Level 3 trauma center

[RICC]

Does anybody know if a hospital can achieve Level 3 trauma certification without having an Anesthesiologist available 24/7/365? I know that CRNAs can be the bedside provider based on the criteria that I have seen and there would be anesthesia services available 24/7/365 via CRNAs. There would be an anesthesiologist liaison to the trauma service, but a sole anesthesiologist cannot possibly be available every minute of every day, even if for just phone consultation. I just can't seem to find any specifics stating that an anesthesiologist MUST be available at all times.

 

[deleted171991]

Elements of Level III Trauma Centers Include:

• 24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists.

http://www.amtrauma.org/resources/trauma-categorization/index.aspx

They clearly mention anesthesiologists, not anesthesia providers.

I personally can't imagine a trauma center with anesthesia provided by unsupervised nurses. What can be a better recipe for disaster than emergent anesthesia by CRNA on an ASA 4 trauma patient?