641—135.2(147A) Trauma triage and transfer protocols.
	135.2(1) Trauma triage and transfer protocols approved by the department shall be utilized to assist personnel from each service program and trauma care facility. This requirement shall 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 unnecessary delay in patient care.
	a. 	Adoption by reference. The “Out-of-Hospital Trauma Triage Destination Decision Protocol” (Adult, 2013) and the “Out-of-Hospital Trauma Triage Destination Decision Protocol” (Pediatric, 2013) are incorporated by reference and adopted as the out-of-hospital trauma triage destination decision protocols. For any differences which may occur between the adopted references and these administrative rules, the administrative rules shall prevail.
	b. 	The protocols adopted by reference in paragraph 135.2(1)“a” are available through the Iowa Department of Public Health, Bureau of EMS, Lucas State Office Building, Des Moines, Iowa 50319-0075, or the bureau of EMS website (idph.iowa.gov/BETS/Trauma).
	c. 	Revisions and modifications to the protocols adopted by reference in paragraph 135.2(1)“a” may be made upon recommendation to the department from the trauma system advisory council (TSAC). Revisions and modifications shall be approved by the department.
	d. 	The director, pursuant to rule, may grant a waiver from the requirements of rules adopted under this chapter for any hospital, emergency care facility, or service program provided that the waiver is related to undue hardships in complying with this chapter or the rules adopted pursuant to this chapter.
	135.2(2) Reserved.
[ARC 1080C, IAB 10/2/13, effective 2/1/14; ARC 5528C, IAB 3/24/21, effective 4/28/21]