N.J. Admin. Code § 8:41-7.8

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-7.8 - Standing orders for multiple trauma

(a) The following standing orders are authorized in the event that an adult patient presents with multiple traumatic injuries:

1. Provide basic life support as necessary;

2. Assess and secure airway;

3. Provide cervical spine precautions;

4. Assist ventilation, providing high flow oxygen at 100 percent by non-rebreather mask and/or performing intubation utilizing cervical spine precautions when indicated;

5. Transport the patient as soon as possible to the most appropriate facility according to the adult trauma triage guidelines; transportation shall not be delayed due to difficulty in intubating the patient and/or initiating an IV line, except at the specific direction of the medical command physician;

6. Enroute to the hospital, establish two large bore IV lines of Ringer's lactate solution or normal saline solution. Titrate the IV fluid administration rate to maintain a systolic blood pressure of greater than 90 mmHg and a pulse rate of less than 120 per minute, to a maximum dose of one liter; and

7. Contact the medical command physician.

N.J. Admin. Code § 8:41-7.8