641—137.3 (147A) Continuing trauma education for Iowa’s trauma system. Continuing trauma education (Table 2) is required every four years 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.
Table 2

Practitioner	Resource (Level I)
TCF	Regional (Level II)
TCF	Area (Level III)
TCF	Community (Level IV)
TCF	
Physician
PA/ARNP	24 hours of continuing trauma education:
8 hours formal (recommend ATLS refresher course),
16 hours informal.	24 hours of continuing trauma education:
8 hours formal (recommend ATLS refresher course),
16 hours informal.	24 hours of continuing trauma education:
8 hours formal (ATLS refresher course required),
16 hours informal.	24 hours of continuing trauma education:
8 hours formal (ATLS refresher course or RTTDC required),
16 hours informal.	
RN/LPN	16 hours of continuing trauma education:
4 hours formal (refresher course in trauma nursing course objectives
recommended by TSAC is required),
12 hours informal.	16 hours of continuing trauma education:
4 hours formal (refresher course in trauma nursing course objectives
recommended by TSAC is required),
12 hours informal.	16 hours of continuing trauma education:
4 hours formal (refresher course in trauma nursing course objectives
recommended by TSAC is required),
12 hours informal.	16 hours of continuing trauma education:
4 hours formal (refresher course in trauma nursing course objectives
recommended by TSAC is required),
12 hours informal.	
	 137.3(1) Topics for all or part of the continuing trauma education hours may be recommended to the department by SEQIC or TSAC based on trauma care system outcomes.
	 137.3(2) General requirements for continuing trauma education.
	  a.   	 Three-fourths of the required continuing trauma education hours may be informal, determined and approved by a trauma care facility from any of the following:
	  1. 	 Multidisciplinary trauma case reviews;
	  2. 	 Multidisciplinary trauma conferences;
	  3. 	 Multidisciplinary trauma mortality and morbidity reviews;
	  4. 	 Multidisciplinary trauma committee meetings;
	  5. 	 Trauma peer review meetings;
	  6. 	 Any trauma care facility committee meeting with a focus on trauma care evaluation; and
	  7. 	 Critical care education such as ACLS course, PALS course, NRP course, or equipment inservices.
	  b.   	 One-fourth of the required continuing trauma education hours shall be obtained through any formalized continuing education programs.
	 137.3(3) Continuing trauma education is required of certified emergency medical care providers every two years as follows:
	  a.   	 FR or FR-D: 2 continuing education hours.
	  b.   	 EMT-A, B, D: 4 continuing education hours.
	  c.   	 EMT-I: 4 continuing education hours.
	  d.   	 EMT-P: 6 continuing education hours.