iowa code references were added to this document. You may click a reference to view related notices.
Iowa Code 147A.1 Iowa Code 147A.21 Iowa Code 147A.23 Iowa Code 147A.27Keywords
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Definitions Offenses and penalties Trauma triage and transfer protocolsAbout
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