National Injury Insurance Scheme (Queensland) Regulation 2016
sec.6Eligibility criteria for traumatic brain injury
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sec.6 Eligibility criteria for traumatic brain injury
The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by an adult or a child aged more than 8 years are— any or all of the following apply— the injury results in post-traumatic amnesia lasting 7 days or more as evidenced by an assessment using an approved scale; the person is or was in a coma, other than an induced coma, for 1 hour or more as a result of the injury; brain imaging shows a significant brain abnormality as a result of the injury; and the person’s functional ability as a result of the injury is assessed as 5 or less for a motor or cognitive item using— for an adult—the functional independence measure instrument; or for a child—the childrens functional independence measure instrument. The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by a child aged between 3 years and 8 years are— either or both of the following apply— on resuscitation or admission to an accident or emergency department of a hospital, the child was given a score of less than 9 on the Glasgow coma scale; brain imaging shows a significant brain abnormality as a result of the injury; and the child’s functional ability as a result of the injury is assessed as 2 points or more below the age norm for the child for a motor or cognitive item using the childrens functional independence measure instrument. The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by a child aged less than 3 years are— the injury is likely to cause a significant adverse impact on the child’s normal development; and a relevant medical specialist has given a medical certificate or report stating that, in the medical specialist’s opinion, the injury is likely to cause a significant adverse impact mentioned in paragraph (a) . In this section— approved scale , for assessing post-traumatic amnesia, means— the Westmead PTA scale; or a clinically accepted scale similar to the Westmead PTA scale approved by the agency for this definition. Glasgow coma scale means the scale, known as the Glasgow coma scale, used for assessing the level of consciousness of a person following a traumatic brain injury, using eye, verbal and motor responses. relevant medical specialist means— a paediatric rehabilitation specialist; or a paediatric neurologist. Westmead PTA scale means the clinical tool, known as the Westmead Post-traumatic Amnesia Scale, used to assess the period a person suffers post-traumatic amnesia. (sec.6-ssec.1) The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by an adult or a child aged more than 8 years are— any or all of the following apply— the injury results in post-traumatic amnesia lasting 7 days or more as evidenced by an assessment using an approved scale; the person is or was in a coma, other than an induced coma, for 1 hour or more as a result of the injury; brain imaging shows a significant brain abnormality as a result of the injury; and the person’s functional ability as a result of the injury is assessed as 5 or less for a motor or cognitive item using— for an adult—the functional independence measure instrument; or for a child—the childrens functional independence measure instrument. (sec.6-ssec.2) The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by a child aged between 3 years and 8 years are— either or both of the following apply— on resuscitation or admission to an accident or emergency department of a hospital, the child was given a score of less than 9 on the Glasgow coma scale; brain imaging shows a significant brain abnormality as a result of the injury; and the child’s functional ability as a result of the injury is assessed as 2 points or more below the age norm for the child for a motor or cognitive item using the childrens functional independence measure instrument. (sec.6-ssec.3) The eligibility criteria for a traumatic brain injury resulting in a permanent impairment suffered by a child aged less than 3 years are— the injury is likely to cause a significant adverse impact on the child’s normal development; and a relevant medical specialist has given a medical certificate or report stating that, in the medical specialist’s opinion, the injury is likely to cause a significant adverse impact mentioned in paragraph (a) . (sec.6-ssec.4) In this section— approved scale , for assessing post-traumatic amnesia, means— the Westmead PTA scale; or a clinically accepted scale similar to the Westmead PTA scale approved by the agency for this definition. Glasgow coma scale means the scale, known as the Glasgow coma scale, used for assessing the level of consciousness of a person following a traumatic brain injury, using eye, verbal and motor responses. relevant medical specialist means— a paediatric rehabilitation specialist; or a paediatric neurologist. Westmead PTA scale means the clinical tool, known as the Westmead Post-traumatic Amnesia Scale, used to assess the period a person suffers post-traumatic amnesia.