Baxter Regional Medical Center nurses and physicians recently earned the
Arkansas Department of Health's designation as a Level 3 Trauma Care Team.
As such, BRMC's Cline Emergency Center became one of seven hospitals
in Arkansas with emergency departments able to deliver emergency services
at the Level 3 care standard and the only Level 3 emergency service in
north central Arkansas. "It has been the grandest thing after 20
years in patient care to see this happen," said Charles Grinder,
a registered nurse and BRMC Trauma Care coordinator with Lacey Robb.
Kelly Dicks, registered nurse and director of Cline Emergency Center, said
achieving most of the state's Level 3 care standards care involves
continuing education for nurses and doctors, and rooms specially equipped
for emergency surgery. A number of physicians with medical specialties
on the Cline Emergency Center staff and nurses with critical care knowledge
and skills from the BRMC Intensive Care Unit helped the hospital to qualify, she said.
Dicks said BRMC's performance in its December review tabulated much
higher than was required for the Level 3 designation
"The review looks for 80 percent fulfillment for educational requirements.
Our staff is 100 percent trauma-certified," Dicks said. "Our
average time from initiation to surgical team response is 15 minutes.
The required response time is 30 minutes." That level of response,
says Dick, in most instances translates to a surgical team waiting when
injured or sick people arrive by ambulance at the emergency room.
Grinder said in cases of severe, life-threatening injury and head injury,
the statewide Arkansas Trauma System that links most Arkansas hospitals
electronically, has proven its ability to cut an hour or more from the
time that had been given to finding the best critical care options before
the system that began early in 2011.
Neurosurgery is the major medical service needed to bring BRMC to the Level
2 standard of trauma care. Dicks said BRMC is near the Level 2 care criteria.
Achieving the next level would require availability of neurosurgeons to
cover emergency calls 24/7. Substantial technology supporting neurosurgery
is another costly aspect of achieving the Level 2 Trauma Care designation, she said.
ARKANSAS HOSPITALS AND CARE LEVELS The following is a summary of hospitals
that participate in the Arkansas Trauma System and their standing in terms
of care levels:
Arkansas Children's Hospital, Little Rock Le Bonheur Children's
Hospital, Memphis Regional Medical Center, Memphis St. John's Regional
Health Center, Springfield, Mo. University of Arkansas for Medical Sciences,
Baptist Health Medical Center, Little Rock Jefferson Regional Medical Center,
Pine Bluff St. Joseph's Mercy Health Center, Hot Springs St. Vincent
Infirmary, Little Rock
Baptist Health Medical Center, North Little Rock Baxter Regional Medical
Center, Mountain Home Christus Saint Michael Health System, Texarkana
Conway Regional Medical Center, Conway Saint Mary's Regional Hospital,
Russellville St. John's Hospital, Berryville White County Medical
Baptist Health Medical Center, Arkadelphia Crittenden Regional Hospital,
West Memphis Five Rivers Medical Center, Pocahontas Fulton County Hospital,
Salem HSC Medical Center, Malvern Howard Memorial Hospital, Nashville
John Ed Chambers Memorial Hospital, Danville Little River Memorial Hospital,
Ashdown NEA Baptist Memorial Hospital, Jonesboro North Logan Mercy Hospital,
Paris Ozark Health Medical Center, Clinton Piggott Community Hospital,
Piggott Stone County Medical Center, Mountain View St. Vincent, Morrilton
St. Vincent, North Little Rock -- Source: Arkansas Department of Health
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