Tug Valley ARH Regional Medical Center Earns Level IV Designation


Tug Valley ARH Regional Medical Center announced it is officially designated as a Level IV Trauma Center by the Kentucky Trauma System and verified by the Commonwealth of Kentucky Cabinet for Health and Family Services Department of Public Health.

As a Level IV Trauma Center, Tug Valley ARH has the ability to provide initial care and stabilization of traumatic injuries while arranging transfer to a higher level of trauma care. The goal is to ensure that the trauma patient is treated within the “golden hour” of injury. Using the standards set forth by the state and having pre-arranged transfer agreements with several Level I Trauma Centers, Tug Valley ARH ensures that the patient receives proper trauma care in a timely manner.

According to Tim Hatfield, Tug Valley ARH Community CEO, everything from 24-hour physician coverage in the Emergency Room to certified Advanced Trauma Life Support and an array of surgical staff availability go into the protocol. Additionally, nurses are specially trained in trauma care. Radiologic technologists, Lab technicians and Respiratory therapists are available 24-hours-a-day.

“We have assembled the very best healthcare professionals, committed to providing thorough, quality care, to serve our community in this important capacity,” said Hatfield. “Pike County residents can be assured that their local hospital stands ready in time of need.”

The process of applying to the program began September 30th 2015. Tug Valley ARH established a trauma program under the leadership of Fayetta Gauze, RN, Tug Valley ARH Emergency Department Director. The program includes several physician and management leaders along with local emergency management services.

The Tug Valley ARH committee met to complete the requirements and application to submit to the Kentucky Trauma System. Tug Valley ARH submitted a trauma application on February 14th 2017, outlining the facility and personnel demographics, as well as statistical data. In addition, education activities and outreach programs were established to discuss trauma prevention.

Once the application was submitted, the Kentucky Trauma Advisory Committee conducted a survey on April 27th 2017. The advisory committee consisted of a three member team: a Trauma Surgeon, a Trauma Program Director and Richard Bartlett, BS, MEd. The surveyors did not find one deficiency with the Tug Valley ARH Regional Center Trauma Program and recommended to the Commissioner of Public Health for verification of Level IV Trauma Center designation.

The Kentucky Trauma Advisory Committee recognized and commented that Tug Valley ARH was in substantial compliance with the Level-IV criteria set by the Kentucky Advisory committee and related state regulations. They also noted some best practices at Tug Valley ARH related to the trauma patient length of stay in the ED to get them quickly to definitive care.

The Tug Valley ARH Regional Medical Center Trauma Committee members are: Fayetta Gauze, RN ED and ICU Director, Dr. T. Hamilton, MD (ED Medical Director and Trauma Medical Director), Tim Hatfield CCEO, Paula Vaughan, RN CCNO, Evelyn Robinette, RN CCRAO, Chris Maynard, RN ED Clinical Nurse Manager, Angela Jewell, RN PI/Quality, Leann Hubbard Lab Director, Teddy Hall Radiology Director, Kristie Adkins, RN OR Director, Dixie Charles Admissions Manager, Dee Murphy Admissions Director, and Bill Ball (Owner/ Operator of Appalachian First Response Ambulance Service)

Tug Valley ARH Regional Medical Center is a part of Appalachian Regional Healthcare. ARH is a not-for-profit health system serving 350,000 residents across Eastern Kentucky and Southern West Virginia. Operating 11 hospitals, multi-specialty physician practices, home health agencies, Home Care Stores and retail pharmacies, ARH is the largest provider of care and single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia.

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